Epic Hospital Billing Analyst IV
3 weeks ago
Job Title: Epic Hospital Billing Analyst IV
Location: Remote
Qualifications:
- Epic certification in Hospital Billing (HB) required.
- 5 Years Minimum experience using Epic EMR
Position Overview:
Adventist Health is seeking a skilled Epic Hospital Billing Analyst to optimize billing workflows and ensure compliance with payer requirements. The ideal candidate will have a strong understanding of hospital billing processes, extensive experience with Epic's billing module, and proficiency in identifying opportunities for improvement in revenue cycle management.
Key Responsibilities:
- Epic Billing System Management:
- Utilize Epic's hospital billing (HB) module to manage and process claims.
- Analyze and troubleshoot issues within the Epic system related to billing and claims processing.
- Collaborate with the IT department to configure and maintain billing workflows, ensuring they align with operational needs and compliance standards.
- Claims Analysis & Submission:
- Ensure the timely and accurate submission of hospital claims to payers, including Medicare, Medicaid, and commercial insurance.
- Conduct detailed analysis of claims for accuracy, completeness, and compliance with payer requirements.
- Identify and resolve billing issues such as rejected or denied claims, working closely with coding teams to ensure proper usage of ICD-10, CPT, and HCPCS codes.
- Revenue Cycle Optimization:
- Work with revenue cycle teams to streamline billing processes and improve overall efficiency.
- Identify opportunities within Epic to automate and enhance billing processes to increase revenue capture.
- Monitor and analyze billing trends, using data to recommend improvements in workflows and systems.
- Reporting & Documentation:
- Generate regular billing reports from Epic to assess performance, identify discrepancies, and track revenue.
- Maintain detailed documentation of billing processes, workflows, and any changes made within Epic.
Salary Range: $103,727 - $155,590
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