Business Process Consultant

We are seeking a skilled Business Process Consultant specialized in Epic Professional Billing to conduct workflow analysis and design future-state processes. This role involves advising on PB and PB Claims configurations, performing in-system builds, and collaborating with various stakeholders to translate operational needs into effective Epic solutions.

Key Responsibilities

• Conduct workflow analysis and design future-state PB processes.
• Advise on PB/PB Claims configurations and perform in-system builds.
• Partner with providers, practice management, and IT to translate needs to Epic solutions.
• Develop KPIs for billing, collections, and denials; guide reporting with Clarity/Caboodle.
• Lead testing (unit, integration, UAT) for PB functionality.
• Ensure compliance with CMS, HIPAA, and support audits and documentation.

Requirements & Qualifications

• 5+ years in a PB/PB Claims leadership role.
• Epic Professional Billing certification required; PB Claims certification is a plus.
• Deep revenue cycle knowledge, including billing, claims, and denials.
• Strong project management and communication skills.
• Ability to bridge technical configuration with operational needs.
• Excellent written and verbal communication skills at all levels.