Epic Claims Analyst

4 months ago

Daytona Beach, United States Resourcing HQ Full time
We are seeking a detail-oriented and motivated individual to join our team as an Epic Claims Analyst. In this role, you will be responsible for supporting the configuration, testing, and optimization of the Epic Claims module, ensuring accurate and timely processing of healthcare claims. The ideal candidate will have a strong understanding of healthcare claims processing, payer rules, and reimbursement methodologies, as well as experience working with Epic systems or similar electronic health record (EHR) platforms. While Epic certification is not required, familiarity with the Epic EHR platform or relevant modules is preferred.

Key Responsibilities:

Collaborate with billing staff, claims processors, and other stakeholders to gather and analyze requirements for Epic Claims module implementations, enhancements, and optimizations.

Configure, test, and implement Claims system changes, including claims submission workflows, payer rules, and denial management processes, to support accurate and timely claims processing.

Provide end-user support, troubleshooting issues, and conducting training sessions as needed to ensure efficient and effective use of the Claims system.

Collaborate with stakeholders to identify opportunities for process improvements and recommend solutions to enhance system functionality and usability.

Assist in the development and maintenance of documentation, including system configuration, user guides, and training materials.

Stay current with industry best practices and trends in healthcare claims processing and healthcare information technology to inform system optimizations and enhancements.

Qualifications:

Bachelor's degree in Healthcare Informatics, Healthcare Administration, Business Administration, or a related field.

3+ years of experience working in healthcare claims processing or healthcare information systems.

Strong understanding of healthcare claims processing, including payer rules, reimbursement methodologies, and regulatory requirements.

Familiarity with claims processing systems, preferably Epic Claims or similar EHR platforms, is preferred but not required.

Strong analytical and problem-solving skills with the ability to translate business requirements into technical solutions.

Excellent communication and interpersonal skills, with the ability to effectively collaborate with diverse stakeholders including claims processors, billing specialists, administrators, and IT professionals.

Detail-oriented with a commitment to delivering high-quality work within established timelines.

Ability to work independently and as part of a team in a fast-paced and dynamic environment.

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