Epic Professional Billing Claims Analyst Job at American Nursing Care (Englewood)

Epic Resolute Analyst (Professional Billing)

We are seeking an experienced Epic Resolute Analyst with a focus on Professional...

Location

United States , Sacramento

Salary:

Not provided

Zeektek

Expiration Date

Until further notice

Requirements

Epic Resolute Professional Billing Certification (required)
3+ years of hands-on experience supporting Epic Resolute PB
Strong understanding of healthcare revenue cycle and billing operations
Experience with claims processing, remittance, and denial management
Ability to troubleshoot complex billing and system issues
Strong communication and collaboration skills

Job Responsibility

Configure, maintain, and optimize Epic Resolute Professional Billing
Support end-to-end professional billing workflows including charge capture, claims generation, and reimbursement
Build and manage workqueues (WQs), edits, and billing rules
Troubleshoot claim errors, denials, and billing discrepancies
Partner with revenue cycle, HIM, and IT teams to resolve issues and improve workflows
Support system upgrades, enhancements, and ongoing optimization efforts
Assist with testing (unit, integration, regression) for system changes and releases

What we offer

Weekly Direct Deposit
401K Matching
Competitive medical, dental and vision insurance
Consistent communication throughout your project
ZeekTek Referral Program

Fulltime

Senior Professional Billing And Claims Analyst

Our client is seeking a Senior Professional Billing and Claims Consultant for a ...

Location

United States , Des Moines

Salary:

50.00 - 55.00 USD / Hour

Medasource

Expiration Date

Until further notice

Requirements

5+ years of Epic Professional Billing and/or Claims experience in a healthcare environment
Strong understanding of Charge Router, payments & remittance workflows, claims processing, denial management, and revenue cycle operations
Experience supporting new Epic site implementations and go-live activities, including workflow validation, build review, and operational readiness
Knowledge of Rural Health billing, Critical Access Hospital Method II billing, and Provider-Based billing
Experience supporting Epic upgrades, including review and analysis of Nova Notes, system testing, and workflow impact assessments
Proven ability to troubleshoot and resolve complex ticketing and workflow issues
Experience mentoring or leading junior staff members, providing knowledge transfer and workflow guidance
Strong communication, organizational, and stakeholder management skills
Epic Professional Billing and Claims Certifications

Job Responsibility

Provide senior-level support for Epic Professional Billing and Claims operations, including configuration, troubleshooting, and optimization of Charge Router and related billing workflows
Support payments and remittance workflows, including payment posting, reconciliation, denial analysis, and remittance troubleshooting
Investigate and resolve complex billing, claims, and revenue cycle tickets within established SLA timelines
Partner with operational and technical teams, as well as third-party vendors, to improve billing efficiency, claims accuracy, and reimbursement outcomes
Support new Epic site implementations, including pre-implementation planning, workflow validation, build review, operational readiness, integrated testing, defect resolution, and end-user support during go-live stabilization
Assist with cutover planning and post-go-live optimization activities
Provide subject matter expertise in Rural Health Clinic (RHC) billing, Critical Access Hospital (CAH) Method II billing, and Provider-Based Billing workflows
Ensure workflows and configurations align with regulatory and reimbursement requirements, supporting operational teams in identifying compliance risks and reimbursement optimization opportunities
Participate in Epic upgrade activities, including review and analysis of Nova Notes, system testing and validation, workflow impact assessments, and coordination of upgrade-related changes
Recommend system enhancements and operational improvements based on Epic best practices and organizational needs

What we offer

Competitive medical, dental, vision, Health Savings Account, Dependent Care FSA, and supplemental coverage
401k plan with company match fully vested after eligibility
Paid time off, sick time, and paid company holidays
Employee Assistance Program (EAP) providing virtual counseling, financial services, legal services, life coaching

Fulltime

Epic Certified Analyst – Access and Revenue Cycle

We are looking for an Epic Certified Analyst – Access and Revenue Cycle for a fu...

Location

United States , Las Vegas

Salary:

35.00 - 56.00 USD / Hour

Dynamic Computing Services

Expiration Date

Until further notice

Requirements

Must have one of the following Epic certifications at time of hire: Resolute Hospital Billing and Claim or Epic HIM Certification
Current active certification in specific Epic product(s) or the ability to obtain certification within six (6) months of hire
One (1) plus years of experience with HIM Coding
Bachelor’s Degree in computer science, information systems, healthcare informatics or a closely related field, OR a valid Nevada Registered Nurse license
Epic application implementation experience
Knowledge of: Business workflows to achieve strategic outcomes for the implementation
healthcare information systems
processes and workflows in business operations settings in any of the following areas: access, revenue, billing, claims applications, combined with advanced computer skills
principles and practices of public administration
administrative principles and practices, including goal setting and program development, implementation and evaluation

Job Responsibility

Responsible for analyzing workflows and understanding policies, procedures and constraints in any of the following core clinical areas including but not limited to: inpatient, ambulatory, ancillary supported by the Epic
Performs in depth and precise investigation and documentation of business operational specifications and application functionality
Participates in application of build, test, and support

Fulltime

Senior Manager Resolute Billing

The Resolute Application Manager provides day-to-day leadership for the Epic Res...

Location

United States , Secaucus; Schaumburg

Salary:

150000.00 - 170000.00 USD / Year

Quest Diagnostics

Expiration Date

Until further notice

Requirements

7+ years of progressive experience in healthcare revenue cycle including Epic Resolute, configuration, implementation and support
4+ years in a management capacity
Deep understanding of Resolute PB workflows, including charge router, claims, remittance and payment posting
Experience in large scale project management and data analysis within healthcare environment
Proven experience in creating a high performing team
Experience establishing and operating governance frameworks for large-scale Epic deployments or complex billing platforms
Strong knowledge of HIPAA, CMS and commercial payer compliance requirements applicable to laboratory services
B.S. in Computer Science, Business Administration, Healthcare Administration or a related field. (Required)
Epic Resolute
project management certification (Required)

Job Responsibility

Lead, motivate, and manage a high-performing team of Epic Resolute Analysts
Set clear goals and accountability metrics
provide coaching and feedback to develop the team's technical and professional capabilities
Conduct performance reviews, define individual development plans, and cultivate a pipeline for future Resolute team leadership
Oversee the portfolio of all revenue cycle projects, from small optimizations to large-scale implementations, ensuring alignment with strategic priorities
Implement and manage a project governance framework to standardize project intake, prioritization, and status reporting
Guide the team in risk mitigation, issue resolution, and effective stakeholder communication to ensure projects are delivered on time and within scope
Review and approve complex system builds to guarantee data accuracy, regulatory compliance, and system stability
Direct the team to provide robust, actionable analytics that identify root causes of operational issues (e.g., denial trends, revenue leakage, workflow inefficiencies)
Serve as a key escalation point for complex Epic PB issues, performing root cause analysis and driving resolution

Fulltime

Product Manager II - Data – Revenue Cycle Liaison

The Product Manager is a key leadership role responsible for defining the direct...

Location

United States , New York

Salary:

132000.00 - 198065.00 USD / Year

Mount Sinai Health System

Expiration Date

Until further notice

Requirements

Bachelor’s Degree very strongly preferred or combination of education and equivalent experience
Master’s preferred
Six or more years of progressively responsible experience in healthcare analytics or revenue cycle operations
Essential skills include strong analytical, leadership, and communication abilities
Proficiency in data analysis, financial management, healthcare coding, and understanding of regulatory requirements
Experience with the Epic Clarity and Caboodle Data Models
Thorough knowledge of project improvement management processes and project management
Ability to communicate effectively in both oral and written form
Ability to interact positively, constructively and effectively with employees, professional staff, community representatives and carriers
Ability to work independently with follow-through and handle multiple tasks simultaneously

Job Responsibility

Lead multi-disciplinary stakeholder teams in the definition, understanding, and aid with the prioritization of data needs that impact decision-making, operations, and outcomes
Informs the utilization of information system resources and plans, designs, and implements organization wide information systems and technologies as they relate to revenue cycle workflows and strategic goals
In collaboration with Revenue Cycle, develops and refines revenue cycle metrics to identify trends, revenue leaks, and opportunities for improvement
Investigate and resolve complex issues related to billing, claims processing, and data discrepancies
Evaluates data to identify trends and gaps across Revenue Cycle processes. Uses analysis to make recommendations for improvements and optimization. Participates in improvement/optimization initiatives
Define and maintain data product roadmaps, aligning with organizational strategy, regulatory requirements, and user feedback
Translate complex healthcare challenges into clear data product requirements and problem statements
Partner with data engineers, analysts, and governance teams to deliver secure, scalable, and high-impact data products
Conduct data discovery sessions and user research to inform product features and improvements
Develop business cases that articulate the value of data portfolios and strategies including improved outcomes, cost efficiencies, or risk mitigation

Fulltime

New

Social Worker – Fostering - Family and Friends Team

Are you passionate about working with Family and Friends Carers and improving th...

Location

United Kingdom , Aylesbury

Salary:

40109.00 - 47629.00 GBP / Year

Buckinghamshire Council

Expiration Date

July 20, 2026

Requirements

Social work qualification
Active SWE registration
Completed ASYE
Working knowledge of legislation and guidance which applies to family and friends work
Experience of working in looked after children or with foster carers
Knowledge of research, inquiries and recent studies affecting this sector of service and an ability to monitor its application in practice
Strong written communication skills
Minimum of 2 years post qualifying experience
Experience and competence in working with the courts and providing written and verbal evidence

Job Responsibility

Deliver targeted and specialist social work services in the area of Kinship Care
Clarify eligibility and undertake statutory social work assessments
Promote the safety and well-being of children and young people
Assess and support prospective Family and Friends carers in line with Fostering Regulations and court proceedings
Hold a manageable caseload of SG and Reg24 assessments
Provide carer support
Work within statutory guidelines and fostering regulations
Assist with duty with opportunities to deliver training, run support groups and be involved in the organisation of carer events
Support the development and growth of the service

What we offer

Market premium of £2,750 per annum for Grade 7
Golden Hello payment after one years service (£1,000 for Grade 6, £2,125 for Grade 7)
Competitive salary with a market increment
Annual leave up to 30 days per year
Opportunity to buy further leave
Up to 15 days per year training, learning and development offer
Free parking across all office sites
Relocation packages available
Generous employer pension contribution
Discounts on Cafés, restaurants and shops

Fulltime

New

Spanish Speaking Caregiver

Join Our Team as a Caregiver in Lake Ariel, PA! *Earn Up to $14hr + Extra Cash T...

Location

United States , Lake Ariel

Salary:

14.00 USD / Hour

CareGivers America

Expiration Date

Until further notice

Requirements

Must be willing to work in Lake Ariel
Fluent in English, bilingual English/Spanish preferred
Availability to work Wednesday, Thursday, Saturday, and Sunday 6am-6pm
Reliable transportation required
Must be able to travel up to 25 miles to client locations

Job Responsibility

Bring comfort and companionship to clients in their homes
Help with daily care like bathing, dressing, toileting, and meals
Keep living spaces clean, safe, and welcoming
Offer medication reminders and support healthy routines
Communicate concerns and escalate safety issues as needed
Be a friendly face and a steady presence

What we offer

Paid Orientation
Weekly Pay
Flexible Schedules
Earn up to $375 for referring a friend
Caregiver Rewards Program
Premium Holiday Pay
Paid Time Off + Benefits including medical, dental, vision, and retirement
Free Employee Assistance Program
Discount Perks
Career Growth

New

Early Years Consultant

Join our Early Years Service, where we champion the joy of learning for the youn...

Location

United Kingdom , Aylesbury

Salary:

36317.00 - 37780.00 GBP / Year

Buckinghamshire Council

Expiration Date

July 02, 2026

Requirements

Educated to degree level or minimum three years equivalent experience in a similar managerial role
Excellent knowledge and first-hand experience of planning and delivering the EYFS
Experience of supporting vulnerable children including those with SEND and working with their families
Excellent planning and organisational skills
Excellent interpersonal skills
Proven ability to negotiate, inspire and maintain highly effective working relationships
Skilful communicator with ability to engage and influence customers, partners and stakeholders

Job Responsibility

Support providers to deliver the EYFS
Work with providers to meet the needs of all children including those from vulnerable groups and those with SEND
Ensure providers deliver high quality inclusive education
Offer advice and support to ensure early years practitioners deliver an inclusive Early Years Foundation Stage curriculum and meet the requirements of the SEND Code of Practice 2014 and Equality Act 2010
Provide comprehensive support and advice to providers on safeguarding, child protection and the management of allegations against the workforce, along with sustainability, sufficiency, and finance
Contribute to the work of the Early Years Service, ensuring sufficiency of places
Support the early years sector and childcare sector with high quality training, facilitating networking groups and providing advice and support to a full range of Early Years and Childcare providers

What we offer

Fair and inclusive culture
Health and well-being initiatives including Employee Assistance Programme, Mental Health First Aiders and mindfulness workshops
Unified voice through Employee Representative Group
Ongoing support and opportunity to develop and progress in career
Opportunities to take part in fun activities such as fundraising and social events
Flexible and agile working arrangements
Discounts on various cafes, restaurants, shops
Auto enrolment onto generous Pension Scheme
Opportunity to gain membership to Costco
Discounted gym memberships

Fulltime

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Epic Professional Billing Claims Analyst

Job Description

Job Responsibility

Requirements

What we offer

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