Epic Sr PB Claims Analyst

2 weeks ago


Atlanta, United States Planet Technology Full time

Our client seeks an Epic Certified Senior Professional Billing Claims Analyst for a full-time, remote position, joining their expanding team of Senior Analysts.


This opportunity offers exceptional benefits, a flexible work schedule, and a supportive work environment. The company has approximately 80 Epic Analysts divided into two teams covering all solutions.


Location: Remote (Southeast U.S.: Alabama, Florida, Georgia, Arkansas, Kentucky, Louisiana, Mississippi, North Carolina, South Carolina, Tennessee, West Virginia, Virginia)


Responsibilities:


- Leverage expertise in Epic PB Claims to analyze, configure, and enhance the billing system.

- Collaborate with cross-functional teams to ensure seamless integration of billing solutions.

- Manage formalized change processes and adhere to change windows for system updates.

- Provide support for various components including Claims, Remittance, Rules, Insurance Payor/Plan records, Claim edits, Claim Forms, WQs, claim denials, auto activity mapping, and self-pay claim forms.

- Preferred experience in SBO certification and PB Resolute build, particularly in charge router, workbench, and radar functionalities.

- Demonstrate versatility by engaging in diverse projects and wearing multiple hats as required.


Requirements:


- Epic PB Claims Certification and a minimum of 7 years of hands-on build experience.

- In-depth understanding of claims processes and systems including remittance, rules, insurance payer/plan records, claim edits, and claim forms.

- Familiarity with SBO certification and PB Resolute build is preferred, especially in charge router and workbench/radar.

- Strong cross-functional skills with the ability to adapt to various roles within the team.

- Excellent communication and collaboration abilities.


Logistics:


- Fully remote position with provided equipment (dual monitors, laptop, iPhone, VPN).

- COVID-19 vaccine, flu shot, and MMR vaccination are required.



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