Epic PB Claims

Computer Task Group, Inc

$156K — $176K *
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Epic Professional Billing (PB) Certification is essential.
  • Minimum of 3 years of hands-on Epic PB build experience.
  • Expertise in revenue cycle operations and claims processing is required.
  • Experience with system testing, upgrades, and enhancements is needed.
  • Ability to troubleshoot complex billing and claims issues effectively.
  • Strong communication skills for collaboration with technical and operational teams.

Responsibilities

  • Design and configure Epic PB claims functionality to meet organizational standards.
  • Gather and analyze requirements for system build and workflow enhancement.
  • Support the claims processing workflows from submission to denial management.
  • Engage in system implementations and optimization projects.
  • Perform thorough testing to ensure quality and functionality of systems.
  • Address system issues through troubleshooting and implement solutions.
  • Maintain comprehensive documentation for all build decisions and workflows.

Benefits

  • Competitive benefits package offered.
  • Opportunity for involvement in system enhancements and optimizations.
  • Collaboration with diverse revenue cycle stakeholders and IT teams.
Full Job Description
CTG is seeking a certified Epic Professional Billing (PB) Claims Build Analyst with 3+ years of hands-on build experience to support the design, configuration, and optimization of Epic billing and claims workflows. The ideal candidate will have strong expertise in PB claims processing, reimbursement workflows, and revenue cycle operations, with the ability to translate business requirements into effective system solutions.

This role will work closely with revenue cycle stakeholders, operational leadership, and cross-functional IT teams to ensure accurate, compliant, and efficient claims processing.

Key Responsibilities
  • Design, build, configure, and maintain Epic PB claims functionality in alignment with organizational and regulatory requirements
  • Collaborate with revenue cycle stakeholders to gather requirements and translate them into system build and workflow improvements
  • Support claims processing workflows, including edits, scrubbing, submission, and denial management
  • Participate in system implementations, upgrades, and optimization initiatives
  • Perform unit testing, integrated testing, and user acceptance testing (UAT) to ensure system quality and performance
  • Troubleshoot system issues, perform root cause analysis, and implement sustainable solutions
  • Maintain thorough documentation of build decisions, workflows, and change management activities
  • Support go-live and post-go-live stabilization efforts, including issue resolution and on-call support as needed
  • Ensure compliance with payer requirements, regulatory standards, and Epic best practices
  • Partner with reporting and analytics teams to support claims-related reporting and performance monitoring

Required Qualifications
  • Epic Professional Billing (PB) Certification (required)
  • 3+ years of Epic PB build experience, with a focus on claims configuration and optimization
  • Strong understanding of revenue cycle operations, including claims processing, reimbursement, and denial management
  • Experience with system upgrades, enhancements, and testing cycles
  • Proven ability to troubleshoot complex billing and claims issues
  • Strong communication skills and ability to collaborate with both technical and operational stakeholders

Excellent verbal and written English communication skills and the ability to interact professionally with a diverse group are required.

CTG does not accept unsolicited resumes from headhunters, recruitment agencies, or fee based recruitment services for this role.

To Apply:

To be considered, please apply directly to this requisition using the link providedKindly forward this to any other interested parties. Thank you!

The expected base salary for this position ranges from $75.00 to $85.00/hour. Salary offers are based on a wide range of factors including relevant skills, training, experience, education, market factors, and where applicable, licensure or certifications obtained. In addition to salary, a competitive benefit package is also offered.

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