Professional Billing SBO Analyst

Xtensys

Town of Ithaca (NY)

On-site

USD 120,000 - 150,000

Full time

14 days+

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Job summary

Xtensys, a NY-based MSP, is seeking an experienced Professional Billing SBO Analyst to support Epic PB applications and Revenue Cycle workflows. You will lead project planning, collaborate with IT, clinical teams, and revenue teams, and deliver high-quality support across multiple environments.

The role requires hands-on Epic build experience, Epic Resolute PB certification, and strong communication skills.

Qualifications

Minimum of 3 years of hands-on Epic build experience.
Expertise in Professional Billing, Revenue Cycle workflows, payer requirements.
Experience with full lifecycle system builds, testing, validation, and troubleshooting.
Configure and maintain core PB components (charge router, claims, remits, SBO, patient statements).
Resolve claim edits, rejections, denials by designing and configuring claim edit rules.
Collaborate with Revenue, Clinical, and IT teams to align system features with business objectives.
Provide end-user advocacy and training support for staff and clinicians.
Communicate clearly with stakeholders and technical teams.
Epic Community Connect experience is highly preferred.

Responsibilities

Provide advanced system-level support for Epic PB applications and related systems.
Lead and participate in project planning with clear goals and milestones.
Collaborate with cross-functional teams to educate and train on applications.
Deliver high-quality customer service and troubleshoot technical issues.
Manage multiple priorities and ensure timely project delivery.
Support on-call rotation to maintain system stability.

Skills

Epic build experience

Revenue Cycle workflows

Payer requirements knowledge

System lifecycle management

Technical configuration

EndUser advocacy

Effective communication

Education

Bachelor’s degree in Information Technology or related field

Epic Resolute Professional Billing Administration certification

Tools

Epic Foundation

Epic Applications

Charge router

Claims

Remits

SBO

Patient statements

Job description

Who We Are

Xtensys is a rapidly growing managed service provider delivering innovative technology solutions to health systems, beginning in New York and expanding nationwide. Owned by two industry leaders with a strong focus on advancing rural and community healthcare, Xtensys is executing several major initiatives and scaling quickly. With a team of more than 500 professionals, we are building a people-centered culture rooted in collaboration, innovation, and strategic thinking.

We are seeking an experienced Professional Billing SBO Analyst, to support our continued growth and commitment to deliver exceptional client outcomes.

Why Join Us

MissionDriven Work: You are the "bridge" ensuring technology serves health systems and their patients when they need it most.
Autonomy & Ownership: We trust you. You’ll lead projects, define success, and manage complexities with total support.
A Culture of Innovation: Have a fresh perspective? We want it. We encourage risktaking and continuous improvement.
Continuous Growth: We fuel your "restless curiosity" with opportunities to expand your skillset and mentor others.

The Role

As the Professional Billing SBO Analyst, you will provide advanced system-level support for multi-user clinical and financial applications, operating systems, hardware, software, and reporting tools. This includes installation, configuration, training, maintenance, and ongoing support of these systems.

This role requires intermediate knowledge of systems analysis, along with a comprehensive understanding of project management concepts and methodologies. You will lead and actively participate in project planning sessions, establishing clear goals, milestones, and procedures, while managing projects of varying complexity. In close collaboration with project leaders, you will support key aspects of project planning to ensure timelines and deliverables are successfully met.

You will promote excellent customer service and leverage strong communication skills to support the success of all software applications. Additionally, you will partner with cross-functional departments to promote, educate, and train on current applications, while working collaboratively with Xtensys staff, clinical and operational teams, and other stakeholders to achieve project goals.

What You’ll Do Day-to-Day

Ownership & Initiative: You take ownership and run with it; proactively driving work forward, following through, and seeking opportunities to add value. You use sound judgment, stay solutionsoriented, and inspire others to stay focused on outcomes that matter.
Strong DecisionMaking: You’re confident navigating complexity—analyzing challenges, gathering insights, and making informed decisions, even with limited information. You anticipate risks, think ahead, and adapt quickly when priorities shift.
ResultsDriven Mindset: You set high standards and deliver. You prioritize effectively, overcome obstacles, and stay accountable to timelines, quality, and outcomes—while aligning your work to broader team and organizational goals.
Adaptability & Resilience: You thrive in dynamic environments, staying composed under pressure and flexible through change. You embrace new ways of working, help others navigate change, and continuously look for ways to improve.
Innovation & Continuous Improvement: You challenge the status quo and bring fresh ideas to the table. You’re comfortable taking smart risks, solving problems creatively, and driving meaningful improvements in processes and outcomes.
Project Management Expertise: You bring a strong foundation in project management—planning, prioritizing, and executing with precision. You manage multiple priorities, anticipate resource needs, track progress, and ensure successful delivery across projects of varying complexity.
Growth Mindset: You’re committed to continuous learning and development—seeking feedback, expanding your skillset, and sharing knowledge with others. You take initiative in your own growth while helping elevate the team.
MissionDriven: You embody and promote Xtensys’ vision and values, bringing energy and purpose to your work while aligning your contributions to our broader mission.

Who You Are & What You’ll Bring

Proven Track Record

Minimum of 3 years of handson Epic build and related experience.
Industry Expertise: Apply a comprehensive understanding of Professional Billing (PB), Revenue Cycle workflows, medical terminology, and payer requirements to drive system accuracy.
System Lifecycle Management: Execute fulllifecycle system builds, including rigorous testing, validation, and troubleshooting of claim issues during upgrades and implementations.
Technical Configuration: Configure and maintain core PB components, including the charge router, claims, remits, SBO, and patient statements.
Revenue Cycle Optimization: Resolve claim edits, rejections, and denials by designing and configuring strategic claim edit rules to enhance performance.
Collaborative Problem Solving: Synchronize system features with business objectives by partnering with Revenue, Clinical, and IT teams.
Strategic Troubleshooting: Investigate complex system discrepancies to develop and deploy sustainable, longterm technical solutions.
EndUser Advocacy: Partner with the training team to deliver highquality support and technical troubleshooting for staff and clinicians.
Effective Communication: Facilitate professional interactions and clear communication between stakeholders, technical staff, and endusers.
Community Connect: Prior experience supporting Epic Community Connect partners is highly preferred.
Flexibility: Ability to participate in a scheduled oncall rotation to ensure continuous system stability and support.