Epic Billing Analyst III
About The Position
Adventist HealthCare seeks an experienced Epic Billing Analyst III for its Epic Program. This senior technical and functional expert supports Epic Resolute Hospital Billing, Professional Billing, Single Billing Office, and claims and remittance. The role leads complex billing workflow design, mentors other analysts, partners with revenue cycle, finance, and compliance leaders to improve financial performance, and serves as a billing lead for the Epic go-live. The analyst leads Resolute design and configuration across Hospital Billing, Professional Billing, and Single Billing Office, including charge capture, claims and remittance, reimbursement and contract modeling, and work queue design. The role owns end-to-end charge, claim, and payment integration strategy, leads billing testing and revenue cycle cutover planning, supports go-live, and serves as an escalation point for complex billing, coding, and CDI issues. It also leads optimization and upgrade assessments, coordinates analyst assignments, and partners with leaders on governance, billing compliance, and audit support. This is a full-time, 40-hour-per-week position with a typical schedule of 8 a.m. to 5 p.m., Monday through Friday, on the day shift. Employees follow the company holiday calendar. Occasional nights, weekends, travel, on-call rotation, after-hours support, and extended hours during go-live and around month-end and billing deadlines may be required.
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.
- At least 7 years of direct clinical, healthcare operations, clinical information systems, application support, or related experience, including substantial experience leading complex implementations, upgrades, optimization, or production support in an integrated EHR environment.
- Epic Resolute Hospital Billing and Professional Billing certification.
- 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 is preferred.
- Experience leading the work of other analysts or project teams is preferred; formal supervisory experience is not required.
- Additional Resolute certifications are preferred.
- HFMA Certified Revenue Cycle Representative (CRCR) or a similar revenue cycle credential is preferred.
Responsibilities
- Lead design of complex Epic Resolute functionality across Hospital Billing, Professional Billing, and Single Billing Office, including charge capture strategy, claims and remittance, reimbursement and contract modeling, and work queue design.
- Set build standards, review other analysts’ build, and make design recommendations to revenue cycle leaders.
- Own end-to-end charge, claim, and payment integration strategy, including clearinghouse connections, payer enrollment dependencies, and charge capture from clinical applications.
- Lead root-cause analysis of complex claim, denial, and reimbursement issues.
- Lead billing testing, including integrated charge-to-payment testing and claim validation with key payers.
- Lead revenue cycle cutover planning, including accounts receivable conversion and legacy system wind-down, and serve as a billing lead in the go-live command center.
- Serve as the escalation point for complex billing, coding, and CDI issues.
- Lead optimization projects to reduce denials, days in accounts receivable, and manual work using Epic reporting and revenue cycle metrics.
- Lead assessment of Epic upgrades and new Resolute functionality.
- Participate in on-call rotation, after-hours support, upgrades, and go-live activities as needed.
- Mentor Analyst I and II staff and coordinate work assignments.
- Partner with revenue cycle, compliance, and finance leaders on governance decisions, billing compliance, and audit support.
- Support compliance with CMS and payer rules, the No Surprises Act, and price transparency requirements.
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 date of hire
- Employer-paid short- and long-term disability, basic life insurance, and AD&D; short-term disability buy-up available
- Paid time off
- Employer retirement contribution and match after one year of eligible employment, with a three-year vesting period
- Voluntary benefits including flexible spending accounts, legal plans, and 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
Senior
