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    • Experience supporting hospital billing and claims workflows.
    • Investigate and resolve billing and claims issues.
    • Develop and execute test plans and test cases.
    • Process non-OHIP billing and invoice submissions.
    • The clinic is currently looking for a Medical Receptionist for Full-Time and Part-Time , This position…
    • Reception duties such as scheduling appointments, answering phones, prepping patient charts, checking in patients, and processing specialist referrals.
    • View all Peaker Eyewear jobs - Grimsby jobs
    • Salary Search: Medical Administrative Assistant salaries in Grimsby, ON
    • Familiarity with provincial healthcare billing and payment processes such as MSP, OHIP or other provincial payer programs is considered an asset.
    • Communication with patients and medical professionals.
    • Successful candidates must be highly organized, a quick learner, have excellent communication skills and…
    • Thorough understanding of medical terminology.
    • OHIP billing and reconciliation monthly.
    • This position involves both clinical and administrative duties,…
    • This role provides valuable exposure to the Canadian healthcare system, family medicine workflows, and electronic medical records while pursuing medical…
    • Experience with healthcare billing, insurance direct billing, or OHIP billing.
    • Do you have previous experience with healthcare billing, insurance direct billing…
    • Familiarity with OHIP billing and referral requirements.
    • Knowledge of medical terminology and Ontario healthcare referral processes.
    • Knowledge of OHIP billing and coding.
    • Collect and process OHIP billing on a weekly basis.
    • Responsible for booking appointments, scheduling patients, and…
  • View similar jobs with this employer
    • Knowledge of medical terminology is an asset.
    • Perform administrative duties such as completing insurance and claim forms, initiating and maintaining…
  • View similar jobs with this employer
    • Knowledge of medical terminology is an asset.
    • Perform administrative duties such as completing insurance and claim forms, initiating and maintaining…
    • Familiarity with provincial healthcare billing and payment processes such as MSP, OHIP or other provincial payer programs is considered an asset.
    • Zero administrative burden — intake, referral management, scheduling, billing, patient communications and reconciliation are handled by our team.
    • Strong knowledge of medical terminology and medical office procedures.
    • 1–2+ years of relevant medical office experience preferred.
    • In Person | Part-Time*.
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Career Resources:

Epic HB Claims Analyst
W3Global Canada, Inc
Remote
$100,000–$120,000 a year
Full-time
Apply now

Job details

$100,000–$120,000 a year
Full-time
Remote

Full job description

Job Title: Epic HB Claims Analyst
Location: Canada - Remote
Employment Type: Full-Time
Experience: 5+ years preferred

Job Summary

We are seeking an experienced Epic HB Claims Analyst to support the implementation, configuration, optimization, testing, and ongoing maintenance of Epic Resolute Hospital Billing (HB) and claims functionality.

The ideal candidate will have strong hands-on experience with Epic Resolute HB, hospital billing workflows, claims processing, charge capture, billing edits, payer configuration, and revenue cycle operations.

Key Responsibilities

  • Analyze hospital billing and revenue cycle requirements and translate them into Epic HB solutions.

  • Configure and maintain Epic Resolute HB / Claims functionality.

  • Support hospital billing, claims processing, payment, and reimbursement workflows.

  • Configure and troubleshoot billing and claims-related workflows.

  • Work closely with Patient Financial Services, Revenue Cycle, Finance, Coding, Clinical, and IT teams.

  • Participate in Epic implementations, upgrades, enhancements, and optimization projects.

  • Support charge capture, billing, claims submission, edits, and follow-up workflows.

  • Investigate and resolve billing and claims issues.

  • Perform application configuration, testing, validation, and troubleshooting.

  • Develop and execute test plans and test cases.

  • Support payer-specific billing requirements and claim processing workflows.

  • Troubleshoot claim edits, billing errors, rejected claims, and other production issues.

  • Document requirements, workflows, configurations, testing results, and issue resolutions.

  • Participate in Epic upgrades, releases, and change-management activities.

  • Collaborate with other Epic applications and technical teams to support end-to-end revenue cycle workflows.

  • Provide application support, training, and knowledge transfer to end users.

Epic HB / Claims Functional Areas

Experience with the following is preferred:

  • Epic Resolute Hospital Billing (HB)

  • Hospital Claims

  • Institutional Claims

  • UB-04 / 837I

  • Charge Capture

  • Billing Edits

  • Claim Scrubbing

  • Claim Submission

  • Claim Rejections

  • Payer/Insurance Configuration

  • Reimbursement Workflows

  • Payment Posting

  • Account Receivable Workflows

  • Revenue Cycle Management

  • Billing Follow-up

  • Government and Commercial Payers

Required Qualifications

  • Bachelor's degree in Computer Science, Information Technology, Healthcare Informatics, Finance, or a related field preferred.

  • 5+ years of healthcare IT / revenue cycle experience preferred.

  • Strong hands-on experience with Epic Resolute HB.

  • Experience supporting hospital billing and claims workflows.

  • Strong understanding of healthcare revenue cycle processes.

  • Experience with Epic implementation, configuration, testing, upgrades, optimization, or production support.

  • Current Epic Resolute HB certification is mandatory, if required by the client/project.

  • Strong analytical and troubleshooting skills.

  • Excellent communication and stakeholder-management skills.

  • Ability to work independently in a remote environment.

Preferred Skills

  • Epic Resolute HB

  • Epic HB Claims

  • Hospital Billing

  • Revenue Cycle Management

  • Claims Processing

  • Charge Capture

  • Claim Edits

  • Claim Submission

  • Payer Configuration

  • Payment Posting

  • Accounts Receivable

  • UB-04 / 837I

  • Epic implementation and optimization

  • Epic upgrades

  • Production support

  • Testing and validation





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