Systems Analyst - Team Lead (Epic HB Claims and Remittance))

UPMC Senior Communities

$95K — $115K *
US-AnywhereRemote in Pittsburgh, PA
Hospitals & Medical Centers
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • Seven years of related experience, including one year in a lead role or equivalent education/experience.
  • Professional knowledge of IT methods as they apply to healthcare billing.
  • Strong project management skills; able to deliver projects on time and within budget.
  • Proficient in aligning IT strategies with business objectives.
  • Informed decision-making skills based on diverse types of information.

Responsibilities

  • Supervise a team of hospital billing claims analysts.
  • Apply corrections to billing data inputs based on revenue cycle feedback.
  • Coordinate regulatory updates and Epic system upgrades related to claims.
  • Provide technical and functional guidance on claims administration.
  • Collaborate with the Professional Billing Claims team on shared projects.

Benefits

  • Remote work flexibility allowing for a work-life balance.
  • Opportunity to lead and shape a high-performing claims team.
  • Access to ongoing training and professional development opportunities.
  • Involvement in significant system upgrades within the organization.
Full Job Description
Systems Analyst - Team Lead (Epic HB Claims and Remittance)) UPMC is hiring a Systems Analyst - Team Lead to manage their highly accomplished Hospital Billing Claims team. Candidates with exceptional experience in Epic HB claims generation, remittance processing and denial management are encouraged to apply. Work Location: Remote 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) • The position is expected to 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. Qualifications: • Seven years of total related experience, including one year experience as a senior or lead, OR equivalent combination of education/experience. (Claims & Remittance) • Professional knowledge of IT methods. • Proficient understanding of IT strategy and how it relates to business objectives. • Ability to successfully supervise projects to completion on time and within budget. • Ability to make decisions or recommendations based on various types and amounts of information. Top Skills Needed: • Must have current Epic HB Claims and Remittance certification and at least 7 years of experience. • Robust problem-solving skills. Ability to leverage Epic UserWeb for research and Epic Sherlock to escalate complex issues to Epic TS for guidance. • Superior communication skills (verbal and written) • Experience with ticket triaging applications (ServiceNow, or instance) • Ability to enforce UPMC corporate change control policies Must Have Current certification in any of the following: • Epic HB Claims and Remittance

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