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Sr Epic PB Claims Analyst

Hollywood, FL 33021

Posted: 01/27/2023 Employment Type: Direct Hire/Perm Job Category: EHR Job Number: 486816 Is job remote?: Yes Country: United States

Job Description

Our Client is looking for a Sr Epic PB Claims Analyst who is Certified. Their PB analyst should have Claims experience, and build in all aspects of Resolute PB. They need a PB claims analyst who can help with contracts, CPT codes, and GL structure. The Sr Epic PB Claims analyst needs to be experienced in the following:

Essential Qualifications:
  • Epic Certified in Epic PB certified (AND/OR) Resolute PB Admin/remittance
  • (Senior Level 5-7 years Epic PB certified
  • Build/Experience in the following: Claims, Remittance, Rules, WQs, Charge Review, Charge Router, GL, Claim edits, Payor/Plan records, credit cards, Medicaid and Medicare, reimbursement contracts, denials, Community Connect, Cash Management, etc.

Daily Activities:
  • Performs complex work for assigned applications including analyzing system capabilities to resolve questions of program intent, identifying output requirements, input data acquisition, reporting techniques and structure, and data controls.
  • Maintains assigned applications through partnership with technical experts, vendors, and technology teams to ensure the application continues to support end-users and mitigate any functional or operational issues. Tests and troubleshoots existing and proposed systems in order to resolve and anticipate application issues, but also to verify accuracy and compliance with Memorial procedures.
  • Contributes to the planning of application development and deployment, looking at existing information to identify areas for improvement. Independently provides viable resolution to end-user inquiries and problems related to applications, consulting with appropriate vendors where needed.
  • Develops or modifies established processes and procedures, leveraging market and industry research, to support application efficiency and improvement.
  • Manages multiple applications projects or serves as a project lead for an application module or system that requires a high level of subject matter expertise or certifications related to a specific application

  • Vaccine Required
  • 100% Remote position
  • Will relocate to Hollywood FL is preferred but NOT required
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