• Job Description

  Req#: a5ZPo00000E6ImzMAF
  Epic Certified HB/HB Admin Analyst
  
  At Divurgent, we employ real people on our Team, not just "resources." We firmly believe our Team is the driving force behind our successes, and because of that, we are solidly focused on evaluation, maintaining, and improving upon the Divurgent culture by integrating our ELITE Values into everything we do. Culture is the SINGLE most important component we have. We want our employees, recruits, clients, prospects, and even our competitors to feel it and believe it! Appreciating and supporting our Team Members-the people behind our success-is at the core of Divurgent's values, mission, and goals. In addition to our Financial, Health and Wellness, and Community and Culture benefits, we offer team coffee breaks and happy hours, a book club, a grill master competition, March Madness events, a Divurgent Pets group, and team engagement programs - true testaments to the value our Team holds for Divurgent. If you have a passion for healthcare and are excited about your career and joining a TEAM, Divurgent is the place for you. We are always looking for qualified, culture-friendly candidates to join our professional and somewhat quirky family.
  
  Remote | EST | 3 Month + Extension
  
  No 3rd Party or C2C
  
  The Epic Certified Revenue Cycle Consultant provides functional and technical expertise supporting Epic Revenue Cycle application Hospital Billing (HB), and HB Claims. This consultant partners with Revenue Cycle leadership, Patient Financial Services (PFS), and IT teams to optimize claim generation, claim edits, billing workflows, and reimbursement processes to improve clean claim rates, reduce denials, and enhance overall financial performance. The consultant supports Epic implementations, upgrades, optimization initiatives, and operational support, ensuring alignment between Epic system configuration and healthcare revenue cycle best practices.
  
  Key Responsibilities
  
  
  • Lead design, build, testing, and optimization of Epic HB, and HB Admin modules
  • Configure and maintain claim edits, claim routing logic, billing rules, and payer-specific claim requirements
  • Develop and maintain claim workqueues, charge review workqueues, and billing automation rules
  • Provide Tier 2/3 production support for Epic HB billing issues
  • Troubleshoot billing errors, and system workflow issues
  • Perform root cause analysis for system configuration gaps
  • Work within established incident management and change management processes
  • Support reporting initiatives related to:
    • Billing workqueue metrics
  • Partner with reporting teams utilizing Epic Cogito, Clarity, and Caboodle to monitor revenue cycle performance indicators
  
  Required Qualifications
  
  
  • Epic certification in Hospital Billing (HB) and HB Admin
  • Minimum 4-6 years Epic Revenue Cycle experience
  • Hands-on experience supporting Epic build and revenue cycle workflows
  • Strong understanding of healthcare billing operations and payer requirements
  • Experience collaborating with Revenue Cycle leadership and operational stakeholders
  
  Preferred Qualifications
  
  
  • Dual Epic Certification in PB and HB
  • Experience supporting:
    • Epic implementations
    • Epic upgrades
    • Revenue cycle optimization engagements
  • Familiarity with:
    • Clearinghouse integrations
    • Claim scrubbers
    • Denial management workflows
  
  
  Our Team: Divurgent is a solutions provider focused on what matters most to our client partners. We disrupt the typical value equation by using data-infused, flexible, and scalable solutions that demonstrate and quantify value for our partners. We are committed to IT evolution, deploying tailored solutions that help our client partners achieve improved operational effectiveness, financial performance, and quality of customer experience. Our ELITE Values - Excellence, Learning, Innovation, Trust, Enthusiasm - drive us to be and do more to redefine healthcare consulting, transforming healthcare for our clients and the communities they serve. We are passionate about providing innovative solutions that offer our clients the opportunity to improve customer experiences and enhance operational efficiencies. Staying true to our values, mission, and our vision of a passionate Team has given us the tools to be a successful firm both externally and internally, growing both as a company and as a Team. Our Mission: Your partner in digital acceleration. Our Vision: Advisory firm of choice for leading healthcare organizations and talent.
  
  Job Details
  
  Job Order Type : Consulting Engagement
  
  Work place Type : Remote
  
  State : USA
  
  Covid-19 Vaccine Required: No

• About the company

  The best remote jobs for you

Notice