Epic Billing Claims Analyst — Remote (US)

Optum; Chicago (IL); Remote; USD 92,000 - 164,000; Full time

Job summary

Optum seeks an Epic Professional Billing Claims Analyst to support Resolute Professional Billing Claims configuration, claim generation, denial prevention, and payer-specific requirements. The analyst will partner with revenue cycle teams to ensure accurate submissions and timely reimbursements.

Candidates should hold Epic Resolute Professional Billing Claims certification, 4+ years in healthcare and Epic analysis, and a track record in revenue cycle improvement.

Qualifications

• Active 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.
• Attend, participate in, and contribute to meetings throughout the facility.

Skills

Epic Resolute Professional Billing

Healthcare experience

Epic analyst

Revenue cycle metrics

Client interaction

Tools

MS Excel

Job description

Optum seeks an Epic Professional Billing Claims Analyst to support Resolute Professional Billing Claims configuration, claim generation, denial prevention, and payer-specific requirements. The analyst will partner with revenue cycle teams to ensure accurate submissions and timely reimbursements.

Candidates should hold Epic Resolute Professional Billing Claims certification, 4+ years in healthcare and Epic analysis, and a track record in revenue cycle improvement.