This senior level position is for an EPIC Certified Resolute Hospital Billing (HB) and Professional Billing (PB) Claims Analyst.
Key responsibilities include analyzing, documenting, and communicating business requirements; testing system changes; acting as primary support contact for end-users; guiding workflow design and system build; working on Epic software issues; performing system testing and integration; partnering with quality and business leaders for system optimization; process improvement; validating data accuracy; troubleshooting and documentation; maintaining data security; and developing system documentation and user education.
Required skills and experience include 8+ years of experience with Epic PB, HB, and Claims modules, Epic certification in Resolute PB, HB, and Claims, a minimum of 5 years progressive healthcare revenue cycle experience, strong leadership and communication skills, knowledge of hospital and professional billing workflows, experience with third party vendors like Experian and Relay Health, understanding of billing regulations including CMS IPF PPS and behavioral health billing, and the ability to work under project deadlines in small teams.
The role is remote, may require after-hours or weekend work, and involves infrequent travel. A bachelor's degree or 8 years of related experience is required, along with passing pre-employment checks.
- Strong leadership and communication skills, able to present to clinical and business leaders
- 8 years of experience with Epic PB, HB, and Claims
- Epic certification in Resolute PB, HB, and Claims
- Minimum 5 years progressive revenue cycle/healthcare experience in Epic build
- Experience working with third-party vendors such as Experian, Relay Health, Hyland OnBase
- Knowledge of revenue cycle billing, hospital billing, professional billing, and claims processing
- Understanding of relevant privacy regulations including HIPAA
- Ability to work in small groups under tight deadlines
- Bachelor's degree or equivalent experience
- Pass pre-employment drug test and background checks
- Knowledge of payer/plan creation and maintenance, charge router, contracts, behavioral health, long term care psychiatric billing, CMS IPF PPS billing regulations, substance abuse billing, Medicare exhaust billing, no-pay claims, cash management, self-pay remittance, and developing testing scripts
Location
N/A
Employment Type
Full-time
Experience Level
Senior
Remote work allowed
Yes
Posted
2 months ago