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Claims Analyst

Job not on LinkedIn

đź•’ August 3

🇺🇸 United States – Remote

⏳ Contract/Temporary

🟡 Mid-level

đźź  Senior

đź“‹ Claims Specialist

đź‘» Ghost score 10%

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Logo of Ellit Groups

Ellit Groups

51 - 200 employees

Founded 2019

đź’Ľ Consulting

📣 Marketing

📦 Logistics

Consulting • Marketing • Logistics

Ellit Groups is a forward-thinking organization dedicated to transforming healthcare through innovative solutions. They specialize in bridging the gap between people, processes, and technology, effectively addressing business challenges within the healthcare and life sciences sectors. With an award-winning team of experts, Ellit Groups offers services such as healthcare and payer advisory, performance improvement, digital strategy and transformation, and managed services. Their commitment to enhancing patient outcomes and fostering sustainable growth makes them a vital partner for healthcare organizations and life sciences companies.

đź“‹ Description

• Perform complex, hands-on Epic Claims build and configuration • Evaluate current claims workflows and identify opportunities for system improvement • Translate business and operational requirements into effective Epic build solutions • Configure, test, validate, and implement Epic Claims functionality • Troubleshoot claims-related system issues and complete root-cause analysis • Support claims processing, billing, reimbursement, and related revenue cycle workflows • Collaborate with revenue cycle, operational, and technical stakeholders • Participate in workflow design and system optimization sessions • Develop and execute unit, integrated, and user acceptance testing • Resolve build defects and support system validation activities • Maintain accurate build documentation, testing materials, and workflow specifications • Provide knowledge transfer and support during implementation and stabilization activities • Travel onsite as required to support project milestones and stakeholder collaboration

🎯 Requirements

• 5+ years of work experience • Current Epic Claims certification • Extensive hands-on experience building and configuring Epic Claims functionality • Strong Epic Revenue Cycle experience • Demonstrated ability to independently manage complex Epic build assignments • Strong understanding of healthcare claims, billing, reimbursement, and payer workflows • Experience gathering requirements and translating them into system configurations • Experience with testing, troubleshooting, issue resolution, and system optimization • Ability to collaborate effectively with technical and operational teams • Strong communication, documentation, and problem-solving skills • Availability to travel onsite 2-3 times during the initial 3-month contract • Additional Epic Revenue Cycle certifications preferred • Experience supporting Epic optimization, implementation, upgrade, or enhancement projects preferred • Knowledge of charge capture, denial management, billing, and reimbursement processes preferred • Previous consulting experience within a complex healthcare environment preferred

🏖️ Benefits

• Competitive salary and benefits package • Professional development opportunities to advance your career • Flexible work arrangements to promote work-life balance

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