Epic PB Claims Remittance Analyst

Posted 20 Days Ago
Be an Early Applicant
73128, Oklahoma City, OK, USA
In-Office
Mid level
Social Impact • Pharmaceutical • Telehealth
The Role
Implement and optimize Epic Professional Billing Claims & Remittance workflows for claims submission, remittance processing, payer connectivity, denial management, and payment reconciliation. Configure EDI/ANSI formats, manage clearinghouse integrations and print engines, audit claim outputs, troubleshoot transmission/interface errors, and collaborate with revenue cycle, finance, patient access, and technical teams to improve reimbursement accuracy and revenue integrity.
Summary Generated by Built In

Oklahoma City Indian Clinic (OKCIC) is a non-profit corporation that provides culturally sensitive health care to the American Indian population. OKCIC services include not only basic medical care but also dental, optometry, behavioral health, fitness, nutrition, and other family programs.

Our mission is to provide excellent healthcare to American Indians. We do this by putting people first, providing quality services, and maintaining our Integrity and Professionalism.

We are looking to add compassionate team players to our growing team as we continue to work toward our goal of becoming the national model for American Indian Health Care.

The Oklahoma City Indian Clinic (OKCIC) is implementing Epic, and we're seeking an experienced Epic Professional Billing Claims & Remittance Application Analyst to help build and optimize the technology supporting our claims processing and reimbursement operations.

In this role, you'll collaborate with Revenue Cycle, Finance, Patient Access, and technical teams to configure Epic workflows that improve claims submission, remittance processing, payment reconciliation, denial management, and payer connectivity. Your work will directly impact reimbursement accuracy, revenue integrity, and the organization's financial health.

If you're passionate about healthcare technology, revenue cycle operations, and solving complex technical challenges, we'd love to hear from you.

Applicants claiming Indian Preference must complete the full application and must provide documentation verifying eligibility (such as a tribal enrollment card or Certificate of Degree of Indian Blood (CDIB)).

Requirements:

  • Configure electronic claim formats (ANSI 837P) and automated electronic remittance advice (835) file parsing rules
  • Manage and maintain technical configurations for clearinghouse connections and paper claim form print engines
  • Set up system processing tools for payment rejections, remittance errors, and claim editing work queues
  • Partner with the Integrated Environment Analyst to track and resolve transmission errors at the interface level
  • Execute regular audits on claim file outputs to verify data completeness and security policy compliance

The Oklahoma City Indian Clinic is a nonprofit organization, not a federal employer. Indian preference hiring laws apply. The Clinic is a 501(c)(3) non-profit corporation and an Equal Employment Opportunity (EEO) employer. The Clinic adheres to all applicable laws prohibiting discrimination in employment, including protections based on race, color, sex, national origin, age, disability, religion, veteran status, and other characteristics as required by federal, state, or local law.

Qualifications
  • Must align with OKCIC vision, mission, and core values
  • Bachelor's degree in Computer Science, Information Technology, Finance, Accounting, Health Informatics, Healthcare Administration, Information Systems, or a related healthcare, business, or technical field required. An equivalent combination of education and progressively responsible experience may be substituted, with one (1) year of additional relevant experience accepted in lieu of each year of required education.
  • Minimum of four (4) years of progressively responsible experience supporting healthcare information technology, electronic health records (EHR), claims processing, remittance processing, revenue cycle, healthcare finance, or enterprise healthcare applications required.
  • Candidates must successfully pass the Epic Sphinx Assessment as part of the interview and selection process to be eligible for employment in this position.
  • Experience configuring, implementing, testing, supporting, or optimizing Epic Professional Billing Claims & Remittance or other healthcare claims and reimbursement applications is strongly preferred.
  • Experience supporting electronic claims submission, electronic remittance advice (ERA), clearinghouse integrations, payer connectivity, denial management, payment posting, reimbursement processing, or revenue cycle optimization preferred.
  • Working knowledge of ANSI 837 and 835 transaction standards, electronic data interchange (EDI), clearinghouse operations, healthcare reimbursement methodologies, payer requirements, revenue cycle workflows, regulatory requirements, and healthcare technology best practices preferred.
  • Demonstrated ability to analyze clinical and financial workflows, translate business requirements into technical solutions, troubleshoot application, interface, and transmission issues, and optimize system performance.
  • Strong analytical, organizational, communication, customer service, and problem-solving skills with the ability to effectively collaborate with revenue cycle, finance, patient access, operational, technical, and vendor stakeholders.
  • Epic certification, accreditation, or proficiency in Professional Billing Claims & Remittance or assigned application(s) preferred.
  • Certification may be required based on the assigned application or role responsibilities. Professional certifications such as Certified Professional Biller (CPB), Certified Revenue Cycle Representative (CRCR), Certified Healthcare Financial Professional (CHFP), or equivalent healthcare revenue cycle credentials are preferred but not required.
  • Other clinical, technical, or professional certifications may be required based on assigned responsibilities.
  • Must maintain all required certifications, credentials, and continuing education applicable to the position throughout employment.

Skills Required

  • Configure electronic claim formats (ANSI 837P) and automated electronic remittance advice (835) file parsing rules
  • Manage and maintain technical configurations for clearinghouse connections and paper claim form print engines
  • Set up system processing tools for payment rejections, remittance errors, and claim editing work queues
  • Partner with Integrated Environment Analyst to track and resolve transmission errors at the interface level
  • Execute regular audits on claim file outputs to verify data completeness and security policy compliance
  • Bachelor's degree in Computer Science, IT, Finance, Accounting, Health Informatics, Healthcare Administration, Information Systems, or related field (or equivalent combination with additional experience)
  • Minimum of four (4) years of progressively responsible experience supporting healthcare IT, EHR, claims processing, remittance processing, revenue cycle, healthcare finance, or enterprise healthcare applications
  • Successful completion of the Epic Sphinx Assessment as part of interview/selection process
  • Demonstrated ability to analyze clinical and financial workflows, translate business requirements into technical solutions, and troubleshoot application, interface, and transmission issues
  • Strong analytical, organizational, communication, customer service, and problem-solving skills with effective stakeholder collaboration
  • Experience configuring, implementing, testing, supporting, or optimizing Epic Professional Billing Claims & Remittance or similar claims/reimbursement applications
  • Experience supporting electronic claims submission, electronic remittance advice (ERA), clearinghouse integrations, payer connectivity, denial management, payment posting, or revenue cycle optimization
  • Working knowledge of ANSI 837 and 835 transaction standards, EDI, clearinghouse operations, payer requirements, and revenue cycle workflows
  • Epic certification, accreditation, or demonstrated proficiency in Professional Billing Claims & Remittance or assigned application(s)
  • Professional certifications such as CPB, CRCR, CHFP, or equivalent healthcare revenue cycle credentials
  • Maintain all required certifications, credentials, and continuing education applicable to the position throughout employment
  • Alignment with OKCIC vision, mission, and core values
Am I A Good Fit?
beta
Get Personalized Job Insights.
Our AI-powered fit analysis compares your resume with a job listing so you know if your skills & experience align.

The Company
500 Employees
Year Founded: 1974

What We Do

Oklahoma City Indian Clinic (OKCIC) is a 501(c)(3) non-profit organization established in 1974 to provide culturally sensitive health and wellness services to American Indians in central Oklahoma. As a contractor of the Indian Health Service, OKCIC offers comprehensive care, including medical, dental, optometry, behavioral health, and pharmaceutical services, serving more than 23,000 patients from over 220 federally recognized tribes each year.

Similar Jobs

Zscaler Logo Zscaler

Manager, Information Security Engineering

Cloud • Information Technology • Security • Software • Cybersecurity
Easy Apply
Remote or Hybrid
USA
8697 Employees
137K-196K Annually

Samsara Logo Samsara

Staff Software Engineer

Artificial Intelligence • Cloud • Computer Vision • Hardware • Internet of Things • Software
Easy Apply
Remote or Hybrid
United States
4000 Employees
162K-290K Annually

GoodRx Logo GoodRx

Machine Learning Engineer

Consumer Web • Coupons • Healthtech • Social Impact • Pharmaceutical
Remote or Hybrid
USA
800 Employees
190K-404K Annually

Citizens Logo Citizens

Business Banking Relationship Manager I

Digital Media • Fintech • Information Technology • Machine Learning • Financial Services • Cybersecurity • Automation
In-Office or Remote
2 Locations
17000 Employees
104K-132K Annually

Similar Companies Hiring

Camber Thumbnail
Fintech • Healthtech • Social Impact
New York, New York
90 Employees
Sailor Health Thumbnail
Healthtech • Social Impact • Telehealth
New York City, NY
20 Employees
Playground (tryplayground.com) Thumbnail
Kids + Family • Payments • Social Impact • Software
New York City, New York
80 Employees

Sign up now Access later

Create Free Account

Please log in or sign up to report this job.

Create Free Account