The Planet Grouphttps://cdn.haleymarketing.com/templates/63515/logos/theplanetgroup-200x200.pnghttp://www.theplanetgroup.comhttp://www.theplanetgroup.comtrue
Our client is seeking an experienced Epic Hospital Billing (HB) Claims Analyst to join their revenue cycle team for a full time, perm remote position. This role is responsible for designing, building, testing, and maintaining Epic HB Claims functionality to ensure clean claim generation, accurate reimbursement, and compliance with payer and regulatory requirements. The ideal candidate will be Epic HB Claims certified and possess strong build and troubleshooting experience within Epic’s billing workflows.
Logistics:
Remote in the following states: Arizona, Florida, Georgia, Idaho, Iowa, South Dakota, Texas, South Carolina, Wisconsin, and North Carolina
Proven Epic build experience in Hospital Billing and Claims configuration.
Strong understanding of claim generation, edits, remittance, and clearinghouse workflows.
Experience working with payer requirements, claim formats (UB-04/837I), and compliance regulations.
Excellent analytical, problem-solving, and communication skills.
Bachelor’s degree in Business, Healthcare Administration, or Information Technology preferred.
Experience with Epic PB or Charge Router modules is a plus.
Responsibilities:
Design, build, and maintain Epic HB Claims workflows, rules, and configuration to support accurate and timely claim generation and submission.
Collaborate with billing, revenue integrity, and IT teams to analyze business requirements and translate them into Epic system solutions.
Monitor and resolve claim edit errors, ensuring claims pass cleanly through the system with minimal rework.
Participate in system testing, upgrades, and optimization projects related to Hospital Billing and Claims.
Develop and maintain system documentation, testing scripts, and change control records.
Provide ongoing support and troubleshooting for end users and interface issues impacting claims processing.
Partner with other revenue cycle teams (PB, HIM, and Finance) to ensure integrated workflows and compliance with reimbursement standards.
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The Planet Group and our companies are equal opportunity employers. It is our practice not to discriminate against any employee or applicant based on any criteria, condition or basis protected by laws or regulations in the locations where we do business. All qualified applicants are encouraged to apply. We celebrate diversity and are committed to providing an environment of mutual respect. We believe that diversity, equity and inclusion enable us to better meet our mission and values while serving our clients across the globe. If you have a disability or handicap and would like us to accommodate you in any reasonable way, please inform your recruiter, or contact us, so that we can discuss the appropriate alternatives available.
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