Epic Reimbursement Contract Specialist (ft- 1.0 Fte, Day Shift, Remote Possible)

Bozeman Health

Bozeman, MT, United States
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Epic hb/pb expected reimbursement contracts
Variance reporting and reimbursement analysis
Underpayment and overpayment resolution
** Bozeman Health is seeking an Epic Reimbursement Contract Specialist to manage and analyze reimbursement contracts within the Epic system. The role requires expertise in hospital and professional billing with a focus on underpayment and overpayment analysis, and it offers the possibility of remote work for candidates in specific states. **

Job Summary

  • The Epic Reimbursement Contract Specialist is responsible for building and maintaining the HB (Hospital Billing) and PB (Professional Billing) expected reimbursement contracts in Epic while acting as a subject matter expert in variance reporting and reimbursement analysis.
  • This position will work incoming flagged underpayments and overpayments, collaboratively appeal confirmed underpayment instances, and continuously build and maintain system contract configuration to ensure accuracy against payer reimbursement terms.
  • Further, this role will perform extensive reimbursement analysis, pinpointing recurring themes surrounding underpayments and identifying patterns for underpayments based on payer, service line, and other factors.

Matching Summary

Match Score: 75

** Bozeman Health is seeking an Epic Reimbursement Contract Specialist to manage and analyze reimbursement contracts within the Epic system. The role requires expertise in hospital and professional billing with a focus on underpayment and overpayment analysis, and it offers the possibility of remote work for candidates in specific states. **

Skills & Requirements

Must-have

  • Epic HB/PB expected reimbursement contracts
  • variance reporting and reimbursement analysis
  • underpayment and overpayment resolution
  • payer contract translation to Epic
  • Epic reporting tools utilization

Nice-to-have

  • professional demeanor
  • discretion and sensitivity
  • tact and confidentiality
  • adaptability to new applications

Key Requirements

  • Bachelor degree in Information Systems, Informatics, Business Administration or related field
  • Epic certification in Hospital Billing and Professional Billing Expected Reimbursement Contracts Administration or ability to obtain within six (6) months
  • Three (3) years of direct experience working on Epic Contracts Reimbursements Hospital Billing/Professional Billing
  • Five (5) years of experience in applicable clinical/business experience preferably in a multi-entity health care system, large hospital, physical office, or managed care organization

Work Rights

Not specified

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