[Remote] Epic Reimbursement Contract Specialist (FT- 1.0 FTE, Day Shift, Remote Possible)

Note: The job is a remote job and is open to candidates in USA. Bozeman 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. 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 Skills • 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 Overview • Bozeman Health focuses on offering comprehensive services to meet the various healthcare needs. It was founded in 1911, and is headquartered in Bozeman, Montana, USA, with a workforce of 1001-5000 employees. Its website is Apply tot his job