Sr. Epic Application Analyst - Professional Billing and Claims

UMass Memorial Health; Oregon; Hybrid; USD 74,000 - 133,000; Full time

Benefits offered by this job

Signing bonus available

Job summary

UMass Memorial Health is seeking an Epic PB Analyst/Builder to design, configure and optimize PB workflows. The role requires hands-on experience with Epic Resolute PB, solid revenue cycle knowledge, and the ability to work independently with minimal guidance.

You will mentor teammates, lead meetings, and collaborate with caregivers and vendors to implement and support application features. A CS degree and Epic Resolute PB Certification are required.

Qualifications

• Bachelor's degree or equivalent work experience required.
• Active Epic Resolute Professional Billing Certification required.
• Approximately 2+ years of Epic Professional Billing analyst/build experience.
• Hands-on Epic Resolute PB configuration, workflow analysis, troubleshooting, and application support.
• Experience with claims edit rules, work queues, claim forms, and payer-specific configuration.

Responsibilities

• Lead cross-functional projects and manage timelines.
• Collaborate with stakeholders to design, configure and optimize PB workflows.
• Test features, document workflows, and develop Job Aids for support and training.
• Troubleshoot configuration issues and participate in incident response.
• Mentor less experienced team members and lead meetings.

Skills

Team player

Mentor others

Meeting leadership

Independent worker

Education

Bachelor's degree in Computer Science or related field

Epic Resolute Professional Billing Certification

Tools

Epic PB

Job description

Are you an internal caregiver, student, or contingent worker/agency worker at UMass Memorial Health?

Exemption Status: ExemptHiring Range: $73,756.80 - $132,787.20(based on a full time schedule of 40 hours per week).Please note that the final offer will vary based on scheduled hours. Compensation for part-time or reduced schedules will be prorated based on scheduled weekly hours, experience, skills, qualifications, and internal equity considerations.

Schedule Details: Monday through Friday

Scheduled Hours: 8am

Shift: 1 - Day Shift, 8 Hours (United States of America)Hours: 40Cost Center: 99940 - 5964 ARCH

This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process.

Everyone Is a Caregiver

At UMass Memorial Health, everyone is a caregiver - regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 20,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays an important part, every day. This individual will be responsible for analyzing, designing, building, troubleshooting, and optimizing Epic Professional Billing and PB Claims and Remittance workflows.

The ideal candidate will have at least two years of hands-on Epic PB build experience, strong revenue cycle knowledge, and the ability to work independently with minimal guidance.Collaborates closely with operational stakeholders and is responsible for the selection, development, implementation, testing, documentation, maintenance, and adoption of application software to effectively meet clinical or business information system needs.

I. Major Responsibilities:

Project and Meeting Leadership:

• Proactively identifies barriers to completing work and escalates issues with proposed solutions.
• Attends all required meetings, assume accountability for assigned follow-ups and practice closed loop communication.
• Participates as workstream lead on cross-functional projects, ensure tasks are completed within scope and project management guidelines.
• Runs optimization requests, including scheduling meetings, identifying timelines, and allocating resources.

Stakeholder Engagement:

• Develops and maintains partnerships with operational staff, serving as a subject matter advisor for application-related questions.
• Leads discussions with subject matter experts, caregivers, and vendors to evaluate, design and configure application features.

Product Evaluation and Application Support:

• Attends product demonstrations to assess system functionality against customer requirements and recommends appropriate software solutions.
• Facilitates application upgrade processes, including recommending new functionalities to operational caregivers.
• Tests new features and functionalities and develop Job Aids for customer support and training.

Issue Investigation and Troubleshooting:

• Investigates application and system configuration issues to develop and implement effective system fixes.
• Participates in ticket triage and analysis to determine the appropriate work stream and assist in scoping efforts.
• Independently troubleshoots application components within server configurations, including system services and interface jobs, and engage other teams as necessary.
• Effectively participates in critical incident response and escalates appropriately as needed.

Collaboration and Configuration:

• Collaborates with subject matter experts, caregivers, and vendors to evaluate and configure application features.
• Configure application features, security settings, and develop support documentation, including test scripts and workflow diagrams.
• Builds relationships with third‑party vendors to maintain vendor software.

Documentation and Training:

• Develop support documentation for application teams, including test scripts, workflow diagrams, and knowledge base articles.
• Partners with the training team to create end-user training materials.

Mentorship:

• Mentors less experienced team members, providing guidance and support for their development.

Continuous Learning:

• Actively learns and applies new skills to improve support for customers and coworkers.
• Continuously advances knowledge of current products, including obtaining application certifications and staying updated on system configurations and emerging technology and industry trends.
• Actively participates in professional development programs defined by department.

Adaptability:

• Demonstrates high adaptability to dynamic responsibilities and evolving project requirements.

Must be able to work off hours as needed and participate in an on-call rotation.

II. Position Qualifications:

License/Certification/Education:Required:

• Bachelor's degree in Computer Science or related field, or equivalent work experience.
• Active Epic Resolute Professional Billing Certification.

License/Certification/Education:Preferred:

• Epic Resolute Professional Billing Claims and Remittances is desirable.

Experience/Skills:Required:

• 3 years experience with enterprise platforms (EHRs/ITSM/ERPs).
• Team player with strong problem solving, time management and decision-making skills, ability to maintain a positive attitude, solution focused.
• Able to act independently with minimal oversight.
• Able to serve as a mentor to less experienced team members.
• Able to lead meetings and effectively communicate with all users at all levels of the organization.

Experience/Skills:Preferred:

• Healthcare experience.

Key requirements:

• Approximately 2+ years of Epic Professional Billing analyst/build experience.
• Hands-on Epic Resolute PB configuration, workflow analysis, troubleshooting, and application support.
• Build experience with: Claims edit rules and configuration, Claims work queues and claim forms, Payer-specific configuration and reimbursement workflows.
• Experience with Federally Qualified Health Center (FQHC) billing not required but desirable.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

We're striving to make respect a part of everything we do at UMass Memorial Health - for our patients, our community and each other. Our six Standards of Respect are: Acknowledge, Listen, Communicate, Be Responsive, Be a Team Player and Be Kind. If you share these Standards of Respect, we hope you will join our team and help us make respect our standard for everyone, every day.

As an equal opportunity and affirmative action employer, UMass Memorial Health recognizes the power of a diverse community and encourages applications from individuals with varied experiences, perspectives and backgrounds. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, protected veteran status or other status protected by law.

If you are unable to submit an application because of incompatible assistive technology or a disability, please contact us at . We will make every effort to respond to your request for disability assistance as soon as possible.