Important Note:

• This is a full-time opportunity with one of our confidential clients. The client name will be shared during the initial screening call with us/recruiter (after your profile is reviewed).
• In this posting, “we,” “us,” and “our” refer to the hiring client."Candidate" refer to you

Experience level: Mid-senior 

Experience required: 5 Years 

Education level: Bachelor’s degree 

Job function: Accounting/Auditing 

Industry: Computer Software 

Total position: 1 

Relocation assistance: No 

Visa sponsorship eligibility: No

Job Description:

• An Epic Physician Billing Analyst (also known as an Epic Professional Billing Analyst) is responsible for the configuration, maintenance, and optimization of the Epic Professional Billing module within a healthcare organization.
• This role is vital for ensuring accurate patient billing, claims processing, and reimbursement for services provided by individual healthcare providers, such as doctors or therapists.

Key Responsibilities:

• System Configuration and Maintenance:Configure and customize the Epic Professional Billing application to meet the specific business needs and workflows of the organization.
• Maintain the Resolute Professional Billing module to manage charges, benefit engines, and workflows with external collection agencies.
• Perform ongoing maintenance and updates to Epic applications.
• Build and test system changes, presenting them to end-users and migrating them to production.
• Workflow Analysis and Optimization:Analyze existing financial workflows and identify opportunities for improvement and optimization.
• Design and implement leading practice workflows to enhance efficiency and effectiveness.
• Collaborate with various stakeholders, including IT, finance, and end-users, to ensure the Epic system aligns with business operations.
• Support and Troubleshooting:Act as the primary support contact for Epic Professional Billing application end-users.
• Provide support to end-users on the Epic EMR system, including integrating revenue cycle processes such as maintaining claim scrubbers and payment processors.
• Troubleshoot system errors and resolve issues related to billing, claims, and reimbursement.
• Provide on-call support on a rotating basis.
• Training and Education:Participate in training and educate end-users on the Epic Professional Billing application and related workflows.
• Develop and document internal procedures for using Epic and other applications.
• Compliance and Updates:Stay current with Epic technologies, obtain and maintain necessary Epic certifications.
• Ensure compliance with industry standards and regulations, such as transitioning between different claim formats (e.g., X12 4010 to 5010) and coding systems (e.g., ICD-9 to ICD-10).
• Review and assess the impact of changes and enhancements with each new Epic release and make recommendations for the best course of action.

Essential skills and qualifications:

• Education and Certification:Bachelor’s Degree, preferably in Computer Science, Information Technology, Computer Engineering, or a related field.
• Certified in Epic Professional Billing.
• Technical Skills:Expertise in Epic's Professional Billing module, including charge router, workqueue configuration, collection agency workflows, statement processing, benefit engine, and estimates.
• Experience with system configuration and troubleshooting tools.
• Proficiency with Microsoft Office Suite (Word, Project, Excel, Visio, and PowerPoint).
• Healthcare Industry Knowledge:Strong understanding of healthcare revenue cycle processes, medical billing codes, and insurance procedures.
• Familiarity with the differences between professional billing and hospital billing.
• Knowledge of medical coding systems like CPT and ICD-10.
• Soft Skills:Strong interpersonal relationship skills and effective communication skills (both oral and written).
• Analytical thinking and problem-solving abilities.
• Attention to detail and accuracy.
• Self-motivated and a team player.

Header: An Epic Physician Billing Analyst (also known as an Epic Professional Billing Analyst) is responsible for the configuration, maintenance, and optimization of the Epic Professional Billing module within a healthcare organization. This role is vital for ensuring accurate patient billing, claims processing, and reimbursement for services provided by individual healthcare providers, such as doctors or therapists.

Candidate must be aware and comfortable that this role requires 5 days per week onsite during training. After training, it transitions to a hybrid schedule with Monday, Tuesday, and Friday in-office in Hicksville/Garden City, NY

Location: Hicksville, NY to start but will move to Garden City, NY

** prefer local candidates as there is no relocation package

Must have:

• Bachelor’s Degree, preferably in Computer Science, Information Technology, Computer Engineering, or a related field.
• Certified in Epic Professional Billing.
• 3+ years of experience and expertise in Epic's Professional Billing module, including charge router, work queue configuration, collection agency workflows, statement processing, benefit engine, and estimates.
• Experience with system configuration and troubleshooting tools.
• Strong understanding of healthcare revenue cycle processes, medical billing codes, and insurance procedures.
• Familiarity with the differences between professional billing and hospital billing.
• Knowledge of medical coding systems like CPT and ICD-10.

Additional information:

• Highly prefer someone local to the Hicksville, Garden City NY area – no relocation package and interview is in-person/onsite
• Benefits:
• Medical, Dental, Vision – BCBS
• 401k
• FSA
• Tuition reimbursement
• PTO, 9 paid holidays, 12 sick days
• Interview process:Onsite interview w/ President and VP/CFO

Screening Questions: (You must answer this along with the professional summary of the application):

1.) Are you aware that this role requires 5 days per week onsite during training, and after training transitions to a hybrid schedule (Monday, Tuesday, and Friday in-office in Hicksville/Garden City, NY), and are you comfortable with this arrangement?

2.) Can you walk me through your experience configuring and maintaining the Epic Professional Billing module, including charge router, workqueue setup, and collection agency workflows?

3.) How have you applied your knowledge of healthcare revenue cycle processes and medical billing codes like CPT and ICD-10 in past roles?

4.) Can you describe your experience with troubleshooting Epic system issues and performing system updates or migrations?

5.) This role requires Epic Professional Billing certification. Can you confirm your certification status and provide details?

6.) Please provide the link to your LinkedIn profile.

7.) What is your highest level of education?

8.) Have you applied or been interviewed for any role with this company in the past? If so, please provide details.

9.) What is your desired total compensation? (Please specify base salary vs. commission/bonus expectation).

10.) Where are you currently located? If you are not near the job location, please explain your relocation plan in detail (e.g., timeline, relocating with family, selling/buying property).

11.) Are you legally authorized to work in the US for any employer?

12.) Will you now or in the future require immigration sponsorship for work authorization (for example, H-1B status)?