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Epic PB/ HB Claims Analyst
hace 1 mes
Job description
Certified Epic Claims Analyst responsible for optimizing claim workflows, reducing denials, and ensuring accurate billing in Epic Resolute Professional Billing (PB) and Hospital Billing (HB).
Key Responsibilities:
Analyze and resolve claim edits, rejections, and billing discrepancies.
Configure and test claim rules, error pools, and workqueue logic.
Collaborate with revenue cycle and IT teams to streamline claim processes.
Troubleshoot production issues and recommend improvements.
Support upgrades, testing, and deployment of new Epic features.
Provide reporting on claim trends and denial patterns.
Required Qualifications:
Epic PB/HB Claims certification (mandatory).
3+ years of experience in Epic claims/billing support.
Knowledge of claim formats (UB-04, CMS-1500), payer edits, and clearinghouse workflows.
Strong analytical and communication skills.
