Epic HB/HB Claims Analyst

CTG is seeking to fill an Epic HB/HB Claims Analyst position for our client.

**Location:** San Mateo, CA (Remote, up to 6 days of onsite required per month for this role)

**Duration:** 6 months

**Position Summary**

We are seeking an experienced Epic HB (Hospital Billing) / HB Claims Analyst to support the Phase 2 Epic implementation for our client on the West Coast. This role will play a critical part in designing, building, testing, and deploying HB and claims workflows, ensuring accurate billing, compliance, and efficient revenue cycle operations.

**Key Responsibilities**

**Implementation & Build**

+ Lead and support the design, build, and configuration of Epic Hospital Billing (HB) and HB Claims modules

+ Translate business requirements into functional system design

+ Configure charge capture, claim edits, workqueues, and billing rules

+ Collaborate with operational stakeholders to align workflows with system capabilities

**Claims Management**

+ Build and maintain claims processing workflows, including claim generation, edits, and submission

+ Configure electronic claims (837I), remittance processing (835), and payer-specific rules

+ Troubleshoot claim rejections and denials, and implement solutions to reduce errors

**Testing & Validation**

+ Develop and execute test plans, scripts, and scenarios (unit, integrated, and user acceptance testing)

+ Validate system functionality to ensure accurate billing and claims output

+ Support issue resolution and defect tracking

**Go-Live & Support**

+ Provide go-live support, including command center participation

+ Troubleshoot real-time issues related to HB billing and claims

+ Assist in system stabilization and optimization post-implementation

**Reporting & Compliance**

+ Ensure compliance with regulatory requirements and payer guidelines (CMS, HIPAA billing standards)

+ Support reporting needs related to billing performance, claim status, and denial trends

+ Partner with compliance and revenue integrity teams

**Collaboration**

+ Work closely with Epic application teams, IT, revenue cycle leadership, and third-party vendors

+ Participate in cross-functional design sessions and workflow reviews

**Required Qualifications**

+ Epic HB certification (required)

+ Strong understanding of hospital revenue cycle workflows and claims lifecycle

+ Experience with claim edits, billing rules, and workqueue configuration

+ Knowledge of EDI transactions (837I, 835) and clearinghouse processes

+ Experience with multiple integrations and clearinghouses

+ Knowledge of denial management and revenue integrity processes

+ Experience with reporting tools (Epic Reporting Workbench, Clarity, Caboodle)

+ Strong analytical, problem-solving, and communication skills

+ Familiarity with regulatory requirements (CMS, HIPAA billing guidelines)

**Experience:**

+ 5+ years of certified experience with Epic Hospital Billing (HB) and HB Claims

+ At least one full Epic implementation experience required

+ Hands-on experience supporting Epic HB build, testing, and production support activities

+ Demonstrated experience in claims processing workflows, billing optimization, and denial reduction initiatives

**Education:**

+ Associates Degree / College Diploma required

**Certification Requirements:**

+ Epic HB / HB Claims certification required

Excellent verbal and written English communication skills and the ability to interact professionally with a diverse group are required.

CTG does not accept unsolicited resumes from headhunters, recruitment agencies, or fee based recruitment services for this role.

**To Apply:**

To be considered, please apply directly to this requisition using the link provided. For additional information, please contact **Emily Drew at** **Emily.Drew@ctg.com** . Kindly forward this to any other interested parties. Thank you!

The expected base salary for this position ranges from $75.00 to $85.00/hour. Salary offers are based on a wide range of factors including relevant skills, training, experience, education, market factors, and where applicable, licensure or certifications obtained. In addition to salary, a competitive benefit package is also offered.

**About CTG**

CTG, a Cegeka company, delivers IT and business solutions that enhance clients’ digital agility, empowering them to seize new opportunities and overcome any challenge. Backed by more than 60 years’ experience and a commitment to being a reliable, results-driven partner, we work shoulder to shoulder with clients to shape digital together. Our vision is to be an indispensable partner to our clients and the preferred career destination for digital and technology experts. With more than 9,000 team members in over 15 countries, we combine global expertise with local insight to deliver innovative solutions. We operate across the Americas, Europe, and India, working with over 3,000 clients in many of today's highest-growth industries.

Together, we shape what’s next—working shoulder to shoulder to deliver impactful solutions for our clients and society. Our culture is built by the people who work at CTG, the values we hold, and the actions we take. It's a living, breathing thing that is renewed every day through the ways we engage with each other, our clients, and our communities. At CTG, you’ll find a workplace where you are encouraged to grow, supported in your ambitions, and empowered to shape your own career journey. For more information, visit www.ctg.com .

CTG will consider for employment all qualified applicants including those with criminal histories in a manner consistent with the requirements of all applicable local, state, and federal laws.

CTG is an Equal Opportunity Employer. CTG will assure equal opportunity and consideration to all applicants and employees in recruitment, selection, placement, training, benefits, compensation, promotion, transfer, and release of individuals without regard to race, creed, religion, color, national origin, sex, sexual orientation, gender identity and gender expression, age, disability, marital or veteran status, citizenship status, or any other discriminatory factors as required by law. CTG is fully committed to promoting employment opportunities for members of protected classes.