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Epic Claims Analyst Jobs (NOW HIRING)

CommonSpirit Health

$49K - $65K/yr

As an IT EPIC Application Analyst, you will implement, optimize, and support our EPIC EHR system, ensuring seamless operation and alignment with clinical workflows. Every day you will analyze ...

ClinDCast LLC

Epic Tapestry Analyst

Albany, NY

Epic Tapestry Analyst Job Summary: The Epic Tapestry Analyst is responsible for the build ... Configure claims adjudication logic , reimbursement rules, and payment policies. * Support payer ...

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How much do epic claims analyst jobs pay per hour?

As of Jun 10, 2026, the average hourly pay for epic claims analyst in the United States is $27.39, according to ZipRecruiter salary data. Most workers in this role earn between $20.19 and $31.49 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive in the Epic Claims Analyst position, and why are they important?

To thrive as an Epic Claims Analyst, you need strong analytical skills, healthcare claims processing knowledge, and experience with medical billing or insurance procedures, often supported by a background in health information management or a related field. Proficiency in the Epic software suite, especially Claims and Resolute modules, along with certifications like Epic Certified Claims Analyst, are commonly required. Attention to detail, problem-solving abilities, and clear communication skills will help you excel in collaborating with cross-functional teams and resolving complex claim issues. These competencies are vital to ensuring accurate claims submission, reducing errors, and optimizing revenue cycle processes for healthcare organizations.

What does a typical workday look like for an Epic Claims Analyst?

A typical day for an Epic Claims Analyst involves reviewing and analyzing claim submissions within the Epic system, identifying discrepancies or denials, and troubleshooting issues to ensure timely and accurate reimbursement. You’ll collaborate closely with billing teams, healthcare providers, and IT professionals to resolve claim errors and optimize workflows. Daily tasks can also include generating reports, monitoring claims status, and participating in system updates or process improvement initiatives. This role offers a blend of independent focus and teamwork, with opportunities to support operational efficiency and make a direct impact on the financial health of the organization.

What is an Epic Claims Analyst job?

An Epic Claims Analyst is responsible for managing and optimizing the claims processing system within Epic, a widely used electronic health records (EHR) software. They analyze, troubleshoot, and enhance workflows to ensure accurate and efficient claims submission, processing, and reimbursement. Their role often involves working with billing teams, IT staff, and healthcare providers to resolve issues and improve operational efficiency. Strong knowledge of Epic's claims modules, healthcare billing, and regulatory compliance is essential for success in this role.

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Epic Claims Analyst jobs near you
Infographic showing various Epic Claims Analyst job openings in the United States as of June 2026, with employment types broken down into 3% Locum Tenens, 1% As Needed, 88% Full Time, 6% Part Time, and 2% Contract. Highlights an 95% Physical, 2% Hybrid, and 3% Remote job distribution, with an average salary of $56,974 per year, or $27.4 per hour.

EPIC HB, PB, Claims Analyst [Must be certified in HB & PB Claims]

STI

Remote

Full-time

Posted 26 days ago

Job description

Job title: Technical Specialist- Expert (HB, PB, Claims Analyst)
Location: 3700 Wake Forest Rd, Raleigh, NC
Duration: 12 Months from projected
Interview : Either Webcam Interview or In Person
Competency Model:
Business Acumen
  • Understands the organization's strategic goals and how department goals support the organization.
  • Seeks opportunities to extend and deepen learning of organization and area.
  • Shares new information and knowledge with others.
  • Be curious; question your assumptions when presented with an issue or question.
  • Self-motivated to research and learn new information and explore new options.
  • Seeks to maximize potential abilities and helps others.
  • Follow instructions, written or oral.
  • Adhere to all scheduling and attendance requirements.
  • Honesty, truthfulness, reliability, accountability
  • Read, understand and apply regulations and policies.
  • Knowledge of relevant privacy regulations such as The Privacy Act, Freedom of Information Act and HIPPA law
  • Knowledge of revenue cycle billing, hospital billing, professional billing, and claims processing operations and workflows
  • Knowledge and understanding of third-party applications.
  • Establishes professional working relationships.
  • Communicates verbally with team, departments, guests, and management.

Communication
  • Expresses oneself clearly in conversations, business writing and interactions with others.
  • Delivers oral and written communications that are impactful and persuasive to their intended audiences.
  • Demonstrates a high level of emotional intelligence in the face of conflict.
  • Responds to tickets and emails in a timely manner.

Planning and Organizing
  • Manages and monitors time and resources effectively to complete assignments.
  • Utilizes resources and gets involvement from others where appropriate.
  • Shares information, materials, and time readily with others who need them

Teamwork
  • Encourages participation from all team members, regardless of role within organization; supports team members and customers.
  • Identifies and works through conflict that may derail the collaborative process.
  • Holds self and others accountable to create unifying goals and measure with peers.
  • Support NCDHHS analyst team through knowledge sharing and concise documentation.
  • Applies the knowledge of fundamental IT concepts.
  • Asks questions, diligently seeks and is receptive of guidance.

Drive Change
  • Anticipates potential concerns/resistance to change and takes constructive steps to address them.
  • Encourages others to adopt new methods or technologies that add value or improve performance.
  • Keeps others focused on critical goals and deadlines through periods of change or ambiguity.
  • Be flexible and adopt new processes and methods.
  • Stay positive in attitude and actions.

Working Conditions:
Essential:
* May be required to work after hours or on weekends as needed
* Infrequent travel
* Pass pre-employment drug test
Experience:
  • Must have strong leadership and communication skills with the ability to effectively present information to clinical and business leaders within the organization.
  • Must have experience with Epic PB, HB, and Claims. 8 years required.
  • Ability to work in small groups under tight project deadlines.
  • Working closely with business and revenue cycle leaders around Epic workflow and to translate business needs Epic billing functionality.
  • Must possess Epic certification, Resolute PB, HB, and Claims.
  • Minimum of five years' progressive revenue cycle/healthcare experience with demonstrated experience in Epic build.
  • Self-starter with demonstrated teamwork & communication skills.
  • Excellent communication and collaboration skills.
  • Excellent verbal and written English communication skills and the ability to interact professionally with a diverse group are required.
  • Experience working with Third Party Vendors such as Experian, Relay Health, and Hyland OnBase.
  • Knowledge of revenue cycle billing, hospital billing, professional billing, and claims processing operations and workflows
  • Rapid Retest
  • Payer/plan creation and maintenance
  • PLBs
  • Charge Router
  • Contracts
  • Behavioral Health
  • Long term care psychiatric billing
  • CMS IPF PPS billing regulations
  • Substance abuse billing - IOP, methadone dosing
  • Medicare exhaust billing
  • No-pay claims.
  • Claim splits/interim claims.
  • Cash Management
  • Self-pay remittance
  • Developing testing scripts

Responsibilities:
  • Analyzes, documents, and communicates business requirements for new system functionality and enhancements to existing functionality.
  • Test system changes to ensure that they meet business requirements and do not adversely impact other areas of the Epic system.
  • Acts as the primary support contact for the application's end-users.
  • Identifies issues that arise in their application areas and issues that impact other application teams and works to resolve them
  • Guides workflow design, builds, tests the system, and analyzes other technical issues associated with Epic software
  • Identifies, implements, completes integrated testing, and communicates requested changes to the Epic system
  • Works with Epic representatives and end users to ensure the system meets the organization's business needs regarding the project deliverables and timeline
  • Performs in-depth analysis of current and future workflows, data collection, report details, and other technical issues associated with the Epic EHR and designated third-party applications
  • Partners with quality, operational, and business leaders on system design and optimization to meet quality, safety, financial, and efficiency needs
  • Collects requirements regarding potential system enhancements or new system implementation and prepares details of specifications needed; prioritizes and implements requested changes to the system.
  • Investigates standardization and process improvement opportunities by rounding within revenue cycle areas while making build decisions.
  • Validates that data is accurate and meets business requirements.
  • Completes integrated testing to test system changes in all Epic environments to ensure that they meet business requirements and do not adversely impact other areas of the system.
  • Troubleshoots and identifies root causes and documents problems of simple to medium complexity for assigned applications and systems.
  • Maintains data integrity and security for assigned applications and systems.
  • Develops system documentation as assigned per standards.
  • Develops communication-related education efforts for deployments, upgrades, optimizations, and other system changes as assigned.
  • Stays current on Epic application releases and participates in upgrade planning and testing.
  • Participates in performance improvement activities to measure, assess and improve the quality of assigned work area

Education:
Essential:
Bachelor's degree or 8 years' experience in directly related field
Credentials:
Essential:
* Pass general background check
* Epic module certification as assigned
* Epic HB/PB Claims Certification

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