Healthcare Financial Systems Analyst II — Epic HB/PB

Baylor Scott & White Health; Cheyenne (WY); On-site; USD 70,000 - 110,000; Full time

Benefits offered by this job

Immediate eligibility for health and-w

401(k) matching up to 5%

Tuition Reimbursement

PTO accrual Day 1

Job summary

Baylor Scott & White Health seeks a revenue cycle specialist to support managed care and government reimbursement contracts within Epic Hospital Billing and Professional Billing. You will monitor contract performance, identify underpayments, and work with payer representatives to maximize revenue.

The role requires experience with CMS/Texas Medicaid, Epic HB/PB, and strong business office knowledge. Join a large not-for-profit health system dedicated to improving care delivery.

Qualifications

• Bachelor's or equivalent experience required.
• Five years of Managed Care, Government Finance, Revenue Cycle, Billing, or related healthcare field experience.
• Experience with CMS or Texas Medicaid programs.
• Experience in Epic HB/PB or any other EHR software.
• Knowledge of business office operations and processes.
• Experience with application troubleshooting.
• Experience with managed care contracts and payer reimbursement.

Responsibilities

• Configure payer reimbursement contracts in Epic HB and PB.
• Translate managed care contracts, reimbursement terms, exclusions, carve-outs, stop-loss provisions, fee schedules, and payment methodologies.
• Develop test scenarios to ensure accurate reimbursement calculations in HB/PB.
• Research reimbursement discrepancies and collaborate with stakeholders for resolution.
• Maintain payer and plan mapping to connect contracts to payers, plans, products, service areas, and billing entities.
• Maintain build specifications, testing evidence, assumptions, approvals, change controls, and SOPs.
• Serve as a cross-functional liaison to explain contract terms and Epic reimbursement logic to Revenue Cycle and related teams.
• Keep current with CMS, Medicare, and Medicaid reimbursement rules and policy updates.

Skills

CMS/Medicaid knowledge

Contract management

Revenue cycle

Education

Bachelor's or equivalent experience

Tools

Epic HB/PB

Job description

Baylor Scott & White Health seeks a revenue cycle specialist to support managed care and government reimbursement contracts within Epic Hospital Billing and Professional Billing. You will monitor contract performance, identify underpayments, and work with payer representatives to maximize revenue.

The role requires experience with CMS/Texas Medicaid, Epic HB/PB, and strong business office knowledge. Join a large not-for-profit health system dedicated to improving care delivery.