GHR Healthcare · 8 hours ago
Epic Revenue Cycle Manager
GHR Healthcare is seeking an Epic Revenue Cycle Manager responsible for leading the strategy, configuration, optimization, and ongoing support of Epic Hospital Billing and Professional Billing modules. This role involves managing a team of analysts and collaborating with various departments to improve revenue integrity and operational efficiency.
Responsibilities
Lead and manage Epic HB and PB teams, including analyst workload planning, prioritization, and performance management
Own the Epic revenue cycle application strategy for Hospital Billing and Professional Billing
Oversee configuration, optimization, and maintenance of Epic HB and PB including charge routing, claim generation, edits, and billing workflows
Partner with Revenue Cycle leadership (PFS, Coding, Compliance, Finance) to design and implement optimized end-to-end billing workflows
Ensure seamless integration with Epic Prelude/ADT, Cadence, HIM, Clinical Documentation, and Reporting modules
Establish governance, change control, and documentation standards for Epic revenue cycle build
Lead Epic implementations, upgrades, and major optimization initiatives related to HB and PB
Monitor revenue cycle KPIs including charge lag, DNFB, clean claim rates, denials, and reimbursement performance
Identify and resolve systemic billing, charging, and reimbursement issues through root-cause analysis
Ensure compliance with CMS, payer, and regulatory requirements
Support testing activities including integrated testing and user acceptance testing (UAT)
Collaborate with Epic, third-party vendors, and internal stakeholders on enhancements and issue resolution
Qualification
Required
Epic HB and Epic PB Certification (active or eligible)
7+ years of Epic revenue cycle experience with a focus on HB and PB
3+ years of experience in a leadership or management role
Strong understanding of hospital and professional billing workflows and payer requirements
Experience leading Epic implementations, major upgrades, or enterprise-wide optimizations
Proven ability to lead cross-functional teams and manage complex initiatives
Strong analytical, communication, and stakeholder management skills
Preferred
Experience in large health systems or academic medical centers
Knowledge of charge description masters (CDMs), DRGs, APCs, and payer contract modeling
Experience with Epic Reporting, Clarity, Caboodle, or revenue cycle dashboards
Familiarity with denial management, reimbursement modeling, and financial analytics
Bachelor's degree in Healthcare Administration, Business, IT, or related field (Master's preferred)
Company
GHR Healthcare
GHR Healthcare is a healthcare and community-based staffing agency, offering specialized, total-system workforce solutions across the US.
Funding
Current Stage
Late StageTotal Funding
unknown2017-05-11Acquired
Recent News
2025-11-04
2025-10-15
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