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, 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

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

Epic Professional Billing Claims Analyst

As an IT EPIC Application Analyst, you will implement, optimize, and support our...

Location

United States , Englewood

Salary:

43.20 - 64.26 USD / Hour

American Nursing Care

Expiration Date

Until further notice

Requirements

Bachelors Other in a related field or 4 years of equivalent experience may be considered in lieu of Bachelor's degree, upon hire
2 years of relevant experience in one of the following areas: Clinical, operational, application support and implementation
Epic Professional Billing certification and/or experience required
Development experience with applications in a hospital or medical related industry is required
Experience working with project life cycle or project management methodologies is required
EPIC Certification, within 120 Days

Job Responsibility

Designs, builds, tests, implements, and supports information technology solutions to meet operational and clinical needs
Responsible for delivering project assignments of medium to high complexity which includes application design, and configuration build
Works closely with customers to document requirements and communicate effectively with customers and peers to implement changes
Supports/maintains day-to-day existing functionality/programs/applications
Performs intermediate system analysis and troubleshooting to implement new functionality/programs/applications, and to analyze/research vendor release notes and documentation
understanding complete end-to-end system integration
Creates thorough system design and build documentation
Analyze the functionality of the system and how it fits or not with operations
The ability to troubleshoot basic problems and recommend and take appropriate action as required
Translate high-level business requirements to detailed technical designs/documentation

What we offer

medical
prescription drug
dental
vision plans
life insurance
paid time off (full-time benefit eligible team members may receive a minimum of 14 paid time off days, including holidays annually)
tuition reimbursement
retirement plan benefit(s) including, but not limited to, 401(k), 403(b), and other defined benefits offerings

Fulltime

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

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

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

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 Access Specialist I

As a Patient Access Specialist, you manage administrative duties related to the ...

Location

United States , Tacoma

Salary:

23.90 - 32.07 USD / Hour

American Nursing Care

Expiration Date

Until further notice

Requirements

One year of customer service work experience is required.

Job Responsibility

Manage administrative duties related to the patient intake process
Serve as a key point of contact for patients, ensuring efficient scheduling, accurate registration, and a seamless, high-quality patient experience
Interact with patients in person and by phone to support check-in and check-out processes, while scheduling, rescheduling, and canceling appointments in alignment with provider guidelines and availability
Collect and update patient demographic and insurance information to ensure accurate registration and billing
Verify insurance eligibility and benefits to reduce claim denials and reimbursement delays
Collect co-pays and applicable payments at the time of service
Process referrals and authorizations according to clinic and payer requirements
Respond to patient inquiries with clear, professional communication
Verifying demographics and registering patients in Epic
Obtaining and verifying insurance coverage

What we offer

Medical
Prescription drug
Dental
Vision plans
Life insurance
Paid time off (full-time benefit eligible team members may receive a minimum of 14 paid time off days, including holidays annually)
Tuition reimbursement
Retirement plan benefit(s) including, but not limited to, 401(k), 403(b), and other defined benefits offerings

Fulltime

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IT Epic Applications Manager- Professional Billing and Claims

Job Description

Job Responsibility

Requirements

What we offer

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