Epic Systems Analyst- Resolute Hospital Billing & Claims
$68.4k - $105.9kHighmark Health
Job Summary This position is responsible for configuring, rolling out, and supporting the Epic Resolute Hospital Billing and Claims application. Responsibilities include business/systems analysis, requirements definition, system design, and problem resolution. The analyst communicates with end users to understand issues and implement solutions. Responsibilities Plan, design, build, test, implement and support the needs of Epic software. Analyze and determine system requirements and specifications. Perform and document workflow analysis while evaluating user experience. Support and maintain environments or applications using domain knowledge. Create and maintain documentation and training materials regarding the implementation of applications. Use knowledge of Epic to configure changes within Epic environments to provide standardized, comprehensive workflows. Correct issues, conduct routine maintenance, update systems with new functionality, and implement new technologies. Provide guidance and support to end‑users to enhance the use of Epic and offer solutions to resolve end‑user system issues. Contribute to and manage small to medium projects independently. Update stakeholders as appropriate regarding progress on assigned tasks, projects, and issues. Conduct problem‑solving and root cause analysis to resolve routine to moderately complex problems. Identify solutions and complete documentation. Experience (Required) 3 years of systems administration experience within one or more Epic modules. Experience (Preferred) 3+ years of Healthcare Revenue Cycle experience (Claims, Patient Access, Billing). 3+ years of experience with 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. Use 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. Demonstrate knowledge of project management principles as they relate to assigned tasks. Education (Required) Associate’s degree. Education (Substitutions) 2 years of relevant work experience in lieu of an Associate’s degree. Education (Preferred) Bachelor’s degree in Computer Science, Information Systems, Healthcare or relevant experience. Certifications (Required) Epic Application Certification within 180 days of hire. Certifications (Preferred) Epic Certification in Resolute Hospital Billing and/or Hospital Claims. Travel Requirement 0% – 25% travel. Physical Demands Remote‑based position with occasional travel to work sites. Lifting up to 50 pounds. Pay Range Minimum: $68,400.00 – Maximum: $105,900.00. EEO Statement 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. #J-18808-Ljbffr
$68.4k
...configuring, rolling out, and supporting the Epic Resolute Hospital Billing and Claims application. Responsibilities include business/systems analysis, requirements definition and... ...system design, and problem resolution. The analyst communicates with system end-users to...ClaimsFor contractorsWork experience placementWork at officeLocal areaRemote work$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$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...ClaimsHourly payTemporary workWork at officeLocal areaFlexible hours$20.45 - $24.7 per hour
...Ethics, as well as the American Hospital Association, (AHA) Coding... ...a third party software systems such as LYNX. Correctly abstract... ...are Discharged Not Final Billed, failed claims, stop bills, and epremis as... ...timelines. ~ Experience with EPIC and previous use of coding...ClaimsTemporary workWork at officeLocal areaRemote work$25.39 - $40 per hour
...Job Description The HIM Hospital Emergency Room Coder is... ..., as well as ensures claims meet medical necessity... ...Submits coded claims to billing department or third-party... ...APR-DRG classification systems. Ability to complete... ...lines. Experience with EPIC EHR and 3M 360 CAC (Computer...ClaimsHourly payShift work- ...UMH Sparrow Hospital 1215 E Michigan Ave Lansing, MI 48912, USA Xanitos... ...navigates HRIS (UKG) system and maintains employee records... ...necessary investigation, dispute resolution, corrective action,... ...party administer of unemployment claims to ensure timely and proper processing...ClaimsHourly payRemote work
$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...ClaimsHourly payFull timeReliefRemote workRelocation packageFlexible hours$118.8k - $178.2k
...hire a Senior Litigation Analyst to join our Legal team.... ...outside counsel legal bill invoices and to conduct... ...of information with Claims regarding observed and... ...demonstrated improvement of the system as feature/functions... ...and assist in problem resolution. Provide customer...ClaimsTemporary workWork at officeRemote work3 days per week$100k
...wide HR programs. Manages HR billing reconciliations and first level... ...accommodations, unemployment claims, and employment documentation... ..., Learning Management System administration, and employee... ...communication, facilitation, conflict resolution, and relationship‑building...ClaimsFull timeContract workWork at officeLocal areaImmediate startRemote workFlexible hours- ...applications and integrations, and delivering scalable ERP and enterprise system solutions. Essential Functions Provides Tier 2 and Tier 3... ...ERP and business system functionality. Leads the analysis and resolution of complex ERP and application issues, identifying root causes...
$50k - $70k
...can include responding to inquiries regarding insurance availability, eligibility, coverages, policy changes, transfers, claim submissions, and billing clarification Promote successful and long-lasting customer relations. QUALIFICATIONS Experience in sales (outside sales...ClaimsFull time- ...Must-Haves: Facets Enrollment. Membership, Billing, Provider SQL, MS-SQL Server, AWS, DevOps... ...and cloud-migration initiatives, Facets Claims adjudication, Claims payment Integrity,... ...Designs and reviews technical components, System Integration mapping, and prepares detailed...Claims
$50k
...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...ClaimsFor contractors- ...can include responding to inquiries regarding insurance availability, eligibility, coverages, policy changes, transfers, claim submissions, and billing clarification. Develop leads, schedule appointments, identify customer needs, and market appropriate products and...Claims
- ...representatives that handle underwriting, billing and policy inquiries. Approves/Declines... .... Demonstrated conflict mediation and resolution ensuring fairness and impartiality. Ability... ...knowledge of insurance administration, claims management, underwriting and/or relevant...Contract workWork at office
$40k - $55k
...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. Use...ClaimsFull timeFor contractorsWork at office- ...technology knowledge of pharmacy systems including workflow, prescription fulfillment, billing, clinical documentation,... ...productivity Ensures insurance claims are processed accurately to prevent... ...registration, exception resolution, and assists with resolving patient...Local areaRelocation packageShift work
- ...individual to join our team as an experienced PIP Claims Representative. The position requires the... ...that are owed. Review medical bills, authorize payments and ensure payments... ...Michigan No Fault Statute. Work toward the resolution of claims, and attend arbitrations,...ClaimsLocal areaWork from home3 days per week
- ...Insurance, a top-rated insurance carrier, is seeking a motivated claims trainee to join our team. This job handles entry-level... ...including but not limited to: investigation, evaluation, and claim resolution. This job provides service to agents, insureds, and others to ensure...ClaimsTraineeshipLocal areaWork from home
$30k - $60k
...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. As an...ClaimsHourly payFull timeFor contractors$16 - $30 per hour
...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...ClaimsHourly payFull timeFor contractorsMonday to FridayFlexible hours$60k - $90k
...can include responding to inquiries regarding insurance availability, eligibility, coverages, policy changes, transfers, claim submissions, and billing clarification. Maintain a strong work ethic with a total commitment to success each and every day. As an Agent Team...ClaimsFull timeFor contractorsRelocation package- ...Auto-Owners Insurance Field Claims Professional A career at Auto-Owners is challenging and rewarding. Our group of caring associates... ...but not limited to: investigation, evaluation, and claim resolution. This job provides service to agents, insureds, and others to ensure...ClaimsLocal areaWork from home
$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...ClaimsContract workWork at officeLocal areaFlexible hours$50k - $55k
...Work® Fortune Best Workplaces in Financial Services & Insurance Claims Representative, Auto | Property Damage PRIMARY PURPOSE OF THE... ...deadlines are met and to move the file towards prompt and appropriate resolution. Identifies and pursues subrogation opportunities; secures and...ClaimsContract workWork at officeLocal areaFlexible hours$45k - $52k
...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...ClaimsFull timePart timeFor contractors$35k - $45k
...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...ClaimsFull timeFor contractors- ...A leading claims adjustment company in Lansing, Michigan, is looking for Independent Insurance Claims Adjusters. This role provides flexibility and competitive compensation while making a significant impact on clients' lives. Candidates with claims experience are preferred...Claims
- ...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...ClaimsHourly payFull timeFor contractorsWork at officeFlexible hours
$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 experience...ClaimsWork at officeImmediate startFlexible hours
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