Senior Hospital Applications Analyst (Epic Resolute Claims and Remittance)

University Hospital; Newark (NJ); Presencial; USD 90 000 - 129 000; Tempo integral

Vantagens oferecidas por esta oferta de emprego

Vacation Time

Medical & Prescription Drug Coverage

Dental & Vision Insurance

Health Savings Account (HSA) & Flex. F

Flex Spending Account (FSA)

Short- & Long-Term Disability

Pension Plan

Pet Insurance

Employee Assistance Program (EAP)

Professional Development

Resumo da oferta

University Hospital is seeking a Claims/Remittance Analyst to manage Epic-based billing and remittance programming. You will collaborate with Finance, IT, and Revenue Cycle leadership to ensure accurate submissions and timely postings while educating departments on best practices within Epic.

The role requires Epic experience in Resolute, Prelude, Grand Central, or Cadence, a strong communicator with attention to detail, and the ability to work with external vendors to support claims processing.

Qualificações

• Bachelor’s degree preferred in a health-related discipline or related field.
• In lieu of a degree, three years of information systems experience in a patient care environment.
• Epic experience in Resolute, Prelude, Grand Central or Cadence is highly desirable.
• Must complete certification on an Epic application within 6 months of training.
• Ability to manage project work plans and demonstrate strong organizational skills.
• Excellent written and oral communication; attention to detail.

Responsabilidades

• Works with financial, IT, and Revenue Cycle teams to optimize Epic programming, configuration, and workflows for claims and remittance.
• Identifies issues in the application area and impacts on other teams.
• Provides SME guidance to ensure timely and accurate claims and remittances.
• Proactively collaborates with third party vendors (claims/remittance clearinghouses, banks).
• Leads workflow design discussions, builds and tests systems, and analyzes issues.
• Monitors deliverables, issues, and milestones with leadership.
• Educates teams on Epic best practices.
• Serves as liaison between end users and Epic implementation staff.

Conhecimentos

Epic experience (Resolute, Prelude, 3/

Formação académica

Bachelor's degree preferred in health-related field / related

Ferramentas

Epic Resolute

Epic Prelude

Epic Grand Central

Epic Cadence

Electronic Medical Records

Descrição da oferta de emprego

Overview

About the Role

This position is responsible for the management of Hospital Billing and Professional Billing claims and remittance programming functions within Epic. Fundamental responsibilities of this position will include programming within Epic to ensure accurate and timely claims and remittance. The individual must work closely with financial, and IT leadership and staff of University Hospital New Jersey (UHNJ) to ensure that claims and remittance processes function smoothly. The position will also be responsible for educating revenue center departments on best practices and working with third party vendors as needed. The Claims/Remittance Analyst must be a skilled communicator who makes decisions independently and in collaboration with others. The position will also involve communication with third party vendors that support claims and remittance functions. Attention to detail is a critical skill for this position. Successful candidates must enjoy helping other users to learn and adopt to use of the application

Responsibilities

What You’ll Do

• Works closely with financial, IT, and Revenue Cycle teamsto optimize Epic programming, configuration, and workflowsfor claims and remittance.
• Identifies issues that arise in assigned application area as well as issues that impact other application teams.
• Provides subject matter expertise to ensure claims are submitted timely/accurately and remittances are posted timely/accurately.
• Proactively works with third party vendors such as claims/remittance clearinghouse and bank.
• Leads workflow design discussions, building and testing the system and analyzing associated issues.
• Reviews the status of deliverables, issues, and milestones with leadership.
• Helps educate financial, IT, and Revenue Cycle teams on best practices within Epic.
• Serves as a liaison between end users’ workflow needs and Epic implementation staff.

Qualifications

What You’ll Bring

Required:

• Bachelor’s Degree preferred in a health‑related discipline (Nursing, Pharmacy, etc.), Computer Science, Business Administration, Liberal Arts, Science, or related field.
• In leu of a degree, three (3) years of experience in information systems with preference given to candidates from a patient care environment.
• Prior Epic experience in Resolute, Prelude, Grand Central or Cadence is highly desirable.
• Must complete certification on an Epic application specified by management within 6 months of training.
• Ability to maintain and assist in managing project work plans.
• Demonstrated interpersonal skills working in a service‑oriented environment.
• Effective written and oral communications a must.
• Established organizational and problem‑solving skills are required.
• The Billing Analyst must be a skilled communicator who makes decisions independently and in collaboration with others.
• Attention to detail is a critical skill for this position.
• Successful candidates enjoy helping other users to learn and adopt to use the application. Equivalent education, experience and/or training may be substituted for the degree requirements.
• Additional relevant experience, or clinical expertise, may be substituted for information systems experience.

Preferred

• Direct experience with electronic medical records is preferred.

What We Offer

• Vacation Time
• Medical & Prescription Drug Coverage
• Dental & Vision Insurance
• Health Savings Account (HSA) & Flexible Spending Account (FSA)
• Short- & Long-Term Disability Insurance
• Pension Plan
• Pet Insurance
• Employee Assistance Program (EAP)
• Professional Development

Compensation

The expected salary range for this position is PS/30S: $89,754 - $108,480 - $129,432, in accordance with the New Jersey Pay Transparency Law; final compensation will be commensurate with experience and qualifications.

About Us

University Hospital is one of the nation’s leading academic medical centers. As the principal teaching affiliate of Rutgers New Jersey Medical School and the only state-certified Level 1 Trauma Center in Northern New Jersey, University Hospital is training the next generation of physicians and advancing science to discovery while taking exceptional care of patients, regardless of their financial situation.