Epic PB Claims Analyst

Job summary

Manage Epic PB claims throughout the lifecycle, including resolving edits, denials, and rejections, correcting and resubmitting claims, and following up with payers. Monitor work queues and SLAs, provide client stakeholders with updates and solutions, and collaborate with coding, front-end, and billing teams to improve clean claim submission and revenue cycle performance.

Job details

Role Summary Seeking an experienced Epic PB Claims Analyst (5+ years) to support professional billing operations in a client-facing role. The candidate will leverage Epic PB expertise to manage the end-to-end claims lifecycle, resolve issues, and partner closely with clients to drive revenue cycle performance. Key Responsibilities Manage and resolve Epic PB claims edits, denials, and rejections Work directly with client stakeholders to provide updates, insights, and solutions Perform claim corrections, resubmissions, and payer follow-ups within Epic Monitor work queues and ensure SLA adherence Collaborate with coding, front-end, and billing teams for clean claim submission Required Qualifications 5+ years of PB claims/billing experience Mandatory: Hands-on experience with Epic PB Mandatory: PB Claims Certification Strong understanding of claims lifecycle, denial management, and payer guidelines Proven client-facing experience with strong communication skills Strong analytical and problem-solving abilities with attention to detail

What you’ll do

Manage Epic PB claims throughout the lifecycle, including resolving edits, denials, and rejections, correcting and resubmitting claims, and following up with payers. Monitor work queues and SLAs, provide client stakeholders with updates and solutions, and collaborate with coding, front-end, and billing teams to improve clean claim submission and revenue cycle performance.

Requirements

Requires at least five years of PB claims or billing experience, hands-on Epic PB experience, and PB Claims Certification. Candidates must understand claims lifecycle, denial management, and payer guidelines, and have client-facing experience, strong communication, analytical, and problem-solving skills, and attention to detail.

Listed skills

• Communication · Preferred
• Client Relationship Management · Preferred

Other relevant skills

Identified from the job description. Confirm important requirements above.

• Epic PB
• Claims Management
• Professional Billing
• Denial Management
• Claims Lifecycle
• Claims Corrections
• Claims Resubmissions
• Payer Follow-Up
• Work Queue Management
• Client Relationship Management
• Revenue Cycle Performance
• Analytical Problem-Solving
• Communication
• Clean Claim Submission
• SLA Adherence

Job areas

• Healthcare
• Finance & Accounting
• Customer Service & Support

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