Epic Professional Billing Claims Analyst

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.

Description and  ESSENTIAL DUTIES & RESPONSIBILITIES: The duties listed below are intended only as illustrations of the various types of work that may be performed. The omission of specific statements of duties does not exclude them from the position if the work is similar, related or a logical assignment. 

You will enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

• 98% 

• Epic System Build 

• Responsible for core system build and on-going maintenance 

• Define system setup requirements 

• Document system setup 

• Participate in system design process 

• Document current clinic flows 

• Work with all levels of system users to determine system setup needs and modifications 

• Participate in upgrades and special updates 

• Track system enhancement requests 

• Work with Epic technical staff and implementers to resolve application issues 

• Learn Epic technology and perform many system maintenance tasks such as system imports, basic reporting and system configuration 

• Works closely with team 

• Complete and keep Epic Certification(s) current 

• Ensure system build is done in adherence with TEC polices 

• Collect and transform large quantities of information into meaningful business requirements 

• Develop and modify requirements documentation for the design and implementation of the Epic system 

• Critically evaluate information from various sources 

• Distinguish user needs from business needs and partner with all teams in optimizing scope, benefits and risks of actual and proposed projects as well as assist in managing stakeholder expectations 

Testing and Quality Assurance:

• Adhere to all EPIC and change control processes 

• Develop and utilize testing plans and scripts 

• Assist in the recommendation and development of policies related to the use of Epic 

• Ensure changes communicated to team and impacted system users in a timely manner 

Training:

• Work closely with trainers on all changes and new features 

• Train individuals or groups as needed 

• Attend regular clinic meetings to improve user knowledge of the Epic system 

User Support:

• Provide customer service to all staff to support/troubleshoot application problems 

• Troubleshooting and documentation of system issues 

• Documentation of FAQ and common solutions 

• Meet or exceed customer service standards 

Project Management:

• Ability to document key tasks and milestones associated with new functionality 

• Ability to set and manage to timelines 

• Ability to prioritize and communicate potential barriers to success 

• Partner with project managers to complete requirements documentation in accordance with project schedule. 

• Plan, organize, facilitate, and lead meetings and workgroups as well as oversee and execute follow-up activities. 

• Define external interfaces, constraints and quality issues. 

• Provide project management team with identified risks, concerns, and ambiguities discovered during the requirements phase; assist team in developing solutions. 

• Plan, coordinate, and support unit acceptance testing and subsequent deployments in coordination with other team leaders. 

• Develop and execute project presentations. 

• Participate in special projects as required 

Leadership:

• Provide training, direction and mentoring for associate and intermediate application analysts and/or other appropriate project team members 

• Participate in selection of associate and intermediate application analysts, consultants, and/or other appropriate project team members. 

• Identify opportunities for process improvements and provide analysis and propose change and communicate strategies. 

Duties listed below are integrated into all job functions: 

• All staff members are to promote a positive and productive work environment by acting maturely and responsibly, satisfactorily performing his or her job responsibilities and conducting themselves in a professional, courteous and respectful manner toward fellow employees, physicians and patients

• Must relate to other people beyond giving and receiving instructions: (a) get along with co-workers or peers without exhibiting behavioral extreme; (b) perform work activities requiring negotiating, instructing, supervising, persuading or speaking with others; and (c) respond appropriately to feedback regarding performance from a supervisor

• Performs all duties in a manner which promotes and supports the core values of The Everett Clinic

• Integrates Lean principles, practices and tools to improve operational efficiency, reduce costs and increase customer satisfaction

• Frequently must follow written and oral instructions as well as complete routine tasks independently

• Completes annual compliance training on HIPAA/Privacy/Confidentiality/Non-Discrimination/Harassment/Integrity Statement and signs Agreements

• Ensures confidentiality of patient information following HIPAA guidelines and TEC policies

• Attends training to meet requirements of the job position and as needed or mandated by TEC policies, Div. of Occupational Safety & Health (DOSH), OSHA, L&I and other state/federal regulations

• Has regular and predictable attendance 

Leverage enterprise-approved AI tools to streamline workflows, automate tasks, and drive continuous improvement 

NON-ESSENTIAL DUTIES & RESPONSIBILITIES: 

• 2% Performs other duties as assigned

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

• High school diploma/GED
• Minimum of one EPIC Certification required and should be current on all new version training
• 3+ years of healthcare experience
• 3+ years of experience working with clinical systems
• 3+ years of experience with all Microsoft Excel
• 2+ years of technical experience with epic professional claims for back-end roles

Preferred Qualifications:

• 2 years of full life-cycle billing implementations
• Clinical background for front-end roles

*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $91,700 to $163,700 annually based on full-time employment. We comply with all minimum wage laws as applicable.

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

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