Remote Systems Analyst Lead - Epic HB Claims & Remittance

UPMC; Pittsburgh (Allegheny County); Remote; USD 100,000 - 140,000; Full time

Job summary

UPMC is seeking a Systems Analyst – Team Lead to supervise a hospital billing claims group, focusing on Epic HB claims generation, remittance processing, and denial management.

The role is remote with responsibilities to guide a team, implement edits, coordinate regulatory updates (CCI, LCD, MUE) and Epic upgrades, and align IT initiatives with revenue cycle goals while ensuring on-time, on-budget project delivery.

Qualifications

• Seven years of total related experience, including one year as a senior or lead
• Professional knowledge of IT methods
• Proficient understanding of IT strategy and how it relates to business objectives
• Ability to supervise projects to completion on time and within budget
• Ability to make decisions or recommendations based on various types and amounts of information

Responsibilities

• Supervises a team of several HB claims analysts
• Utilize direct feedback from revenue cycle operations to apply corrections to CDFs, FDF/ABF and claim edits
• Coordinate Claims-owned regulatory updates and edits (CCI, LCD, MUE) as well as periodic Epic upgrades (Nova Notes)
• Provide strong technical and functional guidance of claims and remittance administration
• Work collaboratively with the Professional Billing Claims team on shared projects and system issues

Skills

HB Claims Certification

Strong communication

Problem solving

Team leadership

Budget adherence

Tools

Epic UserWeb

Epic Sherlock

ServiceNow

Job description

UPMC is seeking a Systems Analyst – Team Lead to supervise a hospital billing claims group, focusing on Epic HB claims generation, remittance processing, and denial management.

The role is remote with responsibilities to guide a team, implement edits, coordinate regulatory updates (CCI, LCD, MUE) and Epic upgrades, and align IT initiatives with revenue cycle goals while ensuring on-time, on-budget project delivery.