Epic PB Claims

CTG is seeking a certified Epic Professional Billing (PB) Claims Build Analyst with 3+ years of hands-on build experience to support the design, configuration, and optimization of Epic billing and claims workflows. The ideal candidate will have strong expertise in PB claims processing, reimbursement workflows, and revenue cycle operations, with the ability to translate business requirements into effective system solutions. This role will work closely with revenue cycle stakeholders, operational leadership, and cross-functional IT teams to ensure accurate, compliant, and efficient claims processing.

Key Responsibilities

Design, build, configure, and maintain Epic PB claims functionality in alignment with organizational and regulatory requirements Collaborate with revenue cycle stakeholders to gather requirements and translate them into system build and workflow improvements Support claims processing workflows, including edits, scrubbing, submission, and denial management Participate in system implementations, upgrades, and optimization initiatives Perform unit testing, integrated testing, and user acceptance testing (UAT) to ensure system quality and performance Troubleshoot system issues, perform root cause analysis, and implement sustainable solutions Maintain thorough documentation of build decisions, workflows, and change management activities Support go-live and post-go-live stabilization efforts, including issue resolution and on-call support as needed Ensure compliance with payer requirements, regulatory standards, and Epic best practices Partner with reporting and analytics teams to support claims-related reporting and performance monitoring

Required Qualifications

Epic Professional Billing (PB) Certification (required) 3+ years of Epic PB build experience, with a focus on claims configuration and optimization Strong understanding of revenue cycle operations, including claims processing, reimbursement, and denial management Experience with system upgrades, enhancements, and testing cycles Proven ability to troubleshoot complex billing and claims issues Strong communication skills and ability to collaborate with both technical and operational stakeholders Excellent verbal and written English communication skills and the ability to interact professionally with a diverse group are required. CTG does not accept unsolicited resumes from headhunters, recruitment agencies, or fee based recruitment services for this role. To Apply: To be considered, please apply directly to this requisition using the link provided. Kindly forward this to any other interested parties. Thank you! The expected base salary for this position ranges from $75.00 to $85.00/hour. Salary offers are based on a wide range of factors including relevant skills, training, experience, education, market factors, and where applicable, licensure or certifications obtained. In addition to salary, a competitive benefit package is also offered. About CTG CTG, a Cegeka company, delivers IT and business solutions that enhance clients’ digital agility, empowering them to seize new opportunities and overcome any challenge. Backed by more than 60 years’ experience and a commitment to being a reliable, results-driven partner, we work shoulder to shoulder with clients to shape digital together. Our vision is to be an indispensable partner to our clients and the preferred career destination for digital and technology experts. With more than 9,000 team members in over 15 countries, we combine global expertise with local insight to deliver innovative solutions. We operate across the Americas, Europe, and India, working with over 3,000 clients in many of today's highest-growth industries. Together, we shape what’s next—working shoulder to shoulder to deliver impactful solutions for our clients and society. Our culture is built by the people who work at CTG, the values we hold, and the actions we take. It's a living, breathing thing that is renewed every day through the ways we engage with each other, our clients, and our communities. At CTG, you’ll find a workplace where you are encouraged to grow, supported in your ambitions, and empowered to shape your own career journey. For more information, visit www.ctg.com. CTG will consider for employment all qualified applicants including those with criminal histories in a manner consistent with the requirements of all applicable local, state, and federal laws. CTG is an Equal Opportunity Employer. CTG will assure equal opportunity and consideration to all applicants and employees in recruitment, selection, placement, training, benefits, compensation, promotion, transfer, and release of individuals without regard to race, creed, religion, color, national origin, sex, sexual orientation, gender identity and gender expression, age, disability, marital or veteran status, citizenship status, or any other discriminatory factors as required by law. CTG is fully committed to promoting employment opportunities for members of protected classes.