Job Title:
Epic Billing Claims & Electronic Remittance Analyst
Department:
Epic / Revenue Cycle
Full Time/PRN:
Not specified
Job Summary
The Epic Billing Claims and Electronic Remittance Analyst is responsible for the design, build, optimization, and support of Epic Revenue Cycle functionality related to claims submission, electronic remittance advice (ERA), and payer connectivity. This role partners with Revenue Cycle, Patient Financial Services, IT, and external payers to ensure accurate and timely billing, reimbursement, and compliance.
Essential Duties & Responsibilities
Application Build & Configuration: Configure and maintain claims, ERA workflows, and revenue cycle functionality; Build payer edits, claim formats, remittance routing, and posting logic; Support clearinghouse integrations and EDI transactions (837, 835, 276/277, 999). Claims & Remittance Operations: Troubleshoot claim rejections, denials, and posting issues; Analyze payer responses; Support payment posting and reconciliation; Improve first-pass claim acceptance. Optimization & Reporting: Analyze workflows and implement improvements; Develop reports and dashboards; Support system upgrades and enhancements. Collaboration & Governance: Partner with stakeholders and vendors; Participate in governance and project teams; Support testing activities; Provide training and documentation. Compliance & Quality: Ensure regulatory compliance (CMS, HIPAA); Support audits; Follow change management standards.
Minimum Qualifications
Bachelor’s degree in Information Systems, Business, Healthcare Administration, or related field or equivalent experience; 1–3 years of Epic or revenue cycle experience; Understanding of healthcare billing and payer workflows; Knowledge of EDI transactions and remittance processes; Strong analytical and communication skills.
Preferred Qualifications
Epic certification in Billing or ability to obtain within 90 days; Experience with Epic Hospital or Professional Billing; Experience supporting claims and remittance workflows.
Skills & Competencies
Ability to translate billing workflows into Epic configurations; Strong attention to detail; Ability to work independently and collaboratively; Strong time management and prioritization; Ability to handle sensitive information; Experience with Epic Hyperspace, Reporting Workbench, and SmartTools preferred.
Working Conditions
Standard office or hybrid environment; Occasional after-hours or on-call support for upgrades, go-lives, or critical workflows.
All candidates must be able to perform the essential functions of this position. The American with Disabilities Act (ADA) requires that reasonable accommodations be made for qualified individuals to help perform the essential functions of the position.
South Central Regional Medical Center is an equal opportunity employer and does not discriminate based on race, color, religion, sex, gender, national origin, age, disability, or genetic information.
Skills Required
- Bachelor's degree in Information Systems, Business, Healthcare Administration, or related field or equivalent experience
- 1-3 years of Epic or revenue cycle experience
- Understanding of healthcare billing and payer workflows
- Knowledge of EDI transactions and remittance processes (837, 835, 276/277, 999)
- Strong analytical and communication skills
- Ability to translate billing workflows into Epic configurations
- Epic certification in Billing or ability to obtain within 90 days
- Experience with Epic Hyperspace, Reporting Workbench, and SmartTools
- Experience supporting claims and remittance workflows and clearinghouse integrations
What We Do
South Central Regional Medical Center is a 285-bed, public not-for-profit hospital located in Laurel, MS founded in 1952. The hospital primarily serves a 4-county area: Jones County, Jasper County, Wayne County and Smith County. The primary focus of the South Central Regional Medical Center Health System is to provide excellent healthcare services to the residents of South Central Mississippi and to improve the quality of life in the region. With more than 80 physicians on staff representing 28 medical specialties, South Central continues to meet the healthcare needs of a growing region. With over 2,100 employees throughout the health system, the highly skilled healthcare professionals work with cutting-edge technologies and offer the most modern diagnostic and treatment options.
