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EPIC Professional Billing and Claims Manager
EPIC Professional Billing and Claims ManagerCommon Spirit Health • Englewood, CO, US
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EPIC Professional Billing and Claims Manager

EPIC Professional Billing and Claims Manager

Common Spirit Health • Englewood, CO, US
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Epic Professional Billing And Claims Manager

The posted compensation range of $60.24 - $89.60 / hour is a reasonable estimate that extends from the lowest to the highest pay CommonSpirit in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. CommonSpirit may ultimately pay more or less than the posted range as permitted by law.

This is a remote position. Epic Professional Billing and Claims experience and / or certification required.

Job Summary

Responsible for professional billing and claims applications and systems, from identification and implementation through optimization, maintenance, revision, and retirement, adhering to accepted standards for application development and support.

Develops high functioning teams of skilled professionals to support IT applications, including user involvement in development, testing, training and feedback. Participates in developing a governance process that is inclusive and responsive. Planning and supervision of teams to assure timely completion of assigned goals and projects. Works with multiple roles and leadership from all aspects of the business to assure that information technology services meet the needs of the business.

Job Responsibilities

  • Provide leadership and oversight for team staff including goal setting, training / development, management of team schedule (on call rotations, paid-time-off, sick time, etc.), time-sheet approval, feedback, coaching and mentoring, policy and procedures, and related management functions.
  • Provide performance feedback and complete performance evaluations for Team-members. Informal performance feedback should be provided on a frequent basis, and should include feedback from fellow Team members. Feedback should be focused on recognition for achievement, and opportunities for growth.
  • Evaluate business opportunities by participating in feasibility studies, time and cost estimates, system upgrades, updates and revisions, maintaining awareness of current software capabilities and availability of new or alternate applications which may benefit the strategic direction of Centura Health.
  • Evaluate system functionality against the current business and clinical needs, to ensure that IT services remain true to business and clinical objectives.
  • Project management, including forecasting time and resources, establishing timelines and deliverables, engaging stakeholders, adhering to governance processes, guiding principles and standards, testing, user acceptance, and change control expectations while achieving goals.
  • Monitor activity and progress toward goal for all projects and issues of the teams.
  • Assess user needs through periodic onsite visits to provide support and proactive service, including analysis of opportunities to take advantage of existing tools and workflows.
  • Plan and implement disaster recovery processes, security and integrity processes, change control processes.
  • Adhere to applicable laws and regulations; associated with system implementation and ongoing support.

Qualifications

  • Bachelor's degree in related field; 4 years of equivalent experience may be considered in lieu of Bachelor's degree.
  • Epic Professional Billing and Claims experience and / or certification required.
  • 5 years in a clinical or clinical information systems environment that included project management Knowledge of legal, managerial, and organizational principles and standards for health systems is desirable. Familiarity with Health Care systems, processes and applications preferred.
  • EPIC certification for the area in which you support (in primary application) is required or required within 4 months of employment. Ongoing maintenance of Epic certification(s) required.
  • Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation's largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 137 hospital-based locations, in addition to its home-based services and virtual care offerings. CommonSpirit has more than 157,000 employees, 45,000 nurses and 25,000 physicians and advanced practice providers across 24 states and contributes more than $4.2 billion annually in charity care, community benefits and unreimbursed government programs. Together with our patients, physicians, partners, and communities, we are creating a more just, equitable, and innovative healthcare delivery system.

    Unless directed by a Collective Bargaining Agreement, applications for this position will be considered on a rolling basis. CommonSpirit Health cannot anticipate the date by which a successful candidate may be identified.

    Depending on the position offered, CommonSpirit Health offers a generous benefit package, including but not limited to medical, prescription drug, dental, vision plans, life insurance, paid time off (full-time benefit eligible employees may receive a minimum of 14 paid time off days, including holidays annually), tuition reimbursement, retirement plan benefit(s) including, but not limited to, 401(k), 403(b), and other defined benefits offerings, as may be amended from time to time. For more information, please visit https : / / www.commonspirit.careers / benefits .

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    Claim Manager • Englewood, CO, US

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