Note: The job is a remote job and is open to candidates in USA. The Wilshire Group, a renowned boutique consulting firm in Los Angeles, specializes in revenue cycle optimization and fostering effective collaboration between operational and IT facets. They are seeking a Senior Epic General Pharmacy Billing Consultant to provide subject matter expertise, support pharmacy-related Epic builds, and collaborate with billing teams to enhance revenue cycle outcomes.
Responsibilities
- Participate in initiative-related meetings to represent revenue cycle interests and provide subject matter expertise
- Identify and communicate downstream impacts of pharmacy build decisions on Hospital Billing (HB), Professional Billing (PB), and Claims teams
- Provide build guidance, advising on how proposed builds affect billing workflows and revenue cycle outcomes in HB and PB
- Collaborate closely with billing team members to support and inform build efforts
- Strong Project Management skills
- Support the expansion of compound medication offerings within the Epic pharmacy build
Skills
- Epic certification (required)
- Demonstrated experience across all HB, PB, and Claims modules
- Strong background in Epic build, with the ability to translate build decisions into revenue cycle impact assessments
- Proven experience as a revenue cycle consultant in a healthcare/Epic environment
- Epic HB Certification
- Epic HB Claims Certification
- Epic PB Certification
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