Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Epic Systems Analyst- Resolute Hospital Billing & Claims

$68.4k

Highmark Health

Company :

enGen

Job Description :

JOB SUMMARY

This job is responsible for configuring, rolling out, and supporting the Epic Resolute Hospital Billing and Claims application. Responsibilities include business/systems analysis, requirements definition and documentation, system design, and problem resolution. The analyst communicates with system end-users to understand issues and implement solutions.?

ESSENTIAL RESPONSIBILITIES

  • Plans, designs/builds, tests, implements, and supports the needs of Epic software.

  • Analyzes and determines system requirements and specifications. Performs and documents workflow analysis while evaluating user experience. Supports and maintains environments or applications using domain knowledge. Creates and maintains documentation and training materials regarding the implementation of applications.

  • Using knowledge of Epic, configures changes within the Epic environments to provide standardized, comprehensive workflows. Corrects issues, conducts routine maintenance, updates systems with new functionality to meet the end user's needs, and implements new technologies. Provides guidance and support to end-users to enhance the use of Epic and offers solutions to resolve end-user system issues.

  • Contributes to and manages small to medium projects independently. Updates stakeholders as appropriate on a timely basis regarding progress on assigned tasks, projects, and issues.

  • Conducts problem-solving and root cause analysis to resolve routine to moderately complex problems. Identifies solutions and completes documentation.

EXPERIENCE

Required

  • 3 years of systems administration experience within one or more Epic modules.

Preferred

  • 3+ years ofHealthcareRevenue Cycle experience (Claims, Patient Access, Billing)

  • 3+ yearsof experiencewith Epic EMR or other EMR applications

SKILLS

  • Ability to handle analysis, design, system configuration and testing tasks at basic to moderate levels of complexity

  • Excellent customer service skills

  • Uses critical thinking skills for assigned tasks

  • Highly effective written and verbal communication and interpersonal skills to establish working relationships that foster optimal teamwork.?

  • Strong organizational skills in managing priorities

  • Demonstrates knowledge of project management principles as they relate to assigned tasks

EDUCATION

Required

  • Associates

Substitutions

  • 2 years of relevant work experience in lieu of an Associate's Degree

Preferred

  • Bachelor's degree in Computer Science, Information Systems, Healthcare or relevant experience.

LICENSES or CERTIFICATIONS

Required

  • Epic Application Certification within 6 months (180 days) of hire.

Preferred

  • Epic Certification in ResoluteHospitalBillingand/orHospitalClaims

Language (Other than English):

None

Travel Requirement:

0% - 25%

PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS

Position Type

Remote-based

Teaches / trains others

Occasionally

Travel from the office to various work sites or from site-to-site

Rarely

Works primarily out-of-the office selling products/services (sales employees)

Never

Physical work site required

No

Lifting: up to 10 pounds

Occasionally

Lifting: 10 to 25 pounds

Rarely

Lifting: 25 to 50 pounds

Rarely

Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.

Compliance Requirement : This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.

As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy.

Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.

Pay Range Minimum:

$68,400.00

Pay Range Maximum:

$105,900.00

Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets.

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.

We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below.

For accommodation requests, please contact HR Services Online at View email address on click.appcast.io

California Consumer Privacy Act Employees, Contractors, and Applicants Notice

Req ID: J280406

Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the Epic Systems Analyst- Resolute Hospital Billing & Claims in Jackson, MS vacancy
  • $60.8k - $82.9k

     ...As a Revenue Cycle EDI Systems Analyst , you will report to the VP...  ...ensure accurate and timely billing, compliance with regulatory...  ...applications utilized for billing and claims management. Identify and...  ..., illness, surgery or hospitalization. Our care teams include... 
    Claims
    Bi-weekly pay
    Full time
    Temporary work
    Apprenticeship
    Work at office
    Remote work
    Home office

    Centerwell

    Jackson, MS
    4 days ago
  • $22.3 - $35.2 per hour

     ...reports, oversees financial systems and safeguards the organization...  ...and timely processing of claims, including denials and the maximization...  ...cash flow. Coordinate with billing team to ensure insurance...  ...relevant regulations. Research resolution for LCD/NCD and payer policy... 
    Claims
    Hourly pay
    Temporary work
    Work at office
    Local area
    Flexible hours

    Cardinal Health

    Jackson, MS
    3 days ago
  •  ...Humana Inc is looking for a Claims Research & Resolution Representative 3 in Jackson, Mississippi. This role involves managing claims operations, interacting with customers, and resolving claims for the organization. The ideal candidate will have over a year of experience... 
    Claims
    Full time
    Remote work

    Humana

    Jackson, MS
    2 days ago
  •  ...or assistance by conducting effective research on matters related to myBlue, pharmacy, enrollment, billing, benefits and claims inquiries to ensure first call resolution is achieved. This position is responsible for ensuring a connection is made with each customer interaction... 
    Claims
    Remote work

    Blue Cross & Blue Shield of Mississippi

    Flowood, MS
    4 days ago
  •  ...reviewing correspondence, reviewing third-party and patient billing, as well as review and resolution of billing questions, at an introductory level. Ensures...  ..., Skills, and Abilities Basic knowledge of medical claims processing. Ability to maintain confidentiality. Good... 
    Claims
    Casual work

    Healthier Mississippi People

    Jackson, MS
    3 days ago
  •  ...or assistance by conducting effective research on matters related to myBlue, pharmacy, enrollment, billing, benefits and claims inquiries to ensure first call resolution is achieved.This position is responsible for ensuring a connection is made with each customer interaction... 
    Claims

    Bcbsms

    Jackson, MS
    4 days ago
  •  ...reviewing correspondence, reviewing third-party and patient billing, and review and resolution of billing questions, at an introductory level. Ensures...  ..., Skills, and Abilities: Basic knowledge of medical claims processing. Ability to maintain confidentiality. Good verbal... 
    Claims
    Hourly pay
    Full time
    Casual work
    Seasonal work
    Shift work

    University of Mississippi Medical Center

    Jackson, MS
    1 day ago
  • $54.1k - $155.54k

     ...indicators which impact care planning and resolution of member issues. Assessments utilize...  ...focus to benefit overall claim management. Using a holistic approach...  ...with at least 1 year of experience in a hospital setting. ~ The AHH RN Case manager position... 
    Claims
    Hourly pay
    Full time
    Local area
    Remote work
    Work from home
    Flexible hours

    CVS Health

    Jackson, MS
    2 days ago
  • $43k - $56.2k

     ...Become a part of our caring community The Claims Research & Resolution Representative 3 manages claims operations that involve customer contact...  ...the hours of 6:00am – 5:30pm EST. You will learn many systems, policies, and tools, and it takes times to become proficient... 
    Claims
    Temporary work
    Apprenticeship
    Remote work
    Work from home
    Monday to Friday
    Shift work

    Humana

    Jackson, MS
    2 days ago
  •  ...budgets, forecasts, cost control, cash flow, billing, invoicing, and revenue recognition across...  ...assessment of changes, variations, and potential claims including entitlement evaluation, valuation, and tracking through resolution Prepare and issue formal correspondence,... 
    Claims
    Contract work
    For subcontractor
    Flexible hours

    Gilder Search Group

    Jackson, MS
    2 days ago
  • $20 - $35 per hour

     ...discrepancies to ensure accurate, compliant claim submission *********** What You Will...  ...Abstract and enter the coded data for hospital statistical and reporting requirements....  ...appropriate personnel for follow up and resolution. Maintain a 95% coding accuracy rate... 
    Claims
    Hourly pay
    Full time
    Relief
    Remote work
    Relocation package
    Flexible hours

    Datavant

    Jackson, MS
    3 days ago
  • $37.31 - $58.75 per hour

     ...responsible for billing, follow‑up, and...  ...department and system‑wide initiative...  ...charge/claim data to the clinical...  ...and optimized hospital accounts. Evaluate...  ...revenue integrity analysts. Skills Data...  ...Insurance CMS problem resolution Data Mining...  ...Collaboration Epic Qualifications... 
    Claims
    Hourly pay
    Monday to Friday
    Flexible hours

    Intermountain Health

    Jackson, MS
    1 day ago
  •  ...Healthier Mississippi People in Jackson seeks a candidate for patient financial services. The role involves managing billing, claims processing, and ensuring compliance with HIPAA regulations. Applicants should have a high school diploma and at least one year in revenue... 
    Claims

    Healthier Mississippi People

    Jackson, MS
    3 days ago
  • A leading healthcare organization is seeking an Inpatient Medical Coding Auditor to work remotely. You will review inpatient hospital claims to ensure proper reimbursement and manage provider disputes in a metrics-driven environment. The ideal candidate holds a relevant... 
    Claims
    Remote work
    Flexible hours

    Humana

    Jackson, MS
    3 days ago
  •  ...supporting our providers at every step. From marketing and insurance to billing and technology, we take care of the administrative work so you...  ...Admin Done for You ~ We handle credentialing, billing, claims, EHR, and tech support—so you can focus your time and energy on... 
    Claims
    Live in
    Work at office
    Remote work

    Rula Health

    Jackson, MS
    6 days ago
  •  ...Principal Systems Analyst Anywhere Type: Contract Category: Business Analysis Industry: Financial Services Workplace...  ...requirements. Assist with production support analysis, issue resolution, and root cause investigations. Support phased migration... 
    Hourly pay
    Contract work
    Local area
    Remote work

    Eliassen Group

    Jackson, MS
    2 days ago
  • $50k

     ...driven Collections Specialist with experience in both medical claims billing and AR follow‑up. This is a remote position. Accountable for...  ...verbal). Proficient with Microsoft Excel and billing/EMR systems (experience with Collaborate MD and Sunwave or similar software... 
    Claims
    Full time
    Remote work

    Defining Wellness Centers

    Brandon, MS
    1 day ago
  • $50k - $55k

     ...Work® Fortune Best Workplaces in Financial Services & Insurance Claims Representative, Auto PRIMARY PURPOSE OF THE ROLE: To analyze...  ...deadlines are met and to move the file towards prompt and appropriate resolution. Identifies and pursues subrogation opportunities; secures and... 
    Claims
    Contract work
    Work at office
    Local area
    Flexible hours

    Sedgwick

    Jackson, MS
    1 day ago
  • $15k

     ...PRIMARY PURPOSE Handles losses and claims valued up to $15,000 for...  ...—Manage claims through resolution, including litigation support...  ...files in the claims management system. Communicate claim status clearly...  ...needed, consults police and hospital records and inspects physical... 
    Claims
    For contractors
    Work at office
    Local area

    Sedgwick Law

    Jackson, MS
    3 days ago
  •  ...Job Summary This is an in-house medical billing position. The position is located at our...  ...revenue cycle functions such as billing, claims filing, data entry, charge entry, insurance...  ...coding specifications Insurance billing and system guidelines including Medicare, Medicaid,... 
    Claims

    MDB Health Services

    Flowood, MS
    4 days ago
  • $20k - $40k

     ...can include responding to inquiries regarding insurance availability, eligibility, coverages, policy changes, transfers, claim submissions, and billing clarification. Use a customer-focused, needs-based review process to educate customers about insurance options. Work... 
    Claims
    Full time
    For contractors

    John Lucas - State Farm Insurance Agent

    Jackson, MS
    3 days ago
  • $35k - $42k

     ...can include responding to inquiries regarding insurance availability, eligibility, coverages, policy changes, transfers, claim submissions and billing clarification. Use a customer-focused, needs-based review process to educate customers about insurance options.... 
    Claims
    Hourly pay
    For contractors
    Work at office

    Jason Quin - State Farm Agent

    Pearl, MS
    4 days ago
  •  ...civilian healthcare providers as they are covered by the Federal Tort Claims Act (28 U.S.C. § 1346(b)) while acting within the scope of...  ...of the professional medical staff following and modifying hospital plans and policies to meet accrediting agencies’ requirements.... 
    Claims
    Permanent employment
    Internship
    Local area
    Relocation package

    Defense Health Agency Civilian Corps, Falls Church, VA

    Pearl, MS
    4 days ago
  • $72.1k - $133.9k

     ...for reconciling all travel-related central billing to US cost centers while providing...  ...payouts, and HCP traveler reimbursements Claims & Research: Manage US rental car accident...  ...questions, and provide reporting support to analysts What We're Looking For Proven... 
    Claims
    Work at office
    Immediate start
    Flexible hours

    American Express Global Business Travel

    Jackson, MS
    2 days ago
  •  ...Longwood, FL | Book Focus: Construction, Hospitality Please note: If this position is...  ...account activities, policy administration, billing, claims, and more. Policy Management: Manage...  ...and collect outstanding balances. System Maintenance: Maintain data accuracy in... 
    Claims
    Remote work

    Insurance Office of America

    Jackson, MS
    3 days ago
  • $80k - $95k

     ...team. Handle customer service requests, policy administration, billing, claims, and coverage analysis. Manage policy expirations and...  ...collecting outstanding balances. Maintain agency management systems and carrier/vendor platforms, ensuring data accuracy and completeness... 
    Claims
    For contractors
    Remote work

    Insurance Office of America

    Jackson, MS
    2 days ago
  • $86.3k - $118.7k

     ...on-site audits of provider records ensuring appropriateness of billing practices. Prepares complex investigative and audit reports...  ...years of investigative or auditing experience of dental related claims ~ Knowledge of Medicare regulations ~ Knowledge of Medicaid... 
    Claims
    Full time
    Temporary work
    For contractors
    Remote work
    Work from home
    Home office
    Monday to Friday

    Humana, Inc.

    Jackson, MS
    3 days ago
  • $20.02 - $25.78 per hour

     ...healthcare providers utilize to capture, bill, and collect patient service revenue. The...  ...Researching and appealing denied and rejected claims Preparing, reviewing, and transmitting...  ...-10 coding ~ Competent with computer systems, software and 10 key calculators ~... 
    Claims
    Hourly pay
    Temporary work
    Work experience placement
    Local area
    Immediate start
    Remote work
    Flexible hours

    Cardinal Health

    Jackson, MS
    4 days ago
  • $71.1k - $97.8k

     ...for an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle provider disputes in a...  ...increasing the accuracy of provider contract payments in our payer systems, and by ensuring correct claims payment and appropriate... 
    Claims
    Bi-weekly pay
    Full time
    Contract work
    Temporary work
    Apprenticeship
    Work at office
    Remote work
    Work from home
    Home office
    Monday to Friday

    Humana

    Jackson, MS
    4 days ago
  • $56.4k - $77.3k

     ...Program Consulting Finance Consulting and Billing Services Applied Technology...  ...well equipped to engage with the program's systems and services. The Coordinator will also play...  ...training, Social Security disability advocacy, claims management, human service sector.... 
    Claims
    For contractors
    H1b
    Work at office
    Local area
    Remote work
    Work from home

    Public Consulting Group

    Jackson, MS
    4 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Epic Systems Analyst- Resolute Hospital Billing & Claims. Be the first to apply!