Claims Configuration Jobs in Indiana (NOW HIRING)

• Drive initiatives that impact multiple service lines, departments, and revenue streams across the organization

• Identify and execute initiatives with measurable financial impact (e.g., revenue lift, cost reduction, cash acceleration)

• Lead revenue cycle projects involving Epic applications, including system optimization, workflow redesign, and new functionality implementation

• Manage full project lifecycle: scope, timeline development, build coordination, testing, go-live support, and post-implementation optimization

• Coordinate with Epic IT analysts, operational leaders, and clinical departments to ensure successful project execution

• Develop detailed project plans, timelines, and executive-level reporting to support visibility and decision-making

• Ensure alignment with Epic best practices and organizational governance

• Identify and implement improvements across Epic revenue cycle workflows, including:

  • Front-end: Scheduling (Cadence), Registration (Prelude), Insurance verification, Authorization workflows

  • Mid-cycle: Charging, coding workflows, DNFB management (HIM), Charge Router, CDI

  • Back-end: Billing (Resolute HB/PB), Claims, Payment Posting, Denial Management

• Partner with operational leaders to improve key performance indicators such as:

  • DNFB days

  • AR days

  • Clean claim rate

  • Denial rate and overturn rate

  • Point-of-service collections

• Analyze revenue cycle performance using Epic reporting tools (e.g., Reporting Workbench, Radar dashboards, Clarity, Caboodle, SlicerDicer)

• Develop and maintain dashboards and reports to monitor financial and operational KPIs

• Perform root cause analyses on denials, charge lag, claim edits, and reimbursement trends including utilization of AI tools, where necessary.

• Translate complex Epic data into actionable recommendations for leadership

• Collaborate with Epic analysts to define build requirements, enhancements, and workflow changes

• Participate in system upgrades, SU releases, and optimization efforts

• Ensure proper configuration of WQs (workqueues), edits, and rules to support efficient workflows

• Assist in prioritization of Epic change requests through governance committees

• Serve as a liaison between Revenue Cycle, IT (Epic teams), Compliance, and Finance, aligning operational needs with system capabilities

• Translate business and operational requirements into Epic system design and enhancements, functioning similarly to a product manager for revenue cycle workflows

• Participate in prioritization and planning of revenue cycle system enhancements, balancing competing stakeholders needs to drive enterprise-aligned solutions

• Facilitate cross-functional meetings, workflow design sessions, and optimization workshops to advance initiatives and support decision-making

• Drive accountability across teams without direct supervisory authority to ensure progress and results

• Communicate project status, risks, and outcomes clearly to senior leadership

• Ensure Epic workflows align with CMS, payer regulations, and organizational policies

• Support audit readiness, including coding, billing compliance, and documentation integrity initiatives

• Bachelor's degree in healthcare administration, Business, Finance, or a related field required, or an equivalent combination of education, training, and relevant professional experience will be considered.

• Master's degree (MHA, MBA) preferred

• 6+ years of progressive experience in revenue cycle, including system optimization, analytics, or informatics

• 3+ years of experience working with Epic revenue cycle applications

• Demonstrated experience leading complex, cross-functional projects in an Epic environment

• Experience with both hospital billing (HB) and/or professional billing (PB) strongly preferred

• Epic certification or proficiency in one or more revenue cycle modules OR demonstrated advanced proficiency in Epic revenue cycle applications.

• If certification is not currently held, must obtain Epic certification within 6-12 months of hire

• Familiarity with Epic reporting tools (SQL, Clarity, Caboodle, Reporting Workbench

• Advanced expertise in Epic revenue cycle architecture and workflows

• Advanced analytical skills (Excel, SQL, Power BI, Tableau, or Epic reporting tools)

• Ability to interpret Epic data structures and reporting outputs

• Expertise in revenue cycle KPIs and financial performance improvement strategies

• Exceptional project management and organizational skills

• Ability to influence, lead meetings, and drive results without formal authority

• Strong communication skills with both technical and non-technical audiences

• Improvement in clean claim rate and first-pass resolution

• Reduction in DNFB and charge lag

• Decrease in denial volume and increased overturn rates

• AR days improvement (total and by payer class)

• Successful delivery of Epic optimization projects on time and within scope

• Measurable ROI from Epic enhancements

• Hybrid or office-based

• Participation in after-hours support during Epic go-lives or major upgrades may be required

This role is designed for a highly collaborative, technically skilled revenue cycle professional who thrives in an Epic environment and excels at driving change through data, systems, and project leadership rather than direct supervision.

Job descriptionis not meant to cover or include all the tasks, duties or responsibilities the employee may be required to perform. Job duties and responsibilities can change at any time, with or without notice due to business need.