Job Title: Epic Certified HB / PB Claims Analyst
Position Type: Full Time
Work Location: 100% Remote in the US
ABOUT THIS ROLE / TEAM POSITION Medix Technology is hiring an Epic HB / PB Claims Analyst to help support one of our major Health System clients.
This role will be working remotely to take on support tickets and resolve workflow issues across Epic Resolute HB Claims and PB Claims modules. Some experience with both HB and PB is required, with a current Epic Certification in either HB Claims or PB Claims required. Additionally, familiar with Revenue Guardian is a huge plus
DAY TO DAY RESPONSIBILITIES - Working remotely to take support tickets for Epic's Resolute Hospital Billing (HB) Claims and Professional Billing (PB) Claims modules.
- Troubleshooting the claims processing and billing components of the Epic Resolute Hospital Billing system to ensure accurate and timely healthcare reimbursements
- Supporting project tasks, routine builds and minor workflow changes to the modules
- Working with Revenue Guardian to optimize workflows and catch missing or unbilled charges before claims are submitted
- Managing electronic claim creation, charge router logic, remittance processing, and billing work-queues.
- Support & Troubleshooting, resolving incident tickets, fixing claim edit errors, and addressing clearinghouse or government payer rejections.
- Assisting with product testing & upgrades. Supporting integration and application testing, and applying required build updates during upgrade cycles.
- Collaborating and acting as a technical liaison between IT, billing operations, compliance auditors, and Epic representatives.
REQUIRED SKILLS & QUALIFICATIONS - Must have a current Epic Hospital Billing (HB) Claims or Professional Billing (PB) Claims Certification
- Seeking someone who has professional experience in both HB Claims and PB Claims (heavier in one > the other is acceptable)
- Experience with Revenue Guardian
