Epic Billing Analyst II
About The Position
Adventist HealthCare seeks an experienced Epic Billing Analyst II for its Epic Program. The role independently designs, builds, tests, and supports Epic Resolute Hospital Billing, Professional Billing, Single Billing Office, and claims and remittance functionality. The Analyst partners with patient financial services, coding, revenue integrity, and other Epic teams to deliver accurate and efficient billing workflows from charge capture through claims, payment, and follow-up, and supports Epic go-live and ongoing optimization. The position includes maintaining billing configuration and integrations; supporting testing, implementation, and production operations; and ensuring billing build supports compliance requirements. The Analyst documents design decisions, follows change control, collaborates with operational and application teams, and helps train and guide Analyst I staff. The role may require on-call rotation, after-hours support, upgrades, go-live activities, occasional nights and weekends, and travel to support implementation.
Requirements
- Bachelor’s degree in business, finance, healthcare administration, health informatics, information technology, or a related field; an equivalent combination of education and relevant experience may be considered.
- 5–6 years of direct clinical, healthcare operations, clinical information systems, application support, or related experience, including experience with system implementation, optimization, or production support.
- Epic Resolute Hospital Billing and/or Professional Billing certification required.
- Ability to participate in on-call rotation, after-hours support, upgrades, and go-live activities, including extended hours during go-live and around month-end and billing deadlines.
Nice To Haves
- Epic experience.
- HFMA Certified Revenue Cycle Representative (CRCR) or a similar revenue cycle credential.
Responsibilities
- Independently design, build, and maintain Resolute Hospital Billing, Professional Billing, and Single Billing Office functionality, including charge routing, claim edits, work queues, payment posting, statements, and collections workflows.
- Translate operational requirements into system build and document design decisions.
- Maintain claim and remittance configuration, clearinghouse and payer connections, and charge integration from clinical applications.
- Resolve claim rejections, remittance posting errors, and charge-routing issues in collaboration with operational and application teams.
- Write and execute test scripts, including end-to-end charge, claim, and payment testing, and resolve defects.
- Participate in design sessions, cutover activities such as accounts receivable conversion validation, and go-live command center support.
- Resolve billing, Coding, and CDI incidents and service requests within service level targets.
- Participate in the on-call rotation if needed and provide after-hours, upgrade, and go-live support.
- Analyze denials, work queue volumes, and billing performance to recommend and build improvements.
- Test and implement Epic upgrades affecting billing.
- Ensure build supports billing compliance requirements, including CMS and payer rules, the No Surprises Act, and price transparency.
- Follow change control, document decisions, and help train and guide Analyst I staff.
Benefits
- Work-life balance through nonrotating shifts
- Recognition and rewards for professional expertise
- Free employee parking
- Medical, prescription, dental, and vision coverage for employees and eligible dependents, effective on the date of hire
- Employer-paid short- and long-term disability
- Basic life insurance and AD&D
- Paid time off
- Employer retirement contribution and match after one year of eligible employment, with a three-year vesting period
- Voluntary flexible spending accounts
- Voluntary legal plans
- Voluntary life, pet, auto, home, long-term care, and critical illness and accident insurance
- Subsidized childcare at participating childcare centers
- Tuition reimbursement
- Employee Assistance Program (EAP) support
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
