Claims Analyst (Epic PB/HB)

Get AI-powered advice on this job and more exclusive features.

Results-Driven HR Professional | Delivering Strategic Talent Solutions & Business Results

Job Title: Technical Specialist- Expert (HB, PB, Claims Analyst)

Job Location: North Carolina

Job Type: Remote

Duration: 1 year

Responsibilities:

• Test system changes to ensure that they meet business requirements and do not adversely impact other areas of the Epic system and identify issues that arise in their application areas and issues that impact other application teams and works to resolve them.
• Works with Epic representatives and end users to ensure the system meets the organization's business needs regarding the project deliverables and timeline.
• Performs in-depth analysis of current and future workflows, data collection, report details, and other technical issues associated with the Epic EHR and designated third-party applications.
• Collects requirements regarding potential system enhancements or new system implementation and prepares details of specifications needed; prioritizes and implements requested changes to the system.
• Investigates standardization and process improvement opportunities by rounding within revenue cycle areas while making build decisions.
• Troubleshoots and identifies root causes and documents problems of simple to medium complexity for assigned applications and systems.
• Stays current on Epic application releases and participates in upgrade planning and testing.

Experience:

• Must have experience with Epic PB, HB, and Claims. 8 years required.
• Must possess Epic certification, Resolute PB, HB, and Claims.
• Minimum of five years’ progressive revenue cycle/healthcare experience with demonstrated experience in Epic build.
• Experience working with Third Party Vendors such as Experian, Relay Health, and Hyland OnBase.
• Knowledge of revenue cycle billing, hospital billing, professional billing, and claims processing operations and workflows.
• Rapid Retest, Payer/plan creation and maintenance, PLBs, Charge Router, Contracts, CMS IPF PPS billing regulations, Developing testing scripts, Medicare exhaust billing.

Required Skills:

• Must have experience with Epic PB, HB, and Claims (8 yrs.)
• Working closely with business and revenue cycle leaders around Epic workflow and to translate business needs Epic billing functionality (3 yrs.)
• Must possess Epic certification, Resolute PB, HB, and Claims.
• Minimum of five years’ progressive revenue cycle/healthcare experience with demonstrated experience in Epic build (5 yrs.)

Please share your updated resume along with your hourly rate expectation.

Looking forward to your response.

Seniority level

• Mid-Senior level

Employment type

• Contract

Job function

• Information Technology

Industries

• Hospitals and Health Care and IT Services and IT Consulting

#J-18808-Ljbffr