Application Analyst, PB Claims and Remittance

This is a fully remote position, open to applicants in United States.

📋 Description

• Act as the main application support representative for end-users, addressing issues related to Epic Resolute Professional Billing Claims and Remittance.

• Investigate and resolve application, workflow, and system problems that impact professional billing, claims processing, and remittance.

• Conduct system maintenance, which includes managing and resolving work queues, error queues, claim edits, and issues related to remittance.

• Engage in the design, build, testing, implementation, and ongoing support of Epic Professional Billing capabilities.

• Create and implement test scripts, validate system modifications, and collaborate with stakeholders prior to implementation.

• Assess workflows and pinpoint areas for enhancements, automation, and process improvements.

• Collaborate with Revenue Cycle, Finance, IT, operational leaders, and end-users to convert business requirements into Epic solutions.

• Support upgrades, enhancements, system modifications, and optimization initiatives concerning Professional Billing.

• Produce and maintain system documentation, workflows, procedures, and support materials.

• Track system performance and identify avenues to enhance efficiency, accuracy, and user experience.

• Carry out additional duties and responsibilities as assigned.

⛳️ Requirements

• Current certification in Epic Resolute Professional Billing (PB) Claims and Remittance is mandatory.

• Extensive knowledge and practical experience with Epic Resolute Professional Billing, especially Claims and Remittance workflows.

• Profound understanding of healthcare revenue cycle processes, encompassing professional billing, claims submission, payment and remittance processing, denials, and claim follow-up.

• Capability to analyze and troubleshoot intricate application and workflow issues, providing effective solutions.

• Experience in supporting Epic application configuration, maintenance, testing, upgrades, and enhancements.

• Ability to recognize opportunities for workflow optimization and suggest system solutions that align with operational and organizational needs.

• Strong analytical, critical thinking, and problem-solving abilities.

• Exceptional written and verbal communication skills, capable of conveying technical information to non-technical audiences.

• Strong interpersonal and active listening abilities to gather business requirements and convert them into actionable technical solutions.

• Capacity to collaborate effectively across cross-functional teams while juggling multiple priorities.

• Keen attention to detail and a commitment to accuracy, quality, and continuous improvement.

• Familiarity with healthcare revenue cycle and professional billing processes.

• Understanding of healthcare information systems and industry best practices.

• Bachelor's degree in Information Technology, Healthcare Administration, Health Informatics, Business Administration, or a related field, or an equivalent combination of education and relevant experience (preferred).

• Experience in supporting Epic applications within a healthcare, community health, population health, or similar setting (preferred).

• Knowledge of Population Health, Community Health, and/or Public Health environments (preferred).

• Experience working with Revenue Cycle, Finance, Billing, IT, and operational teams (preferred).

• Involvement in Epic upgrades, implementations, optimization projects, and system enhancement initiatives (preferred).

🏝️ Benefits

• 100% Remote Work – Enjoy the flexibility of working from anywhere within the U.S.

• 100% Employer-Paid Medical Insurance.

• Annual $1,500 HSA Contribution.

• Generous Paid Time Off (PTO).

• 403(b) Retirement Plan with Employer Contribution.

• Professional Development & Education Assistance.

• Mission-Driven Culture – Join an organization dedicated to enhancing healthcare and making a significant impact in the communities we serve.