OrthoCarolina · 1 month ago
Epic Analyst- Claims and Remittance
Charlotte, NC
Full-time
Onsite
Mid Level
3+ years expOrthoCarolina is a healthcare organization with a commitment to excellence and teamwork. They are seeking an experienced Epic Applications Analyst focused on Claims and Remittance to support revenue cycle operations and enhance claims processing workflows.
Health CareMedical
Responsibilities
Support the build, maintenance, and optimization of the Epic Electronic Health Record (EHR) system, specifically related to claims and remittance processes
Collaborate with operational stakeholders to translate business needs into system functionality and configurations that support efficient and accurate claims submission and reconciliation
Analyze claims workflows and data to identify and resolve issues impacting revenue cycle performance
Contribute to system upgrades, testing, and documentation to ensure regulatory compliance and performance standards are met
Partner with billing, coding, and IT teams to troubleshoot, test, and enhance claims workflows within Epic Resolute
Qualification
Required
Bachelor's degree in a related field or equivalent experience
Minimum of 3–5 years of experience in healthcare IT, with a focus on claims and remittance processes
Epic Certification- Claims & Remittance required
Strong understanding of the claims lifecycle, from submission to remittance, with the ability to investigate upstream and downstream issues
Proficient in electronic claims submission and electronic remittance advice (ERA) workflows
Knowledge of insurance data elements, claim forms (such as 837/835 formats), and reimbursement processes
Ability to identify and troubleshoot root causes of claim errors, denials, or mismatches
Familiarity with revenue cycle functions and how claims processes intersect with other departments such as billing, registration, and coding
Strong analytical and problem solving skills with attention to detail and data accuracy
Excellent communication skills and ability to translate technical concepts into operational solutions
Preferred
Working knowledge of healthcare financial systems, clearinghouses, and payer interfaces is a plus
Benefits
Paid company holidays
Wellness programs
Tuition reimbursement
Company
OrthoCarolina
OrthoCarolina is an Medical Practice specializing n ortho.
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
Paul Neagle, MBA, MHA, PA-C, FACHE
Chief Operating Officer
Alden Milam
Chief Medical Officer
Recent News
2025-11-05
Company data provided by crunchbase