Epic HB Claims Lead - Remote Systems Analyst

UPMC; Pittsburgh (Allegheny County); Teletrabalho; USD 110 000 - 140 000; Tempo integral

Resumo da oferta

UPMC is seeking a Systems Analyst – Team Lead to supervise a Hospital Billing Claims team with deep expertise in Epic HB claims generation, remittance processing and denial management. The role is remote and will coordinate with the Revenue Cycle IT group to ensure efficient operations.

The ideal candidate has 7+ years of related experience, Epic HB Claims and Remittance certification, and a proven track record in guiding projects to successful completion on time and within budget.

Qualificações

• 7 years of total related experience, including leadership or senior role in claims/remittance.
• Must have Epic HB Claims and Remittance certification.
• Strong problem-solving and analytical skills.
• Excellent verbal and written communication.
• Experience triaging tickets in ServiceNow or similar tool.
• Ability to enforce corporate change control policies.

Responsabilidades

• Supervises a team of HB claims analysts.
• Apply corrections to CDFs, FDF/ABF and claim edits based on feedback from revenue cycle operations.
• Coordinate regulatory updates (CCI, LCD, MUE) and Epic upgrades (Nova Notes).
• Provide strong technical and functional guidance on claims and remittance administration.
• Collaborate with Professional Billing Claims team on shared projects and system issues.
• Demonstrated ability to complete projects on time and within budget.
• Make decisions based on varied information to support revenue cycle objectives.

Conhecimentos

Epic HB Claims & Remittance cert.

7+ years experience

Problem solving

Strong communication

Ticket triage tools

Change control enforcement

Epic UserWeb research

Epic Sherlock escalation

Ferramentas

ServiceNow

Epic UserWeb

Epic Sherlock

Epic TS collaboration

Descrição da oferta de emprego

UPMC is seeking a Systems Analyst – Team Lead to supervise a Hospital Billing Claims team with deep expertise in Epic HB claims generation, remittance processing and denial management. The role is remote and will coordinate with the Revenue Cycle IT group to ensure efficient operations.

The ideal candidate has 7+ years of related experience, Epic HB Claims and Remittance certification, and a proven track record in guiding projects to successful completion on time and within budget.