Bozeman Health · 23 hours ago
Epic Reimbursement Contract Specialist (FT- 1.0 FTE, Day Shift, Remote Possible)
United States
Full-time, Contract
Remote
Mid Level
3+ years expBozeman Health is seeking an Epic Reimbursement Contract Specialist who will be responsible for building and maintaining reimbursement contracts in Epic. The role involves extensive analysis of underpayments and overpayments, as well as collaboration with various stakeholders to ensure accuracy in contract configurations and reimbursement terms.
Health CareHospitalMedical
Responsibilities
Design, build, analyze, test, and provide support for Epic’s Reimbursement Contracts
Serve as the subject matter expert for Epic’s HB & PB Reimbursement Contracts modules
Provide support to other revenue cycle areas regarding questions on calculations and reimbursement generated by the contract builds
Liaise with IT and operations on Epic functionality, workflows, documentation, best practices, and change management
Perform regular system audits to determine contract accuracy in HB & PB expected reimbursements
Identify and reconcile all payment variances discovered during various audits conducted at Bozeman Health
Maintain a schedule of key update dates for expected reimbursement rules, such as Medicare OP quarterly updates, yearly Diagnostic Related Group (DRG) updates, and yearly increases for the Managed Care contracts
Communicate with payers and maintain up-to-date HB & PB contract inventory and payer-plan master files
Coordinate and actively participate with other associates and leaders on the team to expand and grow their knowledge of contract reimbursement models
Qualification
Required
Bachelor degree in Information Systems, Informatics, Business Administration or related field; equivalent combination of education and experience may be considered
Epic certification in Hospital Billing and Professional Billing Expected Reimbursement Contracts Administration
Three (3) years of direct experience working on Epic Contracts Reimbursements Hospital Billing/Professional Billing including but not limited to ability to translate payer contracts into Epic system specifications using contract build tools, understanding of medical terminology, claims billing, and both inpatient and outpatient coding, ability to utilize Epic reporting tools including Alexandria Report, Contract Variance Reports, and SlicerDicer to perform in-depth underpayment analysis and identify underpayment patterns and payer trends
May consider five (5) years of experience in applicable clinical/business experience preferably in a multi-entity health care system, large hospital, physical office, or managed care organization
Company
Bozeman Health
Bozeman Health focuses on offering comprehensive services to meet the various healthcare needs.
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
Brad Ludford
Chief Financial Officer
Gordon Davidson
CFO
Recent News
News-Medical.Net
2025-09-24
Healthcare IT News
2024-11-04
Bozeman Daily Chronicle
2024-02-19
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