IT Epic Applications Manager- Professional Billing and Claims Job at Advocate Health Care

IT Epic Applications Manager- Professional Billing and Claims

Responsible for the planning, development, implementation, and operation of appl...

Location

United States

Salary:

63.45 - 95.20 USD / Hour

Advocate Health Care

Expiration Date

Until further notice

Requirements

Bachelor’s degree or equivalent knowledge in Computer Science, Business Administration, or related field
3 years of experience in information systems, solution design, systems development, implementation, and installation within a complex environment
1 year of management experience in project management and managing multi-discipline work teams
Experience with systems design and development from business requirements analysis through day-to-day management
Advanced project management skills
Knowledge of effective best practice in information systems operations, regulations, and guidelines
Skills and demonstrated experience in establishing excellent working relationships and partnering with various teams
Strong communication skills and the ability to communicate effectively with all levels of employees
Epic Resolute Professional Billing Administration and Epic Resolute Professional Billing Claims and Remittance Administration certifications, or another Epic Revenue Cycle certification

Job Responsibility

Responsible for the planning, development, implementation, and operation of applications within application scope
Ensures that applications are designed and interfaced in a manner, which satisfies the users of the systems
Serves as the primary contract for operational leadership in the corresponding application areas
Responsible for executing and providing the results and conclusions of all phases of system applications
Consults with users to identity, evaluate and formulate strategies to deal with opportunities for improvement in applications
Manages and provides support for changes/enhancements
Assists with the management of hardware, software and/or consultant contracts and service agreements
Leads multiple projects in all aspects of information systems lifecycle
Oversees the development, execution, administration, and evaluation of information systems processes and mechanisms to support the mission, vision, values, and strategic initiatives
Performs human resources responsibilities for staff

What we offer

Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program
Premium pay such as shift, on call, and more
Incentive pay for select positions
Opportunity for annual increases based on performance

Fulltime

IT Epic Applications Manager- Professional Billing and Claims

Responsible for the planning, development, implementation, and operation of appl...

Location

United States

Salary:

63.45 - 95.20 USD / Hour

Advocate Health Care

Expiration Date

Until further notice

Requirements

Bachelor’s degree or equivalent knowledge in Computer Science, Business Administration, or related field
3 years of experience in information systems, solution design, systems development, implementation, and installation within a complex environment
1 year of management experience in project management and managing multi-discipline work teams
Experience with systems design and development from business requirements analysis through day-to-day management, and advanced project management skills
Knowledge of effective best practice in information systems operations, regulations, and guidelines
Skills and demonstrated experience in establishing excellent working relationships and partnering with various teams
Strong communication skills and the ability to communicate effectively with all levels of employees
Epic Resolute Professional Billing Administration and Epic Resolute Professional Billing Claims and Remittance Administration certifications, or another Epic Revenue Cycle certification

Job Responsibility

Responsible for the planning, development, implementation, and operation of applications within application scope which includes documenting and evaluating current systems, recommending, and justifying improved systems, contributing to priorities for system implementation, staffing resources, and developing the conceptual design for each improved application
Ensures that applications are designed and interfaced in a manner, which satisfies the users of the systems, and that all information is maintained, accessible, and integrated to satisfy both providers and users. Serves as the primary contract for operational leadership in the corresponding application areas
Responsible for executing and providing the results and conclusions of all phases of system applications, as defined by the long-range systems plan and the conceptual design, are accomplished according to established time frames. Communicates accordingly with various users, committees, and affiliates related to system plans, designs, and project status
Consults with users to identity, evaluate and formulate strategies to deal with opportunities for improvement in applications. Manages and provides support for changes/enhancements ensuring proper analysis, testing, change management and user input processes are followed
Assists with the management of hardware, software and/or consultant contracts and service agreements. Establishes and maintains vendor relationships
Leads multiple projects in all aspects of information systems lifecycle (information planning, business requirements definition, implementation, productions support)
Oversees the development, execution, administration, and evaluation of information systems processes and mechanisms to support the mission, vision, values, and strategic initiatives
Performs human resources responsibilities for staff which include interviewing and selection of new employees, promotions, staff development, performance evaluations, compensation changes, resolution of employee concerns, corrective actions, terminations, and overall employee morale
Develops and recommends operating and capital budgets and controls expenditures within approved budget objectives
Responsible for understanding and adhering to the organization's Code of Ethical Conduct and for ensuring that personal actions, and the actions of employees supervised, comply with the policies, regulations, and laws applicable to the organization's business

What we offer

Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program
Premium pay such as shift, on call, and more based on a teammate's job
Incentive pay for select positions
Opportunity for annual increases based on performance

Fulltime

New

Associate Vice President - Billing IT Applications

The Associate Vice President IT Applications provides the operational and strate...

Location

United States

Salary:

97.75 - 156.40 USD / Hour

Advocate Health Care

Expiration Date

Until further notice

Requirements

Bachelor's Degree Information Technology or related field
10 years of experience in information systems, solution design, systems development, implementation, and installation within a complex environment
5 years of management experience in project management and managing multi-discipline work teams
Demonstrated leadership skills and proven track record of managing/directing technical staff and financial resources
Experience with systems design and development from business requirements analysis through day-to-day management
Advanced project management skills
Extensive knowledge of effective best practice in information systems operations, regulations, and guidelines
Skills and demonstrated experience in establishing excellent working relationships and strategic partnering with various teams
Strong communication skills and the ability to communicate effectively with all levels of employees
An understanding of health care delivery and health care dynamics within a large integrated health care system

Job Responsibility

Provides the operational and strategic direction for software applications which includes the planning, development, and operations of software applications
Provides strategic direction for applications within application scope
Is the key relationship owner with operational leaders that are the primary users of the application
Collaborates on and contribute to business strategies within the operational area which maximize the use of information technology
Ensure patient service market, market group, and system strategies align and effectively support the achievement of the organization's objectives and mission
Responsible for the success of the enterprise Epic Hospital and Professional Billing and Claims applications, Tapestry, clearinghouses, and new AI tools advancing back-end revenue cycle
Responsible for the planning, development, implementation, and operation of applications within application scope
Ensures that applications are designed and interfaced in a manner, which satisfies the users of the systems
Is the primary contact for operational leadership in the corresponding application area
Responsible for executing and providing the results and conclusions of all phases of system applications

What we offer

Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program
Premium pay such as shift, on call, and more based on a teammate's job
Incentive pay for select positions
Opportunity for annual increases based on performance

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

Patient Account Representative

The Patient Account Representative is responsible for ensuring the accurate and ...

Location

United States , Sacramento

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

High school diploma or GED equivalent required
Strong attention to detail and accuracy in financial transactions
Ability to follow detailed instructions and recognize when to escalate issues
Proficiency in working with patient financial systems such as EPIC
Excellent communication and problem-solving skills
Previous experience in billing, collections, or healthcare finance is a plus

Job Responsibility

Follow up on unpaid accounts in patient accounting systems through payer websites and phone calls
Review claim denials, research underpayments, and perform appeals with payers
Process bad debt transfers, adjustments, and contractual write-offs as needed
Edit and submit electronic and hardcopy claims to government, managed care, and commercial payers
Review and resolve electronic claim rejections and payer denials
Post payments and adjustments in EPIC and process refunds
Enter charges, resolve worklist issues, and complete charge corrections
Maintain professional communication with patients, payers, physicians, and staff regarding billing inquiries
Meet weekly productivity goals and follow priorities set by the team manager
Assist with patient advocacy efforts, including processing charity applications and handling billing complaints

What we offer

medical, vision, dental, and life and disability insurance
eligible to enroll in our company 401(k) plan

Fulltime

Collections Specialist

As a Collections Specialist, your primary role will be to manage and resolve cus...

Location

United States , Wayne

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Proficiency in Accounting Software Systems
Familiarity with Accurint
Experience with ADP - Financial Services
Knowledge of CRM (Customer Relationship Management) tools
Proficiency in Epic Software
Ability to handle Accounts Receivable (AR)
Experience in Answering Inbound Calls
Proficiency in Billing Functions
Familiarity with Claim Administration processes
Understanding of Collection Processes

Job Responsibility

Handle customer inquiries efficiently
Ensure accurate processing of customer credit applications
Maintain precise customer credit records
Monitor customer accounts regularly and take necessary actions
Administer claims as part of the role
Manage collection processes effectively
Perform billing functions as required
Respond to inbound calls professionally and courteously
Utilize Accounting Software Systems, Accurint, ADP - Financial Services, CRM, and Epic Software for various tasks
Manage Accounts Receivable (AR) effectively

What we offer

medical, vision, dental, and life and disability insurance
eligibility to enroll in our company 401(k) plan

Fulltime

Revenue Cycle Coverage and Claims Associate I

The Revenue Cycle Coverage and Claims Associate I will be responsible for the ac...

Location

United States , Madison

Salary:

34000.00 - 56000.00 USD / Year

Exact Sciences

Expiration Date

Until further notice

Requirements

High School Diploma or General Education Degree (GED)
3+ months of experience in any healthcare field
Strong knowledge of order management, insurance claims procedures, electronic health record (EHR) operating systems
Basic knowledge of medical terminology and/or health insurance terms
Demonstrated strong attention to detail and focus on quality output
Proficient with electronic health records
Proficient in Microsoft Office programs, such as Word and Outlook
Demonstrated ability to perform the essential duties of the position with or without accommodation
Applicants must be currently authorized to work in country where work will be performed on a full or part-time basis

Job Responsibility

Maintain confidentiality and adhere to all HIPAA guidelines/regulations
Determine initial or ongoing patient insurance eligibility verification for all claims, including commercial and government insurance to the plan coverage and product level
Investigate and correct accounts within Epic and other systems/tools, including updates to patient demographics, financial information, and guarantor information
Interact with various insurances/third party payors accurately and timely to ensure authorization is obtained and documented based on internal and external policies and regulations
Research missing or erroneous information on accounts using various portals and other resources, including outreach and identification of unknown payors
Stay current with relevant medical billing regulations, rules, and guidelines
Provide ad-hoc support within the department for special projects and outages/high volume events
Complete position responsibilities within the appropriate time frame while adhering to quality standards
Ability to communicate effectively with all levels of staff through both verbal and written communications
Ability to work in a team environment and adapt to changing workload and circumstances effectively

What we offer

paid time off (including days for vacation, holidays, volunteering, and personal time)
paid leave for parents and caregivers
a retirement savings plan
wellness support
health benefits including medical, prescription drug, dental, and vision coverage
bonus eligible

Fulltime

New

Specialty Pharmacy Patient Financial Counselor

The Specialty Pharmacy Patient Financial Counselor is responsible for acting as ...

Location

United States , Lenexa

Salary:

Not provided

The University of Kansas Health System

Expiration Date

Until further notice

Requirements

High School Graduate plus 3-year of experience in specialty pharmacy, medication assistance, prior authorizations, pharmacy benefits investigation, managed care, financial advising, claims processing, collections, or revenue cycle positions
OR Associates Degree in a related field of study from an accredited college or university plus 1-year of experience in specialty pharmacy, medication assistance, prior authorizations, pharmacy benefits investigation, managed care, financial advising, claims processing, collections, or revenue cycle positions
Must be able to type 45 wpm
Kansas Pharmacy Technician within 60 days of hire (Registration includes application with state board of pharmacy). No test or specific previous work experience is required to obtain your initial Kansas Pharmacy Technician registration from Kansas Board of Pharmacy which is issued for two years
Demonstrates strong oral and written communication skills
Ability to multi task, prioritize, and escalate
Demonstrated good oral and written skills
Knowledge of Insurance (Commercial & Government)
Knowledge of how to navigate payor websites
Working knowledge of CMS regulations as applicable to Medicare Part B and D plans

Job Responsibility

Effectively gathers patient information to complete a specialty prescription benefits investigation within a specified time frame
Interpret, comply, and communicate Medicare/Medicaid rules and regulations, when appropriate
Ensures appropriate billing of all specialty prescription medications including the completion of any required insurance authorizations using information in the medical record to satisfy the insurance requirements
Follows up with insurance companies on denials and insurance inquiries as necessary to resolve the account within a specified time frame
Provides additional information or documentation as needed to resolve account
Seeks out copay assistance for specialty prescriptions and applies on behalf of the patient when possible. Requires review of patient’s financial documents and coordination of necessary application materials, as appropriate
Follows up with copay assistance foundations to ensure applications are reviewed and processed in a timely manner. Provides any additional information as necessary to resolve the account within a specified time frame
Communicates payer trends to management
For uninsured and underinsured patients with no other copay assistance options, seeks out free drug from available manufacturer programs and applies on behalf of the patient. Requires review of patient’s financial documents and coordination of necessary application materials, as appropriate
Follows up with manufacturer programs to ensure applications are received and being processed

Fulltime

IT Epic Applications Manager- Professional Billing and Claims

Advocate Health Care

Location:
United States

Category:
IT - Administration

Contract Type:
Not provided

Salary:

Job Description:

Job Responsibility:

Requirements:

Additional Information:

Job Posted:
February 20, 2026

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