Note: The job is a remote job and is open to candidates in USA. GHR Healthcare is seeking an experienced Epic Hospital Billing (HB) Lead Analyst to provide functional and technical leadership for their Epic Hospital Billing application. The role involves leading application design, configuration, optimization, and ongoing support while collaborating with various departments to enhance billing workflows and operational efficiency.
Responsibilities
- Serve as the lead analyst for the Epic Hospital Billing (HB) application, providing strategic and operational support
- Lead the design, build, configuration, testing, implementation, and optimization of Epic HB functionality
- Collaborate with Revenue Cycle leadership, Patient Financial Services (PFS), Clinical Operations, and IT teams to improve billing workflows and operational efficiency
- Configure and maintain Hospital Billing workflows, including charge capture, charge review, billing edits, reimbursement rules, and claims processing
- Analyze and resolve complex billing, claim edit, and reimbursement issues while ensuring compliance with regulatory and organizational requirements
- Lead requirements gathering sessions and translate business needs into Epic system solutions
- Develop functional specifications, build documentation, testing plans, and change management documentation
- Coordinate and lead system upgrades, enhancements, optimization initiatives, and production support activities
- Mentor and provide technical guidance to HB analysts and cross-functional team members
- Participate in integrated testing, user acceptance testing (UAT), go-live planning, and post-implementation support
- Collaborate with Epic application teams including Resolute Professional Billing, Cadence, Prelude, HIM, and Clinical applications to support integrated workflows
- Monitor application performance and recommend best practices to improve revenue cycle outcomes
Skills
- Bachelor's degree in Information Technology, Healthcare Administration, Business, or a related field, or equivalent work experience
- Minimum of 5 years of Epic Hospital Billing application experience
- Strong experience with: Hospital Billing (HB) configuration, Charge capture workflows, Claim edits and billing rules, Revenue cycle operations, Billing workqueues, Claims processing and reimbursement workflows
- Experience leading Epic implementations, upgrades, or optimization initiatives
- Strong understanding of healthcare revenue cycle processes and hospital billing operations
- Experience with workflow analysis, system configuration, testing, troubleshooting, and production support
- Excellent communication, leadership, and stakeholder management skills
- Ability to manage multiple priorities in a fast-paced healthcare environment
- Epic Hospital Billing (HB) Certification preferred
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