Epic Revenue Cycle Manager (HB / PB)
Position Summary
The Epic Revenue Cycle Manager is responsible for leading the strategy, configuration, optimization, and ongoing support of Epic Hospital Billing (HB) and Professional Billing (PB) applications. This role manages a team of Epic revenue cycle analysts and partners closely with Revenue Cycle, Finance, Compliance, and IT leadership to ensure accurate charge capture, billing, and reimbursement workflows across the enterprise.
The manager drives Epic best practices, application governance, and continuous optimization initiatives to improve revenue integrity, operational efficiency, and overall financial performance.
Key Responsibilities
Leadership & Team Management
- Lead, mentor, and manage Epic HB and PB analyst teams, including workload planning, prioritization, and performance management
- Foster a culture of accountability, collaboration, and continuous improvement
- Support analyst development, training, and Epic certification efforts
Application Strategy & Governance
- Own the Epic revenue cycle application strategy for Hospital Billing and Professional Billing
- Establish and enforce governance, change control, and documentation standards for Epic HB and PB build
- Ensure adherence to Epic best practices and organizational standards
Epic Configuration & Optimization
- Oversee configuration, maintenance, and optimization of Epic HB and PB, including charge routing, claim generation, edits, and billing workflows
- Partner with Revenue Cycle leadership to design and implement optimized end-to-end billing processes
- Ensure seamless integration with Prelude/ADT, Cadence, HIM, Clinical Documentation, and Reporting modules
Implementation, Upgrades & Optimization
- Lead Epic implementations, major upgrades, and enterprise-wide optimization initiatives related to HB and PB
- Support integrated testing and user acceptance testing (UAT) activities
- Collaborate with Epic, third-party vendors, and internal stakeholders on enhancements and issue resolution
Revenue Cycle Performance & Compliance
- Monitor and analyze revenue cycle KPIs such as charge lag, DNFB, clean claim rates, denials, and reimbursement performance
- Identify systemic billing, charging, and reimbursement issues and drive root-cause analysis and resolution
- Ensure compliance with CMS, payer, and regulatory requirements
Required Qualifications
- Epic Hospital Billing (HB) and Epic Professional Billing (PB) Certification (active or eligible)
- 7+ years of Epic revenue cycle experience with a focus on HB and PB
- 3+ years of experience in a leadership or management role
- Strong understanding of hospital and professional billing workflows and payer requirements
- Experience leading Epic implementations, major upgrades, or large-scale optimization initiatives
- Proven ability to lead cross-functional teams and manage complex initiatives
- Strong analytical, communication, and stakeholder management skills
Preferred Qualifications
- Experience in large health systems or academic medical centers
- Knowledge of Charge Description Masters (CDMs), DRGs, APCs, and payer contract modeling
- Experience with Epic Reporting, Clarity, Caboodle, or revenue cycle dashboards
- Familiarity with denial management, reimbursement modeling, and financial analytics
- Bachelor’s degree in Healthcare Administration, Business, Information Technology, or a related field (Master’s degree preferred)
Work Environment
- On-site, hybrid, or remote work arrangements depending on organizational needs
- After-hours support may be required during go-lives, month-end close, or critical billing cycles
Key Competencies
- Revenue cycle and Epic expertise
- Leadership and team development
- Strategic thinking and application governance
- Financial and operational acumen
- Clear communication and accountability
