Epic Systems Analyst- Resolute Hospital Billing & Claims
$68.4kHighmark 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
$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...ClaimsBi-weekly payFull timeTemporary workApprenticeshipWork at officeRemote workHome office$18.7 - $32.72 per hour
...supporting straight Medicaid claims. This position requires... ...understanding of denial resolution to ensure timely and... ...including advocacy, CFC and billing to ensure patients who... .... Proficient uses of hospital registration and/or billing systems and personal computers as...Claims$20.57 - $36.27 per hour
...II) to join our Physicians' Billing team and work remote from home... ...four years of experience in hospital/physician patient accounts and... ...information needed to process claims, secure approximate date of... ...information into computerized billing system. Interprets data and reports...ClaimsContract workRemote workWork from home- ...to support a large healthcare system based out of Annapolis, MD. The... ...Data Quality accurately codes hospital inpatient accounts for the... ...basis in order to facilitate the billing process within the established... ...in code assignment to prevent claim denials, billing errors, and potential...Claims
$80k - $105k
The Manager of Hospital Billing provides operational leadership for hospital billing functions... ...teams to ensure timely, accurate claim submission and follow-up Partner with... ...optimization of electronic health record systems (e.g., Epic) Assist with resource planning and...ClaimsPermanent employmentContract workLocal areaRemote workRelocationRelocation packageMonday to Friday- ...team, the warmth of a hospitality brand, and the standards... ...-star provider. Every system we run, every patient... ...a clean insurance claim looks like, and who holds... ...unflappable Understands that billing is not paperwork — it... ...for immediate resolution Manage accounts...ClaimsWork at officeImmediate start
$71.2k - $158.2k
...transforming some of the world's largest health systems-helping them turn data into lifesaving... ...designs within the pharmacy of a hospital, retail pharmacy, or other health... ...inventory tracking, healthplan design, and claims resolution. Career Level - IC3 Career Level -...ClaimsTemporary workWork experience placementLocal areaRelocationFlexible hours$22.3 - $35.2 per hour
...reports, oversees financial systems and safeguards the organization... ...and timely processing of claims, including denials and the maximation... ...flow. Coordinate with billing team to ensure insurance... ...relevant regulations. Research resolution for LCD/NCD and payer policy...ClaimsHourly payTemporary workWork at officeLocal areaImmediate startFlexible hours$18.7 - $32.72 per hour
...Patient Accounts Specialist to join the Billing team within MedStar's Patient... ...Specialist productivity. Electronic claim rejections. Processing of paper... ...organizational skills. Proficient use of hospital registration and/or billing systems and personal computers as well as...ClaimsDaily paidFull timeWork at officeMonday to Friday$295.46k
...Health is a five-time Magnet-Recognized health system for nursing excellence and is comprised of 2 hospitals. Capital Health Medical Group is made up of more... ...to allow for timely and efficient billing and claim submittal* Attend training and seminars to stay...ClaimsFull timePart time- ...modernization and sustainment of critical systems. This exciting opportunity provides... ...! Responsibilities: The Systems Analyst (Junior) serves as a computer systems analyst... ...voluntary benefits such as Accident, Hospital Indemnity, Critical Illness, Pet Insurance...Full timeTemporary workFlexible hours
$18 - $24.64 per hour
Maximus is hiring a Veterans Billed Specialist to resolve billing issues related to diagnostic testing. This remote position ensures that... ...one to two years of experience in medical billing or insurance claims. The role involves updating billing info, processing payments,...ClaimsRemote jobHourly pay- ...Position Description & Qualifications Senior Navigation Systems Management Analyst If you are motivated to play an important role in helping... ...team such as timekeeping approval, travel request and claim review and approval, training tracking, etc. Provide contract...ClaimsFull timeContract workPart timeFor contractorsWork experience placementWork at officeLocal areaImmediate startRemote workFlexible hours2 days per week3 days per week
$70 - $99 per hour
...services, and a connected community. We handle credentialing, billing, and insurance claims so providers can enjoy the freedom of choosing when,... ...function Health Care Provider Industries Mental Health Care, Medical Practices, and Hospitals and Health Care #J-18808-Ljbffr...ClaimsContract workPrivate practiceRemote work- ...and attaching insurance to encounters for billing. Reporting directly to the Revenue Cycle... ...Attach insurance information to unbilled claims and rebill claims that may have gone out... ...Follow up on required face sheets when systems do not provide Work denials related to wrong...ClaimsFull timeWork at officeMonday to FridayFlexible hoursDay shift
$102.5k - $187.9k
...Management, Insurance, and Real Estate, Hospitality and Construction. Our purpose is to... ...hot spots” exist today, such as in claims, underwriting, policy and billing. Our ambition is to be the C-suite... ...transformation: • Guidewire System Implementation (Policy, Billing, Claims...ClaimsWork experience placementSummer holidayFlexible hours$32.1 - $50.57 per hour
...registration, scheduling, billing and collections, lab... ...for multiple Application Analyst positions across a... ...certifications (e.g., Epic). Essential functions... ...problems to determine resolution • Gathers, validates,... ...maintains common and complex systems (applications,...Hourly payWork experience placementWork at officeFlexible hours- ...Verifier works closely with the billing supervisor while performing... ...are in order for accurate claim submission and payment.... ...online eligibility verification system and/or may have to contact the... ...assist in the account billing resolution process and to escalate issues...ClaimsFull timeWork experience placementWork at office
$17 - $25.76 per hour
...in the office File patient insurance claims and follow up on outstanding claims, verification... ...and team to implement Heartland Dental systems to optimize office potential What... ...~1+ years of experience with insurance billing and accounts receivable ~ Dentrix or...ClaimsHourly payDaily paidFull timeWork at officeLocal area$17.2 - $23.71 per hour
...for all professional fee billing. Determines if applied... ...current and legacy AR systems on a daily and monthly... ...Specialist for research and resolution. # Performs other... ...Qualifications: EPIC Cash Management Tool and... ...and knowledge in overall claims processing and...ClaimsFull timeFlexible hours- ..., third‑party liability, and claims attachments. Interpret and communicate... ...all processes and systems. Document all customer interactions... ...ensure timely follow‑up and resolution. Maintain compliance with... ...Medicare/Medicaid and claims/billing experience. Experience with Cisco...ClaimsContract workWork at officeRemote workMonday to FridayShift work
$22.3 - $28.8 per hour
...healthcare providers utilize to capture, bill, and collect patient service revenue. The... ...management by ensuring high-quality coding, clean claim submission, denial prevention, and... ...-driven, incentive-based). - Research resolution for LCD/NCD and payer policy denials....ClaimsHourly payTemporary workLocal areaImmediate startFlexible hours$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...ClaimsHourly payFull timeLocal areaRemote workWork from homeFlexible hours- ...cycle management department, focusing on claims processing, denial management,... ...clean claim rates, AR aging, and denial resolution. The ideal candidate will possess a strong... ...including claims submission, charge capture, billing, payment posting, denial management, and...Claims
$18 - $25 per hour
...Representative works in the Central Billing Office (CBO) providing... ...Efficient utilization of billing system database to update facility... .... Ability to edit a claim and send/receive claim notes... ...insurance inquiries and facilitates resolution of financial issues promptly....ClaimsFull timeWork at office$298k - $409.8k
...background and reviews health claims, requiring a solid... ...care is delivered beyond the hospital bringing together home health... ...by The Humana Way-a culture system designed to create simpler, faster... ...evidence-based guidelines Lead resolution of complex or escalated cases...ClaimsFull timeTemporary workRemote workShift work$105.1k - $135.09k
...guidelines for internal teams to prevent claim denials and ensure revenue integrity.... ...credentialing issues that impact back-end billing and cash flow. Lead cross-functional... ...management Interactions normally involve resolution of issues related to operations and/or...ClaimsContract workTemporary workLocal areaImmediate startFlexible hours- ...University of Maryland Medical System (UMMS) is an academic... ...25 percent of all hospital care in urban, suburban... ...and facilitate the resolution of administrative and clinical... ...electronic EMR (e.g., EPIC) preferred. AAHAM,... ...knowledge and understanding of claims processing systems and...ClaimsContract workWork at office3 days per week1 day per week
- ...dispositions; maintain a log of escalated inquiries and track resolution through closure. Track and report on customer service... ...provider inquiries preferred; working knowledge of Medicare billing, claims, or coverage topics that providers commonly raise is a strong...ClaimsFor contractorsWork experience placementRemote work
$70k - $85k
...assess, monitor, and document claims and encounter coding... ...physicians regarding coding, billing, documentation policies, procedures... ...root‑cause analysis, or barrier resolution applicable to Risk Adjustment... ...), electronic health record systems, and healthcare coding software...ClaimsFull timeWork at officeRemote workMonday to Friday
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!
- network security analyst Annapolis, MD
- senior system analyst Annapolis, MD
- network system analyst Annapolis, MD
- computer systems analyst Annapolis, MD
- manufacturing systems analyst Annapolis, MD
- systems development analyst Annapolis, MD
- network analyst Annapolis, MD
- senior network analyst Annapolis, MD
- information systems analyst Annapolis, MD
- system integration analyst Annapolis, MD


