Epic Professional Billing and Claims Team Lead

BetterHealth: A Planned Parenthood Partnership; Philadelphia (Philadelphia County); Remote; USD 101,000 - 110,000; Full time

Job summary

A leading healthcare organization seeks an Epic Professional Billing and Claims Team Lead to manage operational requirements and support Planned Parenthood affiliates. This remote role involves overseeing system build and design, leading optimization projects, and mentoring team members, requiring strong Epic experience and communication skills.

Qualifications

• 5-7 years Epic experience required.
• Certified in Resolute Professional Billing and Charge Router or Claims applications.

Responsibilities

• Manage operational requirements of Planned Parenthood affiliates.
• Lead large-scale optimization projects from design through support.
• Mentor project team members and analysts.

Skills

Excellent verbal and written communication

Project management skills

Time management and organization

Problem analysis and resolution

Education

Bachelor’s Degree or equivalent experience/training

Job description

Epic Professional Billing and Claims Team Lead

Join to apply for the Epic Professional Billing and Claims Team Lead role at BetterHealth: A Planned Parenthood Partnership.

Job Description

Job Title: Application Team Lead

Location: Remote

Department: Epic Implementation

Reports to: Epic Application Manager Support

Employment Type: Full Time, Exempt

Travel Required: Yes

Salary Range: $101,000 to $110,000

Summary

The Epic Professional Billing and Claims Team Lead will support affiliate communications, system build and design during implementation and maintenance. They will manage operational requirements of Planned Parenthood affiliates, work closely with project team members to ensure these are translated into Epic, and serve as a resource for other analysts regarding PB/Claims/RTE build.

Essential Functions

• Act as contact for Planned Parenthood affiliates, maintaining open communication.
• Meet with staff to understand workflows, requirements, and access practices.
• Assess if existing build meets affiliate needs or if additional build is needed.
• Translate best practice PB/Claims/RTE design, build, and testing techniques during implementation and support.
• Lead large-scale optimization projects from design through support.
• Mentor project team members and analysts, liaise with vendors as needed.
• Support readiness activities before implementation and stabilization post-launch.
• Assist with maintenance and support tasks.
• Represent the PB/Claims/RTE team in meetings.
• Maintain communication with Epic representatives and participate in project meetings.
• Serve as a resource for team members on deliverables and issues.
• Collaborate with the Training team on documentation development.
• Assist with build, upgrade, and optimization tasks.
• Mentor new hires.

Competencies

• Business acumen, strategic thinking, problem solving.
• Customer service, communication skills.
• Ethics, diversity, initiative, teamwork, leadership.
• Technical skills.
• Quality, safety, security awareness.

Education and Experience

• Bachelor’s Degree or equivalent experience/training.
• 5-7 years Epic experience.
• Certified in Resolute Professional Billing and Charge Router or Claims applications.

Skills

• Excellent verbal and written communication.
• Project management skills.
• Ability to manage multiple organizations.
• Time management and organization.
• Adaptability.
• Willingness to learn new systems.
• Clear communication with leadership.
• Professionalism and trust-building.
• Mentorship skills.
• Problem analysis and resolution.
• Proactive team support.
• Experience with health systems as a Professional Billing Epic analyst.
• Understanding of racial inequity's impact on healthcare.

Preferred

• Planned Parenthood experience.
• Healthcare operations or project management experience.
• Relationship-building experience.
• Certified in RTE and/or PB/Claims applications.
• Experience with Epic Cash Management.

Physical and Environmental Demands

Primarily sedentary, involving sitting, talking, and listening. Must be able to travel. No exposure to blood or communicable diseases. Reasonable accommodations available.

Additional Information

Other duties may be added or changed at management's discretion.