PB Epic Contracts Builder

Required Skills & Experience

• Epic Resolute PB Certification
• 3+ years of Epic PB experience
• Hands on Epic PB contract build/modeling experience, not just testing or support
• Strong knowledge of payer reimbursement methodologies and fee schedules
• Experience working with managed care plans
• Strong understanding of professional billing and the revenue cycle
• Experience testing and validating expected reimbursement in Epic
• Ability to work independently and translate payer contract terms into Epic configuration

Nice to Have Skills & Experience

• Epic HB Certification/Contract Build experience STRONGLY PREFERRED
• Epic PB/HB Reimbursement Contracts Administration Certifications
• Self Pay experience

Job Description

A large academic health system in the Southeast is seeking an Epic Professional Billing (PB) Contracts Builder. The ideal candidate will have knowledge on creating contracts from scratch. This person will also have Epic PB certification and experience supporting billing, claims, charge capture, reimbursement, reporting, and end-user support within a healthcare environment.

Key Responsibilities

• Build contracts from scratch. This includes reviewing contracts, finding missing information and piecing together information from different teams to successfully create a contract.
• Build, maintain, and optimize Epic PB workflows and configurations
• Support billing, claims, charge capture, reimbursement, and provider billing processes
• Gather requirements and implement system enhancements
• Troubleshoot application issues and provide end-user support
• Conduct testing, validation, and documentation for upgrades and new functionality
• Collaborate with operational and clinical stakeholders to improve workflows
• Support system implementations, upgrades, and optimization initiatives