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EPIC Certified HB, PB, Claims Analyst

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Job Title: EPIC Certified HB, PB, Claims Analyst
Location: Remote
Duration: 6+ Months

Credentials:

  • Pass a general background check
  • Epic module certification (as assigned)
  • Epic HB/PB Claims Certification

Required Skills:

  • Leadership & Communication: 3 years – Effectively present to clinical and business leaders.
  • Epic PB, HB, and Claims Expertise: 8 years – Strong hands-on experience in Epic systems.
  • Small Group Collaboration: 3 years – Work in small groups under tight project deadlines.
  • Epic Workflow & Business Needs: 3 years – Ability to translate business needs into Epic billing functionality.
  • Epic Certification: Resolute PB, HB, and Claims modules.
  • Revenue Cycle Experience: 5 years – Progressive healthcare revenue cycle experience with demonstrated Epic build experience.
  • Teamwork & Collaboration: Self-starter with strong teamwork and collaboration skills.
  • Third-Party Vendor Integration: Experience working with Experian, Relay Health, Hyland OnBase.
  • Revenue Cycle & Claims Knowledge: Extensive knowledge of hospital and professional billing, claims workflows.

Additional Knowledge Areas:

  • Rapid Retest
  • Payer/plan creation and maintenance
  • PLBs, Charge Router, Contracts
  • Behavioral Health, Long-term care psychiatric billing
  • CMS IPF PPS billing regulations
  • Substance abuse billing (IOP, methadone dosing)
  • Medicare exhaust billing, no-pay claims, claim splits/interim claims
  • Cash Management, Self-pay remittance

Responsibilities:

  • Analyze, document, and communicate business requirements for new system functionality and enhancements.
  • Test system changes to ensure they meet business requirements and do not adversely impact other areas of the system.
  • Act as the primary support contact for the application's end-users.
  • Guide Epic workflow design, system build, testing, and troubleshoot technical issues.
  • Identify and resolve system issues, implement changes, and communicate updates.
  • Collaborate with quality, operational, and business leaders to optimize system design.
  • Conduct integrated testing across all Epic environments to ensure smooth functionality.
  • Troubleshoot and resolve system problems, maintaining data integrity and security.
  • Develop system documentation and educational materials for users.
  • Stay current on Epic releases and participate in upgrade planning/testing.
  • Engage in performance improvement activities to enhance system usage and business workflows.

Additional Details:

  • May be required to work after hours or on weekends as needed.
  • Infrequent travel may be required.
  • Must pass pre-employment drug testing.

About Logisoft:

  • Founded: 2008
  • Head Office: South Plainfield, NJ
  • Global Presence: Offices in Hyderabad, India & Accra, Ghana
  • Microsoft Official Partners: Providing IT consulting, product development, and software services.
  • Equal Employment Opportunity: Committed to a policy of non-discrimination on legally protected bases under federal, state, or local laws.

Interested candidates can apply directly to this posting or contact Logisoft Technologies for more details.

Employers have access to artificial intelligence language tools (“AI”) that help generate and enhance job descriptions and AI may have been used to create this description. The position description has been reviewed for accuracy and Dice believes it to correctly reflect the job opportunity.
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