PB Claims Epic Analyst

TEKsystems; Johnson City (TN); Remote; USD 110,000 - 124,000; Part time

Benefits offered by this job

Medical, dental & vision

401(k) Retirement Plan

Life Insurance

HSA

PTO

Job summary

TEKsystems is seeking an experienced Epic PB Claims Analyst to support Professional Billing workflows and system initiatives. The role requires hands-on Epic PB Claims experience and a current certification, with a focus on collaborating with billing, revenue cycle, and technical teams.

This is a fully remote contract position based out of Johnson City, TN, offering pay of $80.00–$90.00 per hour and a comprehensive benefits outline.

Qualifications

• Current Epic PB Claims certification is required.
• Hands-on experience supporting Epic Professional Billing Claims.
• Strong understanding of professional billing and revenue cycle workflows.
• Experience with Epic claims configuration, troubleshooting, testing, and optimization.
• Ability to analyze complex billing and claims issues and translate needs into Epic solutions.
• Strong communication and stakeholder management skills.
• Ability to work independently while collaborating with teams.

Responsibilities

• Support, maintain, and optimize Epic Professional Billing (PB) Claims functionality and workflows.
• Configure and troubleshoot claim processing, edits, workqueues, billing rules, and related PB functionality.
• Analyze claim issues and identify root causes related to configuration or operations.
• Collaborate with Revenue Cycle, billing, coding, and operational stakeholders to gather requirements.
• Assist with system enhancements, upgrades, testing, validation, and production support.
• Support claims workflows through the billing lifecycle from creation to follow-up.
• Develop and execute testing plans to ensure changes meet requirements.
• Create and maintain system and workflow documentation.
• Provide SME recommendations on Epic PB Claims best practices and optimization.
• Coordinate with cross-functional Epic teams when workflows intersect other areas.

Skills

Epic PB Claims

Claims analysis

Stakeholder management

Communication

Independent work

Job description

Epic PB Claims Analyst

We are seeking an experienced Epic PB Claims Analyst to support Professional Billing claims workflows, optimization, troubleshooting, and ongoing system initiatives. The ideal candidate will have strong hands‑on experience within Epic Professional Billing and must hold a current Epic PB Claims certification. This individual will partner closely with billing, revenue cycle, operational, and technical teams to ensure accurate and efficient claims processing. Federally Qualified Health Center (FQHC) experience is highly preferred and considered a significant plus.

Key Responsibilities

• Support, maintain, and optimize Epic Professional Billing (PB) Claims functionality and workflows.

• Configure and troubleshoot claim processing, claim edits, workqueues, billing rules, and related Professional Billing functionality.

• Analyze claim issues and identify root causes related to system configuration, workflows, payer requirements, or operational processes.

• Partner with Revenue Cycle, billing, coding, and operational stakeholders to gather requirements and implement effective Epic solutions.

• Assist with system enhancements, upgrades, testing, validation, and production support.

• Support claims‑related workflows throughout the billing lifecycle, including claim creation, edits, submission, rejections, and follow‑up.

• Develop and execute testing plans to ensure changes meet business and technical requirements.

• Create and maintain system documentation, workflow documentation, and build specifications.

• Provide subject matter expertise and recommendations around Epic PB Claims best practices and workflow optimization.

• Collaborate with cross‑functional Epic application teams when claims workflows intersect with other areas of the system.

Required Qualifications

• Current Epic PB Claims certification is required.

• Hands‑on experience supporting and/or implementing Epic Professional Billing Claims.

• Strong understanding of professional billing and revenue cycle workflows.

• Experience with Epic claims configuration, troubleshooting, testing, and optimization.

• Ability to analyze complex billing and claims issues and translate operational needs into Epic solutions.

• Strong communication and stakeholder management skills.

• Ability to work independently while collaborating effectively with technical and operational teams.

Preferred Qualifications

• FQHC experience is a strong plus.

• Experience supporting billing and claims workflows within an FQHC or community health environment.

• Experience with Epic implementations, upgrades, optimization projects, or revenue cycle transformation initiatives.

• Additional Epic Professional Billing certifications or proficiencies are a plus.

Ideal Candidate

The ideal candidate is a hands‑on Epic PB Claims Analyst who understands both the technical Epic build and the operational side of professional billing. They should be comfortable owning claims‑related issues from investigation through resolution and working directly with revenue cycle stakeholders to improve workflows. Candidates with Epic PB Claims certification and prior FQHC experience will be especially well aligned with this opportunity.

Job Type & Location

This is a Contract position based out of Johnson City, TN.

Pay and Benefits

The pay range for this position is $80.00 - $90.00/hr.

Individual compensation offered for this position within this range will depend on many factors, including qualifications, skills, relevant experience, job knowledge, geographic location, internal equity, and other pertinent job‑related factors.

Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: Medical, dental & vision Critical Illness, Accident, and Hospital 401(k) Retirement Plan Pre‑tax and Roth post‑tax contributions available Life Insurance (Voluntary Life & AD&D for the employee and dependents) Short and long‑term disability Health Spending Account (HSA) Transportation benefits Employee Assistance Program Time Off/Leave (PTO, Vacation or Sick Leave)

Workplace Type

This is a fully remote position.

Application Deadline

This position is anticipated to close on Oct 9, 2026.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

San Francisco Fair Chance Ordinance: Pursuant to the San Francisco Fair Chance Ordinance, for all positions located in the city and county of San Francisco, we will consider for employment qualified applicants with arrest and conviction records.

Massachusetts Lie Detector: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

Use of Artificial Intelligence (AI): We may use Artificial Intelligence (AI) to support parts of our hiring process, including sourcing, screening, and evaluating candidates. AI helps assess applications and qualifications, but final decisions are made by our hiring team. By applying, you acknowledge and agree that your application may be reviewed using AI tools.