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 5 days ago
Similar jobs that could be interesting for youBased on the Epic Systems Analyst- Resolute Hospital Billing & Claims in Phoenix, AZ 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

    Phoenix, AZ
    5 days ago
  • $19.01 - $26.85 per hour

     ...clinics, care sites and 158 hospital-based locations, in...  ...facilitating account resolution and contributing to...  ...companies for denied claims to maintain consistent...  ...customers. Documents on system all action taken on...  ...Three (3) years physician billing/collection experience... 
    Claims
    Full time

    Common Spirit Health

    Phoenix, AZ
    3 days ago
  •  ...healthcare services Industry Hospital & Health Care Type...  ...operations for healthcare claim dispute resolution. The successful candidate...  ...building scalable workflows, systems, and operational playbooks,...  ...with healthcare claims, billing, or dispute workflows is essential... 
    Claims

    Confidential

    Phoenix, AZ
    7 days ago
  •  ...technology company seeking a Dispute Resolution Paralegal (IDR) to support...  ...Conduct detailed research of claims, appeals, and supporting...  ...Working knowledge of healthcare billing, reimbursement methodologies,...  ...~ Familiarity with claims systems, dispute platforms, or case management... 
    Claims

    Green Light Cost Management

    Scottsdale, AZ
    2 days ago
  • $21.16 - $38.37 per hour

     ...comprehensive research and resolution of appeals, disputes,...  ...timelines are met. Researches claims appeals and grievances using support systems to determine appropriate...  ...notes, and/or detailed bills as appropriate;...  ...program), or medical office/hospital setting. Completion of... 
    Claims
    Hourly pay
    Full time
    Contract work
    Work experience placement
    Work at office
    Remote work

    Molina Healthcare

    Phoenix, AZ
    2 days ago
  •  ...managed services to health systems, their health plans and...  ...(EOB), entering denied claim into the DMT database,...  ...exhausted appeal efforts for resolution Work payer projects as...  ...2 years minimum in a Hospital or RCM environment performing billing / collections / disputes... 
    Claims
    Contract work
    Monday to Friday
    Shift work

    Healthcare Support Staffing

    Phoenix, AZ
    5 days ago
  • $23 - $25 per hour

     ...healthcare providers to resolve out-of-network medical claims fairly and efficiently. We are seeking...  ...communication, reimbursement discussions, and claim resolution strategy, helping reduce patient balance billing while supporting fair outcomes for providers.... 
    Claims
    Hourly pay

    Green Light Cost Management

    Scottsdale, AZ
    3 days ago
  • $23 per hour

     ...Specialist will adjudicate pharmacy claims, review claim responses for...  ...360... Practices first call resolution to help health care providers...  ...patient setup in CPR+ system including patient demographic...  ...Experience in Pharmacy, Medical Billing, or Benefits Verification, Pharmacy... 
    Claims
    Full time
    Temporary work
    Work experience placement
    Remote work
    Relocation package
    Flexible hours
    Shift work

    Onco360

    Scottsdale, AZ
    5 days ago
  •  ...Humankindness: Join a Legacy of Healing at Saint Joseph's Hospital and Medical Center (SJHMC) Ready to make a real...  ...improvement of patient care, resource utilization, billing compliance and reduction of claims denials. Provide compliance element for Centers for... 
    Claims
    Immediate start

    CommonSpirit Health

    Phoenix, AZ
    4 days ago
  •  ...positions. Qualified candidates will have previous experience Billing out claims, Following up with all Payors, posting charges, calculating...  ...TTF is a search and staffing company that partners with hospitals, physician groups, TPA's, medical management companies, pharmaceutical... 
    Claims
    Full time
    Monday to Friday

    TTF Search and Staffing

    Phoenix, AZ
    8 days ago
  •  ...will promote evidence-based medical care and appropriate hospital resource utilization, facilitating communication...  ...for improvement of patient care, resource utilization, billing compliance and reduction of claims denials. Provide compliance element for Centers for Medicare... 
    Claims
    Immediate start

    Communityhealthathome

    Phoenix, AZ
    4 days ago
  • $45 - $50 per hour

    Job Description Epic Certified Hospital Billing Claims Analyst will bring experience in managing applications, with...  ...maintenance activities, ensuring timely resolution of incidents and service requests...  ..., ensuring alignment of system capabilities with business needs.... 
    Claims
    Hourly pay
    Live in
    Work at office
    Local area
    Flexible hours

    Accenture

    Scottsdale, AZ
    2 days ago
  • Accenture is seeking an Epic Certified Hospital Billing Claims Analyst in Scottsdale, Arizona. This role involves managing applications and ensuring high-quality...  ...act as a subject matter expert, ensuring alignment of system capabilities with client needs. Qualified candidates... 
    Claims

    Accenture

    Scottsdale, AZ
    2 days ago
  • Valleywise Health is seeking an Application Systems Analyst III for Epic OpTime & Anesthesia. This remote role requires a Bachelor's Degree and 5+ years of healthcare IT experience. You will deploy hospital application software, analyze functionality, and mentor junior... 
    Remote job

    Valleywise Health

    Phoenix, AZ
    4 days ago
  • $23 per hour

     ...Specialist will adjudicate pharmacy claims, review claim responses for...  ...Practices first call resolution to help health care providers...  ...accurate patient setup in CPR+ system including patient demographic...  ...Experience in Pharmacy, Medical Billing, or Benefits Verification,... 
    Claims
    Full time
    Temporary work
    Work experience placement
    Remote work
    Relocation package
    Flexible hours
    Shift work

    CareMed Specialty Pharmacy

    Scottsdale, AZ
    2 days ago
  •  ...Medical Billing Analyst Community Bridges, Inc. (CBI) is an integrated behavioral healthcare...  ...accuracy, preparing and submitting claims to payers. This position is responsible...  ...Disability, Life, Supplemental plans ~ Hospital indemnity/ Critical Illness, ~ Pet Insurance... 
    Claims
    Remote work

    Community Bridges

    Phoenix, AZ
    4 days ago
  • $81.54 - $121.29 per hour

     ...will promote evidence-based medical care and appropriate hospital resource utilization, facilitating communication...  ...for improvement of patient care, resource utilization, billing compliance and reduction of claims denials. Provide compliance element for Centers for Medicare... 
    Claims

    Dignity Health

    Phoenix, AZ
    3 days ago
  • $89.17k - $142.68k

     ...highly skilled Senior Data Analyst with deep expertise in...  ...flows (enrollment, claims, supplemental), HCC...  ...internal physician and hospital contracting staff, financial...  ...is responsible for resolution. Identify complex...  ...complex applications systems on many platforms and... 
    Claims
    Work at office
    Local area
    Remote work
    Flexible hours
    2 days per week

    Blue Cross and Blue Shield of North Carolina

    Phoenix, AZ
    4 days ago
  • $21 - $23 per hour

     ...-Cycle Workers' Compensation Billing Specialist, you will serve as...  ...be responsible for analyzing claim denials, billing/collecting payments...  ...), to determine next-step resolution strategies and appeal...  ...ability to navigate multiple systems and prioritize effectively in... 
    Claims
    Hourly pay
    Full time
    Private practice
    Shift work

    Spooner Inc

    Scottsdale, AZ
    5 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

    Phoenix, AZ
    4 days ago
  • Director of Complex Claims & Counsel page is loaded## Director of...  ...outcomes; and develops equitable resolution strategies for claims and...  ...primary focus of the position is Hospital and Physician Professional...  ...the Banner Health (BH) system, including General Liability... 
    Claims
    Shift work

    Banner Health

    Phoenix, AZ
    3 days ago
  •  ...compliance, internal audit, risk, and claims & litigation. This executive...  ...This position is part of the system senior leadership team (SLT),...  ..., HITECH Act, EMTALA, and billing regulations; oversees patient...  ...protocols; and navigates hospital operations including... 
    Claims
    Contract work
    Shift work

    Jobleads-US

    Phoenix, AZ
    4 days ago
  • Palo-Verde-Hematology-Oncology-Ltd in Phoenix, Arizona, is seeking a skilled professional for billing and insurance processing. The role involves processing insurance claims, handling patient accounts receivable, and ensuring compliance with relevant regulations. Candidates... 
    Claims

    Palo-Verde-Hematology-Oncology-Ltd

    Phoenix, AZ
    2 days ago
  •  ...understands the importance of keeping systems running smoothly behind the...  ...Responsibilities Insurance claim submission tracking, and...  ...2 years of dental insurance billing experience needed Strong...  ...billing experience. #J-18808-Ljbffr NYU Hospital for Joint Diseases
    Full time
    Part time
    Private practice
    Work at office

    NYU Hospital for Joint Diseases

    Phoenix, AZ
    5 days ago
  •  ...Arizona is looking for a dedicated professional to handle insurance claims processing and patient accounts management. You will be...  ...Benefits. The ideal candidate should have extensive knowledge of billing practices and strong communication skills. Physical requirements... 
    Claims

    Pvhomed

    Phoenix, AZ
    2 days ago
  • $185k - $190k

     ...Clarest Health as our Director of Pharmacy Claims & Reimbursement and lead a high-...  ...Part D services, clinical claims resolution, and patient billing operations across multiple lines of business...  ...within the pharmacy operating system. Responsible for the resolution of all... 
    Claims
    Remote work

    Clarest Health OHIO, LLC

    Phoenix, AZ
    2 days ago
  • $20 - $23 per hour

     ...their team in Phoenix, AZ. The role requires a minimum of 3 years of experience in Revenue Cycle processes, including medical billing and claims. Responsibilities include accurately recording payments, verifying insurance, submitting claims, and managing accounts... 
    Claims
    Hourly pay

    6AM City, LLC

    Phoenix, AZ
    2 days ago
  •  ...Insurance Claims Processor Job Duties: Process and follow-up on insurance claims to include denials & appeals. Patient Accounts...  ...is required. Performance Requirements: Knowledge of billing and insurance practices and procedures as well as regulations including... 
    Claims

    Palo Verde Cancer Specialists

    Phoenix, AZ
    4 days ago
  •  ...Referred Care (PRC) of Sage Memorial Hospital. The incumbent will provide...  ...current electronic record-keeping system for the PRC program. • Establish...  ...of guidelines, verification of claims, appropriateness of services, and irregular billing information received, to... 
    Claims
    Contract work
    Work at office
    Local area
    Shift work

    Sage Memorial Hospital, Inc.

    Phoenix, AZ
    3 days ago
  • $25 - $28 per hour

     ...energetic and knowledgeable Claims and Appeals Specialist who thrives...  ...drive timely, accurate resolutions. Job Summary: As a Claims...  ...professionally with healthcare providers, billing offices, payers, clients, and...  ...documentation in internal systems and portals Assist with... 
    Claims
    Hourly pay

    Green Light Cost Management

    Scottsdale, AZ
    10 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!