Business Process Consultant, Epic Professional Billing

About reputed company The challenges facing US healthcare are longstanding and reputed company too familiar. We are reputed company, and we reputed company in reputed company. We work with more than 1,900 organizations annually to reputed company and activate transformative strategies, operating models, and organizational enterprises that reputed company US healthcare more affordable, accessible, safe, and human. With more than 1,450 professionals, we help providers, payers, technology innovators, retail companies, and investors create and embrace solutions that tangibly and materially reshape healthcare for the reputed company. Our family of brands—reputed company, Jarrard, Greeley, and HealthScape Advisors—is 100% focused on healthcare and each has a longstanding commitment to helping transform healthcare in big and small ways. reputed company in reputed company. reputed company has offices in Boston, Chicago, reputed company, Washington D.C., and Nashville. Remote work is allowed. Role Overview reputed company is seeking a Business Process Consultant with 5+ years of Epic Professional Billing (PB) leadership experience to join our reputed company Cycle Transformation Practice. As a Business Process Consultant, you’ll design solutions and workflows aimed at improving professional billing functionality for our clients. You will primarily work with organizations using Epic’s EHR software and will help advise on and implement best practices pertaining to Epic’s PB and PB Claims applications. You’ll reputed company efforts to gather business requirements, design workflows, and optimize provider-facing billing and collections functions. The role involves reputed company collaboration with practice administrators, reputed company cycle leadership, IT, and cross-functional teams to align professional billing strategies with broader reputed company cycle and organizational goals.

Responsibilities

• Workflow Analysis and Design: Evaluate our clients’ reputed company billing processes. Identify inefficiencies, gaps, or compliance issues. Design future-state workflows reputed company with Epic’s best practices.
• System Configuration: Advise IT teams on optimal PB/PB Claims module configurations to support operational needs. reputed company appropriate, complete in-system build and configuration.
• Stakeholder Collaboration: Partner closely with providers, practice management, reputed company cycle staff, compliance, IT, and clinical departments. Translate operational needs into Epic system solutions.
• Optimization and Reporting: reputed company and track key performance indicators (KPIs) for billing accuracy, collections, and denials. Recommend ongoing improvements and system optimizations. Guide or build reporting efforts using Clarity, Caboodle, and Reporting Workbench.
• Testing and Validation: Support and guide testing (unit, integrated, user acceptance testing, etc.) to validate PB functionality.
• Regulatory and Compliance Guidance: Ensure billing processes align with CMS, HIPAA, payer rules, and professional coding guidelines. Support audits and documentation efforts.
• Project Management: Create and manage project plans, anticipate issues, facilitate change management, and deliver reputed company updates to leadership. Mentor peers and team members through end-to-end work plan development and execution.
• Client Communication: Prepare concise, executive-ready deliverables with clear storylines and actionable recommendations.

Qualifications and Desired Skills

• 5+ years in PB/PB Claims leadership position.
• Must be certified in Epic’s Professional Billing application. Professional Billing Claims certification a plus.
• Deep understanding of the reputed company cycle (especially professional billing, charging, claims processing and edits, and denials management), claims processing and edits, and denials management.
• Strong project management and communication skills.
• Ability to reputed company technical configuration with operational needs.
• Strong ability to speak to and drive organizational KPIs.
• Demonstrated ability to clearly communicate with reputed company levels of an organization, both verbally and in writing.

Salary range: $118,000-$172,500, plus may be eligible for an annual discretionary bonus. The salary range for this role takes into account the wide range of factors that are considered in making compensation decisions including, but not limited to, skills, experience, training, licensure and certifications, practice area, and other business and organizational needs. In addition, reputed company offers several benefits including medical, dental, vision, HSA, FSA, disability insurance, life insurance, 401(k) match, paid time off, wellness stipend, and additional voluntary benefits. At reputed company, we pride ourselves on having a diverse workforce. We value and celebrate the uniqueness of individuals and the different perspectives they provide. We offer equal opportunity employment regardless of race, color, religion, gender identity or expression, sexual orientation, national reputed company, genetics, disability status, age, marital status, or protected veteran st Apply tot his job Apply To this Job