**** Webcam interview; *** Long term project with possible contract to hire ***Linkedin Must*** Remote - 1 day a month on site in Orlando (Preferred Orlando Candidates) **** This team is now remote but need to be on-site once per month for dept meeting and team building. Our first choice is someone local, but we are open to someone out of state if they are the right fit.
Job Description
This is a Claims position so need someone with either Hospital or Professional Claims certification/accreditation. Preferable both and bonus if they have Hospice experience.
Role Overview
An Epic Claims Analyst is responsible for managing and optimizing the claims processing system. They analyze, troubleshoot, and enhance workflows to ensure accurate and efficient claims submission, processing, and reimbursement.
Key Responsibilities
- Work with billing teams, IT staff, and clearinghouse software to resolve issues and improve operational efficiency
- Maintain strong knowledge of Epic''s claims modules, healthcare billing, and regulatory compliance
Analogy - What We Do
Charging and Revenue Integrity Analyst: Ensure the price of all ingredients are correct so that the Billing Team can build the pricing for the menu.
Claims Teams: Ensure we can accept cash, credit cards, coupons, gift cards, etc.
Claims Team Duties
- Payments are recorded appropriately, including when multiple payment methods are received
- Work with the bank for cash transactions (nightly deposits)
- Work with credit card vendors (aka insurance) for their specific requirements
- Ensure we record each payment and apply them to the bill until paid in full
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