Epic Professional Billing and Claims Team Lead

Job Title: Application Team Lead - Professional Billing & Claims

Location: Remote

Department: Epic Implementation

Reports to: Epic Application Manager Support

Employment Type: Full Time, Exempt

Travel Required: Yes

Salary Range: $111,100 – $121,000

Summary

The Epic Professional Billing and Claims Team Lead will be responsible for enabling effective workload management for analysts, including support tickets, optimization projects, maintenance efforts, and upgrade-related activities by bringing expertise in prioritization and scoping Professional Billing and Claims work efforts, system configuration and workflow best practices, and collaborative and solution-oriented communication. A successful Epic Professional Billing and Claims Team Lead brings a high degree of organization and attention to detail as well as experience building Epic Professional Billing and Claims in a variety of settings. The Team Lead will be accountable for understanding and managing the operational requirements of Planned Parenthood affiliates and work closely with other project team members to ensure such requirements are translated successfully in Epic.

Essential Functions

• Effectively and accurately tracking Jira tickets to understand and communicate priorities of work in the queue and assigned to analysts
• Acting as contact for Planned Parenthood affiliates, always maintaining open lines of communication with clients.
• Meeting with key staff to understand workflows, requirements, and access practices unique to the affiliate.
• Developing an understanding of each affiliate’s unique needs and assessing if the existing Planned Parenthood Foundational build will meet these needs or if additional build will be necessary.
• Translating knowledge of best practice PB/Claims/RTE design, build, and testing techniques throughout the implementation and ongoing support phases.
• Leading complex large scale optimization projects from design through build and ongoing support
• Working with and mentoring project team members and other analysts to design, build, and test system designs related to PB/Claims/RTE applications. Serve as a liaison with vendors as required.
• Assisting with supporting readiness activities for affiliates prior to implementation and post live activities during stabilization periods.
• Assisting with supporting maintenance and support tasks as assigned.
• Serving as the PB/Claims/RTE team representative in meetings as assigned.
• Maintaining regular communication with Epic representatives, including participating in all project team meetings.
• Serving as a resource for analyst team members to discuss the status of deliverables, shared issues, end user concerns, and upcoming milestones.
• Working with the Training team on development of workflow and tipsheet documentation as assigned.
• Assisting with build, upgrade and optimization tasks as directed.
• Assisting with onboarding and provide mentorship to new hires.

Competencies

To perform the job successfully, an individual should demonstrate the following competencies:

• Business acumen, strategic thinking and problem solving.
• Customer service, interpersonal skills, oral and written communications
• Ethics, diversity, initiative, teamwork, and leadership
• Computer and technical skills
• Quality, safety, and security

Education and/or Experience

• Education: Bachelor’s Degree or equivalent combination of experience/training
• Experience: Minimum of 5 to 7 years of prior Epic experience required
• Current certification in Resolute Professional Billing Administration and Charge Router or Claims applications.

Skills

Required

• Possesses excellent verbal and written communication.
• Demonstrates established project management skills including leading meetings, prepping agendas, and managing follow-ups to completion.
• Demonstrates the ability to work with multiple organizations at once.
• Possesses excellent time management and organizational skills.
• Demonstrates adaptability and flexibility with respect to changing end user business needs.
• Demonstrates a willingness to learn new software and systems.
• Conveys information clearly and concisely with project leadership.
• Exhibits a high standard of professionalism and serves as a professionally mature role model within the team.
• Conveys the ability to gain trust and establish effective relationships with clients, peers, and project leadership.
• Ability to mentor and provide guidance to analysts with varying levels of experience, effectively sharing knowledge and fostering their skill development.
• Seeks, logically examines, and interprets information from various sources to determine a problem’s cause and develops a course of action to resolve the problem and to prevent its recurrence.
• Demonstrates a willingness to jump in, take initiative and support team efforts wherever needed to achieve shared goals.
• Prior experience working with health systems as a Professional Billing Epic analyst with a strong understanding of Epic best practices and complex Professional Billing concepts.
• Has a demonstrated understanding of the role that racial inequity plays in our society and its impact on healthcare systems and institutions.

Preferred

• Possesses prior Planned Parenthood experience.
• Possesses prior operations experience for a health care organization.
• Possesses prior experience working in a position requiring relationship building with clients.
• Certified in Real Time Eligibility (RTE) and/or both PB/Claims applications.
• Experience with Epic’s Cash Management functionality.

Physical and Environmental Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to sit, talk, and listen. Specific vision abilities required by this job include close vision, distance vision, color vision, and ability to adjust focus.

Sedentary Work

• Exerting up to 10 pounds of force occasionally (Occasionally: activity or condition exists up to 1/3 of the time)
• And/or a negligible amount of force frequently (Frequently: activity or condition exists from 1/3 to 2/3 of the time) to lift, carry, push, pull, or otherwise move objects.
• Sedentary work involves sitting most of the time but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally, and all other sedentary criteria are met.
• Must be able to travel throughout and between facilities when on site.
• Normal routine involves no exposure to blood, body fluid or tissue and as part of their employment, incumbents are not called upon to perform or assist in emergency care or first aid.
• There is no occupational risk for exposure to communicable diseases.

Duties and responsibilities may be added, deleted, or changed at any time at the discretion of management, formally or informally, either verbally or in writing.