Sr. Epic Application Analyst - Professional Billing and Claims

UMass Memorial Health•Worcester, MA
•$73,757 - $132,787

About The Position

The Sr. Epic Application Analyst is responsible for analyzing, designing, building, troubleshooting, and optimizing Epic Professional Billing and PB Claims and Remittance workflows. The role collaborates with operational stakeholders to select, develop, implement, test, document, maintain, and support application software that meets clinical or business information system needs. The ideal candidate has hands-on Epic PB build experience, strong revenue cycle knowledge, and can work independently with minimal guidance. The analyst leads or contributes to cross-functional projects and optimization efforts; partners with operational staff, subject matter experts, caregivers, and vendors; evaluates and configures application features; supports upgrades; and investigates and resolves application and system configuration issues. The role also participates in ticket triage and critical incident response, develops support and training documentation, mentors less experienced team members, and pursues ongoing learning and professional development. Off-hours work may be needed, and participation in an on-call rotation is required.

Requirements

  • Bachelor's degree in Computer Science or a related field, or equivalent work experience.
  • Active Epic Resolute Professional Billing Certification.
  • Three years of experience with enterprise platforms such as EHRs, ITSM, or ERPs.
  • Approximately two or more years of Epic Professional Billing analyst/build experience.
  • Hands-on Epic Resolute PB configuration, workflow analysis, troubleshooting, and application support experience.
  • Team-oriented, with strong problem-solving, time-management, and decision-making skills and a positive, solution-focused attitude.
  • Ability to work independently with minimal oversight.
  • Ability to mentor less experienced team members.
  • Ability to lead meetings and communicate effectively with users at all organizational levels.
  • Ability to work off-hours as needed and participate in an on-call rotation.
  • Build experience with claims edit rules and configuration, claims work queues and claim forms, and payer-specific configuration and reimbursement workflows.

Nice To Haves

  • Epic Resolute Professional Billing Claims and Remittances qualification or experience.
  • Healthcare experience.
  • Federally Qualified Health Center (FQHC) billing experience.

Responsibilities

  • Identify barriers to completing work, escalate issues, and propose solutions.
  • Attend required meetings, complete assigned follow-ups, and maintain closed-loop communication.
  • Participate as a workstream lead on cross-functional projects and ensure work is completed within scope and project management guidelines.
  • Manage optimization requests, including scheduling meetings, identifying timelines, and allocating resources.
  • Build and maintain partnerships with operational staff and advise on application-related questions.
  • Lead discussions with subject matter experts, caregivers, and vendors to evaluate, design, and configure application features.
  • Attend product demonstrations, assess functionality against customer requirements, and recommend software solutions.
  • Facilitate application upgrades and recommend new functionality to operational caregivers.
  • Test new features and develop job aids for customer support and training.
  • Investigate application and system configuration issues and implement effective fixes.
  • Participate in ticket triage and analysis to determine the appropriate workstream and assist with scoping.
  • Troubleshoot application components within server configurations, including system services and interface jobs, and engage other teams as needed.
  • Participate in critical incident response and escalate issues appropriately.
  • Configure application features and security settings, and develop support documentation such as test scripts and workflow diagrams.
  • Build relationships with third-party vendors to maintain vendor software.
  • Create application-team documentation, including test scripts, workflow diagrams, and knowledge base articles.
  • Partner with the training team to create end-user training materials.
  • Mentor less experienced team members.
  • Learn and apply new skills, maintain knowledge of current products and configurations, pursue application certifications, and participate in departmental professional development.
  • Adapt to changing responsibilities and project requirements.
  • Work off-hours as needed and participate in an on-call rotation.

Benefits

  • A signing bonus may be available; eligibility will be confirmed during the interview process.
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