Job Details

Must Have: 

*      Lead or support full implementation cycle build: new member kick-off/set-up (on-site 2-3 days), discovery and design sessions, build sprints, UAT (on-site 2-3 days), and Go-Live support (on-site 1 full week; remaining support via virtual command center).

*      Configure and build Epic PB modules including provider enrollment, billing area administration, charge router, claim edit rules, claim work queues, and PB claims with specific attention to FQHC-required configurations such as sliding fee scale schedules, FQHC encounter billing setup, and payer-specific FQHC requirements.

*      Configure FQHC-specific billing elements: sliding fee scale (SFS) discount schedules, income verification workflows, encounter claim billing (PPS), FQHC Medicare/Medicaid claim requirements, and appropriate rendering/billing provider hierarchies for FQHC compliance.

*      Build and troubleshoot PB billing workflows for ambulatory environments including HOD clinics, ensuring accurate charge capture, claim scrubbing, and revenue cycle flow.

*      Partner with FQHC operational and revenue cycle leaders during discovery and design to document current-state workflows (SFS eligibility, grant-funded visit tracking, scope of service) and map them to Epic PB functionality.

*      Provide Go-Live 'At the Elbow' support on-site (3-4 trips per assignment).

*      Collaborate with cross-functional teams including HB, coding, managed care, and FQHC compliance to ensure end-to-end billing integrity.

*      Manage workload across 3-4 concurrent projects/installs; travel is required and scheduled in advance.