Epic Hospital Billing Claims Analyst

CTG is seeking to fill an Epic Hospital Billing Claims Analyst opening for our client in California.

Location : Remote

Duration : 18 months

Duties :

Lead and oversee the configuration, maintenance, and support of Epic Hospital Billing (HB) Claims functionality, with a specialized focus on Behavioral Health and Ambulatory services.

Design, build, and maintain Epic HB Claims configuration, including claim edit rules, claim definition rules, remit processing, and electronic remittance workflows.

Configure and support claims logic and billing workflows that align with unique Behavioral Health and Ambulatory billing requirements.

Monitor and troubleshoot claim edits, rejections, and denials, working with coding, compliance, billing, and registration teams to optimize clean claim rates.

Analyze trends in denials and rejections, implementing system-based solutions to improve reimbursement accuracy and timeliness.

Develop and execute test plans for new builds, upgrades, and enhancements in the Epic HB module.

Support revenue cycle optimization by evaluating current workflows and implementing efficiency improvements.

Assist with validation and implementation of system upgrades, extensions, and third-party integrations affecting hospital billing and claims.

Serve as a key liaison between IT, Billing, Compliance, and clinical departments to ensure alignment across teams.

Participate in operational meetings, gathering requirements, providing updates, and offering subject matter expertise on hospital billing claims.

Provide training and support to end users and operational teams as needed.

Skills :

Expertise in Epic Hospital Billing (HB) and Claims functionality.

Strong understanding of Behavioral Health and Ambulatory billing regulations and workflows.

Experience with claim edits, 837 / 835 files, payer configurations, and electronic claim submission processes.

Excellent analytical, problem-solving, and project management skills.

Strong communication and collaboration skills across IT, clinical, and operational teams.

Experience :

Minimum 5 years of experience working with Epic HB and Claims functionality.

Experience in multi-site or integrated health system environments preferred.

Familiarity with third-party billing systems, clearinghouses, or RCM platforms preferred.

Experience with Epic reporting tools such as Reporting Workbench or Clarity is a plus.

Education :

Bachelor's degree in Healthcare Administration, Business, Information Technology, or related field, OR equivalent work experience.

Epic HB Certification required; additional certifications in Hospital Billing Claims, Hospital Billing Admin, or Charge Router preferred.

Excellent verbal and written English communication skills and the ability to interact professionally with a diverse group are required.

CTG does not accept unsolicited resumes from headhunters, recruitment agencies, or fee-based recruitment services for this role.

To Apply :

To be considered, please apply directly to this requisition using the link provided. For additional information, please contact Morgan Fickert at Morgan.Fickert@ctg.com . Kindly forward this to any other interested parties. Thank you!

The expected base salary for this position ranges from $115,000 to $130,000. Salary offers are based on a wide range of factors including relevant skills, training, experience, education, market factors, and where applicable, licensure or certifications obtained. In addition to salary, a competitive benefit package is also offered.

About CTG

CTG, a Cegeka company, is at the forefront of digital transformation, providing IT and business solutions that accelerate project momentum and deliver desired value. Over nearly 60 years, we have earned a reputation as a faster and more reliable, results-driven partner. Our vision is to be an indispensable partner to our clients and the preferred career destination for digital and technology experts. CTG leverages the expertise of over 9,000 team members in 19 countries to provide innovative solutions. Together, we operate across the Americas, Europe, and India, working in close cooperation with over 3,000 clients in many of today's highest-growth industries. For more information, visit www.ctg.com .

Our culture is a direct result of the people who work at CTG, the values we hold, and the actions we take. In other words, our people define our culture. It's a living, breathing thing that is renewed every day through the ways we engage with each other, our clients, and our communities. Part of our mission is to cultivate a workplace that attracts and develops the best people, reflected by our recognition as a Great Place to Work Certified company across many of our global operations.

CTG will consider for employment all qualified applicants including those with criminal histories in a manner consistent with the requirements of all applicable local, state, and federal laws.

CTG is an Equal Opportunity Employer. CTG will assure equal opportunity and consideration to all applicants and employees in recruitment, selection, placement, training, benefits, compensation, promotion, transfer, and release of individuals without regard to race, creed, religion, color, national origin, sex, sexual orientation, gender identity and gender expression, age, disability, marital or veteran status, citizenship status, or any other discriminatory factors as required by law. CTG is fully committed to promoting employment opportunities for members of protected classes.