Epic Billing Claims Analyst — Remote (US)

Optum; Orlando (FL); A distancia; USD 92.000 - 164.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Remote work from anywhere in the U.S.

Comprehensive benefits

Descripción de la vacante

Optum is seeking an Epic Professional Billing Claims Analyst to support Resolute Billing configurations and revenue cycle optimization. This role partners with operations, IT, and payer teams to ensure accurate claim submission and timely reimbursements across the U.S.

The ideal candidate has Epic Resolute Professional Billing certification and 4+ years in healthcare and Epic analysis, with strong KPI-driven process improvement knowledge.

Formación

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

Responsabilidades

• Maintain Professional Billing Claims configuration and builds to industry standards, ensuring quality and timelines.
• Translate user requirements into functional and technical design specifications and review with clients.
• Provide mentorship to client-based teams as SME in Epic workstreams.
• Lead medium to large Epic upgrades or workflow enhancements through design, build and test phases.
• Participate in design and validation sessions with proper documentation and escalation.
• Serve as liaison between Operations, IT and Third-Party Systems.
• Provide on-call support and go-live assistance as required.
• Develop training materials and curriculum with trainers for end users.

Conocimientos

Epic Resolute Billing

Healthcare experience

Epic analyst

Revenue cycle metrics

Client healthcare knowledge

Herramientas

MS Excel

Visio

PowerPoint

SharePoint

Descripción del empleo

Optum is seeking an Epic Professional Billing Claims Analyst to support Resolute Billing configurations and revenue cycle optimization. This role partners with operations, IT, and payer teams to ensure accurate claim submission and timely reimbursements across the U.S.

The ideal candidate has Epic Resolute Professional Billing certification and 4+ years in healthcare and Epic analysis, with strong KPI-driven process improvement knowledge.