Senior Systems Specialist, Epic Professional Billing Claims

About Chartis

Chartis is a comprehensive advisory and analytics services firm dedicated to the healthcare industry. With an unparalleled depth of expertise in strategic planning, performance excellence, informatics and technology, and health analytics, we help leading academic medical centers, integrated delivery networks, children's hospitals and healthcare service organizations achieve transformative results.

We are comprised of uniquely experienced senior healthcare professionals and consultants who apply a distinctive knowledge of healthcare economics, markets, clinical models and technology to help each client address their most pressing issues. We question everything and apply thoughtful and rigorous analysis to each challenge, issue and opportunity.

We are lucky to have extraordinarily talented people working in our firm – all brought together around our unifying mission, a shared dedication to our core values, and the emphasis we place on creating an environment that enriches the experiences of our clients, our colleagues and our communities. In this way, we find that we are remarkably aligned with our clients. And that has made for achieving some truly great things.

This role is based in New York City and requires a portion of time onsite. LI-Remote

Role Overview

The Epic PB/Claims Community Connect Analyst is responsible for managing and optimizing the Epic electronic health record (EHR) system with a focus on professional billing (PB), claims processing, and Community Connect implementations. Chartis is looking for a top quality Epic Professional Billing expert with current certification(s) and 3 or more years of Epic analyst experience. This consultant will support Epic implementation, optimization, and maintenance projects for Chartis’ clients by performing system build, designing workflows, assessing system configuration, and creating documentation. Experience as a Team Lead is strongly desired.

Responsibilities

• Epic Professional Billing Claims system build.
• Set up and customize Epic’s PB and Claims modules for efficient billing, claims processing, and community connect integration
• Oversee the submission, tracking, and reconciliation of insurance claims to ensure accurate and timely payments.
• Provide technical support for issues related to PB and claims, including troubleshooting and resolving problems.
• Analize and optimize workflows to enhance efficiency and compliance with payer requirements.
• Collaborate with financial, clinical, and IT teams, as well as external stakeholders, to align system functionality with organizational and regulatory needs. Work with third party vendors to ensure timely integration.
• Serve as application expert and go-to resource for IT/application related solutions.
• Epic PB Claims assessment and best practice review.
• Operational process improvement.
• Effectively translate operational requirements into Epic system build
• Maintenance of documentation and procedures as needed.
• Implementation, optimization, and maintenance projects.
• Design thorough qualitative and quantitative analyses.
• Demonstrate understanding of client organizational issues and individual client sensitivities.
• Contribute to client presentations/meetings where relevant; project confidence and communicate clearly.
• Craft client-ready communications that are well written and clearly highlight key messages.
• Serve as a role model and mentor to customer analysts.
• Give timely feedback, when necessary, to advance individual and team learning to strengthen project deliverables.
• Some travel may be required.

Qualifications and Desired Skills

• Current certification in Epic PB/Claims
• 3+ years Epic analyst experience
• Cadence and/or PB knowledge or certification
• Strong knowledge of healthcare processes, proficiency in Epic systems, and excellent problem-solving and communication skills.
• Local to New York City (Tri-State Area)
• Full-cycle Epic implementation experience preferred.
• Background in process improvement or assessing IT/operational effectiveness preferred.

Salary range: $120,000-$148,000 plus may be eligible for an annual discretionary bonus. The salary range for this role considers the wide range of factors that are considered in making compensation decisions including, but not limited to, skills, experience, training, licensure and certifications, practice area, and other business and organizational needs. In addition, Chartis offers several benefits including medical, dental, vision, HSA, FSA, disability insurance, life insurance, 401(k) match, paid time off, wellness stipend, and additional voluntary benefits.

At Chartis, we pride ourselves on having a diverse workforce. We value and celebrate the uniqueness of individuals and the different perspectives they provide. We offer equal opportunity employment regardless of race, color, religion, gender identity or expression, sexual orientation, national origin, genetics, disability status, age, marital status, or protected veteran status.