BILLING CLAIMS & ELECTRONIC REMITTANCE ANALYST

South Central Regional Medical Center•Laurel, MS

6d•Hybrid

About The Position

The Epic Billing Claims and Electronic Remittance Analyst is responsible for the design, build, optimization, and support of Epic Revenue Cycle functionality related to claims submission, remittance advice (ERA), and payer connectivity. This role partners closely with Revenue Cycle, Patient Financial Services, IT, and external payers to ensure accurate, timely billing and reimbursement while supporting continuous optimization and regulatory compliance.

Requirements

Bachelor’s degree in Information Systems, Business, Healthcare Administration, or a related field; or equivalent experience.
1–3+ years of Epic experience preferred (Hospital Billing, Professional Billings, Claims, and Remittance).
Hands-on experience supporting revenue cycle with focus on claims and electronic remittance.
Understanding of healthcare billing workflows and payer interactions.
Knowledge of EDI transactions (837, 835) and remittance processes.
Strong analytical, problem‑solving, and troubleshooting skills.
Excellent communication and customer service abilities.

Nice To Haves

Epic certification in Billing or willingness to obtain within 90 days.
Experience with Epic Hyperspace, Reporting Workbench, SmartTools, or clinical decision support is a plus.

Responsibilities

Configure, support, and optimize Epic Billing Claims, Electronic Remittance (ERA), and related Revenue Cycle workflows.
Build and maintain claim formats, payer edits, remittance routing, adjustment reason codes and posting logic.
Support clearinghouse integrations and payer connectivity.
Configure and troubleshoot ANSI X12 transactions (837, 835, 276/277, 999).
Maintain payers-specific rules, claim edits, and remittance mapping.
Troubleshoot claim rejections, denials and remittance posting issues.
Analyze payer responses and identify root causes of claim failures or posting discrepancies.
Support electronic payment posting, secondary billing and reconciliation processes.
Partner with billing and follow-up teams to improve first-pass claim acceptance and payment accuracy.
Participate in optimization initiatives to improve claims throughput, reimbursement accuracy and cash flow.
Analyze workflows and recommend system enhancements aligned with Epic best practices.
Develop and maintain reports and dashboards related to claims status, remittance posting and payer performance.
Support system upgrades, patches and new Epic functionality related to billing and remittance.
Collaborate with operational stakeholders, payers, clearinghouses, and vendor partners.
Participate in governance groups, optimization committees, and project workgroups.
Assist with testing (unit, integrated, and user acceptance testing) for Revenue Cycle changes.
Provide end-user training, documentation, and ongoing support.
Ensure Epic build and workflows comply with regulatory requirements (CMS, HIPAA, payer rules).
Support audits related to billing, claims, and remittance processing.
Follow change management and documentation standards.