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.
Work Location: Remote
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.
Seven years of total related experience, including one year experience as a senior or lead, OR equivalent combination of education/experience. (Claims & Remittance)
Profession al knowledge of IT methods.
Proficient understanding of IT strategy and ho w it relates to business objectives.
Ability to successfully supervise proj ects to completion on time and within bu dget.
Ability to make decisions or recommendati ons based on various types and amounts o f information.
Top Skills Needed:
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 f or research and Epic Sherlock to escalat e complex issues to Epic TS for guidance .
Superior communication skills (verbal an d written)
Experience with ticket triaging applications (Servi ceNow, or instance)
Ability to enforce UPMC corpo rate change control policies
Must Have Current certificat ion in any of the following:
Epic HB Claims and Remi ttance
Licensure, Certifications, and Clearances: Act 34 UPMC is an Equal Opportunity Employer/Disability/Veteran