[Remote] Epic Consultant - Patient Refunds (Revenue Cycle)

Note: The job is a remote job and is open to candidates in USA. SRM Digital is seeking an Epic Consultant to support its Epic-based patient refund solution. The role focuses on analyzing refund workflows, validating EOBs and credit balances, troubleshooting failed refunds, and coordinating with revenue cycle, finance, A/P, and IT teams.

Responsibilities

• Support and analyze the end-to-end patient refund workflow in Epic, from credit balance identification through refund request, approval, and payment issuance
• Validate EOBs (Explanation of Benefits) and remittance data to confirm that credit balances are valid and refunds are owed to the patient rather than the payer
• Identify, research, and determine root cause when an Epic patient refund fails or is rejected
• Work with Epic Resolute (HB/PB/SBO) configuration and workqueues to review patient credit balances and refund eligibility
• Use Epic KIT objects and related Epic modules to trace transactions, accounts, and refund records
• Map US payment data models to Epic KIT objects to support refund processing and integration
• Work with A/P processes for refund disbursement, including check and electronic payment handling and reconciliation
• Document refund scenarios, exceptions, and resolution steps
• Collaborate with business, revenue cycle, finance, A/P, and IT teams to translate business rules into system behavior and vice versa
• Support testing, validation, and issue resolution during the engagement

Skills

• Proven experience in Revenue Cycle Management (RCM) and Accounts Payable (A/P) in the US healthcare market
• Working knowledge of Epic Resolute (HB and/or PB) and related revenue cycle concepts
• Familiarity with Epic KIT objects and other relevant Epic modules and integration concepts
• Strong understanding of the Patient Refund workflow in Epic
• Ability to validate EOBs and reconcile them against account and credit balances
• Ability to identify the cause of failed Epic patient refunds and recommend or drive resolution
• Deep understanding of the business logic behind refunds, along with the technical flow (a technical profile is acceptable)
• Strong analytical, documentation, and communication skills

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