[Remote] Systems Analyst - Team Lead (Epic HB Claims and Remittance)

Note: The job is a remote job and is open to candidates in USA. UPMC is hiring a Systems Analyst – Team Lead to manage its Hospital Billing Claims team. The role supervises analysts and provides technical and functional guidance on claims and remittance administration, regulatory updates, claim edits, and related projects and system issues.

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)
• The position is expected to 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

Skills

• 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
• Must have 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
• Epic HB Claims and Remittance

Benefits

• Remote work

Company Overview

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