Billing System Analyst
About The Position
The Billing Systems Analyst (BSA) supports revenue cycle operations through advanced systems analysis, billing configuration, edit management, and operational troubleshooting within Epic Resolute (APeX) and related vendor applications, including Optum Claims Manager. Reporting to the Associate Director of Systems Optimization, this role is responsible for identifying, analyzing (often complex), recommending, and communicating solutions related to billing system functionality, claims logic, charge corrections, and workflow design. The BSA plays a critical role in maintaining system integrity, minimizing claim edits and denials, improving reimbursement outcomes, and ensuring accurate and compliant revenue cycle processes. This position requires independent problem-solving, cross-functional collaboration, and participation in system change oversight in conjunction with Central IT. Limited after-hours production support (approximately two to three calls per week) is required to maintain operational continuity.
Requirements
- Advanced systems analysis skills
- Billing configuration skills
- Edit management skills
- Operational troubleshooting skills
- Experience with Epic Resolute (APeX)
- Experience with related vendor applications, including Optum Claims Manager
- Ability to identify, analyze, recommend, and communicate solutions
- Understanding of billing system functionality, claims logic, charge corrections, and workflow design
- Ability to maintain system integrity
- Ability to minimize claim edits and denials
- Ability to improve reimbursement outcomes
- Ability to ensure accurate and compliant revenue cycle processes
- Independent problem-solving skills
- Cross-functional collaboration skills
- Participation in system change oversight
- Willingness to provide limited after-hours production support (approximately two to three calls per week)
Responsibilities
- Supports revenue cycle operations through advanced systems analysis, billing configuration, edit management, and operational troubleshooting within Epic Resolute (APeX) and related vendor applications, including Optum Claims Manager.
- Identifies, analyzes (often complex), recommends, and communicates solutions related to billing system functionality, claims logic, charge corrections, and workflow design.
- Plays a critical role in maintaining system integrity, minimizing claim edits and denials, improving reimbursement outcomes, and ensuring accurate and compliant revenue cycle processes.
- Requires independent problem-solving, cross-functional collaboration, and participation in system change oversight in conjunction with Central IT.
- Provides limited after-hours production support (approximately two to three calls per week) to maintain operational continuity.
Benefits
- Total compensation information available at https://ucnet.universityofcalifornia.edu/compensation-and-benefits/index.html
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
