Epic Billing Claims Analyst - Remote, Revenue Cycle Impact

ISHE; Eden Prairie (MN); Hybrid; USD 92,000 - 164,000; Full time

Job summary

Optum is seeking an Epic Professional Billing Claims Analyst to support Professional Billing claim operations, configuration, and revenue cycle transformation. This role focuses on Epic Resolute Professional Billing Claims functionality, claims generation, edits, denial prevention, and payer-specific requirements.

Remote work is available from anywhere in the U.S.; in Minneapolis or Washington, D.C. areas, in-office presence is required at least four days per week.

Qualifications

• Active / current Epic certification in Resolute Professional Billing Claims.
• 4+ years of healthcare experience.
• 4+ years of experience in an Epic analyst role with function and build experience.
• 4+ years of knowledge of revenue cycle metrics, KPIs, and process improvement techniques relative to these areas.
• 3+ years of Direct client healthcare domain knowledge such as billing, payment posting, self-pay/insurance follow up, denial management, customer service or vendor management

Responsibilities

• Working on Professional Billing Claims configuration changes and builds by maintaining industry and client standards ensuring build quality and timeline adherence as well as debugging and resolving any issues/defects
• Translate user requirements into functional and technical design specifications and review with client(s) to ensure accuracy
• Serve as a mentor/subject matter expert to client-based team members
• Lead medium to large complexity Epic software upgrade initiatives or enhancements to workflows including the design, build, and test phases
• Participate in design and validation sessions and ensure appropriate documentation, follow-up and issue escalation occurs
• Function as a liaison between Operations, Information Technology (IT) and Third-Party Systems
• Provide support of application incidents reported through the help desk; including 24/7 on call coverage as required
• Provide assigned on-site support during go-lives and system upgrades
• Obtain and maintain in-depth knowledge of software functionality; acquire and utilize knowledge of operational workflows to be implemented
• Perform in-depth analysis of workflows, data collection, report details, and other technical issues associated with Epic software
• Work with trainers to develop and maintain application specific training curriculum and materials
• Adhere to organization standards for system configuration and change control
• Develop strong relationships with end user communities, customers and business partners
• Attend, participate in, and contribute to meetings throughout the facility

Skills

Epic software expertise

Healthcare revenue cycle knowledge

Analytical skills

Stakeholder communication

Education

Epic certification in Resolute Professional Billing Claims

Tools

MS Excel

Visio

PowerPoint

SharePoint

Job description

Optum is seeking an Epic Professional Billing Claims Analyst to support Professional Billing claim operations, configuration, and revenue cycle transformation. This role focuses on Epic Resolute Professional Billing Claims functionality, claims generation, edits, denial prevention, and payer-specific requirements.

Remote work is available from anywhere in the U.S.; in Minneapolis or Washington, D.C. areas, in-office presence is required at least four days per week.