About The Position
UPMC is hiring a Systems Analyst – Team Lead to manage their highly accomplished Hospital Billing Claims team. Candidates with exceptional experience in Epic HB claims generation, remittance processing and denial management are encouraged to apply.
Requirements
- Seven years of total related experience, including one year experience as a senior or lead, OR equivalent combination of education/experience. (Claims & Remittance)
- Professional knowledge of IT methods.
- Proficient understanding of IT strategy and how it relates to business objectives.
- Ability to successfully supervise projects to completion on time and within budget.
- Ability to make decisions or recommendations based on various types and amounts of information.
- Current Epic HB Claims and Remittance certification and at least 7 years of experience.
- Robust problem-solving skills. Ability to leverage Epic UserWeb for research and Epic Sherlock to escalate complex issues to Epic TS for guidance.
- Superior communication skills (verbal and written).
- Experience with ticket triaging applications (ServiceNow, or instance).
- Ability to enforce UPMC corporate change control policies.
- Current certification in Epic HB Claims and Remittance.
Responsibilities
- Supervises a team of several HB claims analysts.
- Utilize direct feedback from revenue cycle operations to apply corrections to CDFs, FDF/ABF and claim edits.
- Coordinate Claims-owned regulatory updates and edits (CCI, LCD, MUE) as well as periodic Epic upgrades (Nova Notes).
- Provide strong technical and functional guidance of claims and remittance administration.
- Work collaboratively with the Professional Billing Claims team on shared projects and system issues.
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What This Job Offers
Job Type
Full-time
Career Level
Senior
Education Level
No Education Listed
