Revenue Cycle Builder

Our client, PA Health Center Technology Alliance, a subsidiary of the Pennsylvania Association of Community Health Centers (PACHC), serves as the technology partner for community health centers across Pennsylvania.

Position Overview:

This role focuses on designing, building, validating, and optimizing billing, registration, claims, and integration workflows across multiple Epic modules (Professional Billing, Hospital Billing, Prelude, Grand Central, and more). The Epic Revenue Cycle Builder will collaborate with health center billing teams, patient access, finance, IT, and other stakeholders to ensure accurate charging, coding, claims processing, and compliance.

This is a primarily remote/hybrid position. Applicants must be located in Pennsylvania or surrounding states and able to travel to health center locations within PA for training and mandatory in-person meetings.

Responsibilities:

System Build & Configuration

• Build and maintain charging, claims, DNB (discharged not billed), charge router, coverage, liability, and work queue logic across PB/HB.
• Configure registration, eligibility, identity, ADT, and guarantor workflows in Prelude and Grand Central.
• Develop charge capture workflows and test regulatory billing logic, leveraging CPT, HCPCS, ICD‑10, and modifier rules.
• Configure and maintain rules supporting HL7 ADT, DFT, X12 837/835 revenue cycle integrations

Workflow & Operational Alignment

• Partner with Registration, Billing, Coding, Finance, and HIM to develop efficient end‑to‑end revenue cycle workflows.
• Support process standardization across all sites, ensuring alignment with enterprise governance.
• Identify “leakage points” such as missing charges, dropped claims, or incorrect modifiers and optimize accordingly.

Testing, Validation & Troubleshooting

• Lead integrated testing for registration, charge capture, coding, and claims workflows.
• Troubleshoot claim edits, coverage mapping, interface errors, and charge router issues.

Data, Interfaces & Integrations

• Collaborate with interface teams to validate HL7, X12, FHIR, and CCD/CDA data exchanges supporting revenue
• Support data migration activities related to demographics, coverage, AR balances, and historical claims.

Qualifications:

• Bachelor’s degree in Health Informatics, IT, Business, Health Administration, or related field
• A minimum of 5 years’ experience in healthcare revenue cycle, billing, registration, or Epic application support
• Proficiency in revenue cycle messaging standards (HL7, DFT, X12) and billing requirements (CPT, HCPCS, ICD‑10)
• Experience with multiple Epic revenue cycle modules (PB, HB, Prelude, Grand Central)
• Ability to translate technical requirements for operational teams and work collaboratively across disciplines
• Epic certification in relevant applications (preferred). If not currently certified, must be willing and able to obtain Epic certification within six months of employment

Apply today to join a growing, employee-focused organization!

Pay: $85,000.00 - $105,000.00 per year

Benefits:

• Dental insurance
• Employee assistance program
• Health insurance
• Life insurance
• Paid time off
• Retirement plan
• Vision insurance

Willingness to travel:

• 25% (Preferred)

Work Location: Hybrid remote in Lemoyne, PA 17043