Title: Epic HB Claims Analyst
Openings: 1
Duration: 3-month contract (extensions possible)
Start/End Date: August 24th through November, with potential extension for extension and possible contract-to-hire opportunity (after 6months)
Pay Rate: $50-$80/hr
Location: Hybrid, in Delaware - 4000 Nexus Drive, Wilmington, DE 19803
Relocation: (East Coast candidates preferred)
- Candidates must be willing to temporarily relocate to the area (cost assistance provided) for go-live
Schedule: Monday-Friday, standard business hours with onsite support during go-live and command center activities
Must-Haves
- Epic HB Claims Certification
- Experience with 2+ Epic implementations/go-lives
- Epic build and configuration experience
- Ability to jump into a project with minimal direction
- Bachelor's Degree
- Willingness to be onsite in Delaware during critical implementation and go-live activities
Plusses
- EPIC Resolute HB Certification
- Experian Claims Source experience
- Coding certifications or HIM experience
- Former EPIC consultant or EPIC employee background
- Training and post-go-live stabilization experience
Job Description
Insight Global is seeking an Epic HB Claims Analyst for a healthcare organization preparing for an Epic go-live this fall. This consultant will serve as the primary Hospital Billing (HB) Claims subject matter expert, supporting claims administration, reimbursement workflows, payer posting, contract billing, and third-party claims integrations. The ideal candidate has extensive hands-on Epic HB Claims experience, including Epic build and configuration, claims optimization, denial management, and reimbursement processes. This individual should have experience supporting Epic implementations through testing, training, go-live, and post-live stabilization, while partnering closely with revenue cycle, operational, and technical teams to ensure successful adoption and long-term claims performance. The consultant will play a critical role in supporting implementation milestones, ensuring claims processing accuracy, and driving workflow optimization before, during, and after go-live. The ability to work onsite during key phases of the implementation are required.
Day-to-Day
- Serve as the Epic HB Claims SME supporting implementation, optimization, and operational readiness activities.
- Build, configure, and maintain Epic Hospital Billing claims workflows and functionality.
- Support claims administration processes, including claim generation, editing, submission, reconciliation, and reimbursement workflows.
- Manage payer posting processes and support contract billing functionality to ensure accurate claims adjudication and reimbursement.
- Collaborate with internal and external stakeholders to support third-party claims integrations and resolve interface-related issues.
- Analyze claim denials, reimbursement variances, and claims processing failures to identify root causes and implement corrective actions.
- Participate in Epic payment group initiatives and workflow design sessions to align system functionality with business requirements.
- Support system testing, validation, defect resolution, and go-live readiness activities across the HB Claims application.
- Assist with end-user training, workflow adoption, and knowledge transfer efforts before and after go-live.
- Provide command center, at-the-elbow, and post-live stabilization support during critical implementation phases.
- Identify opportunities to improve claims workflows, reimbursement outcomes, and overall revenue cycle performance.
- Partner with revenue cycle, operational, and IT teams to establish best practices and optimize claims-related processes.
- Work onsite as needed during key implementation, go-live, and stabilization milestones.