Systems Analyst - Team Lead (Epic HB Claims and Remittance)

About the role

The Systems Analyst – Team Lead manages the Hospital Billing Claims team at UPMC, overseeing a team of several HB claims analysts. This role requires utilizing direct feedback from revenue cycle operations to correct CDFs, FDF/ABF, and claim edits. Coordination with regulatory updates and Epic upgrades is also essential.

Responsibilities

• Supervise a team of several HB claims analysts.
• Utilize direct feedback from revenue cycle operations to apply corrections to CDFs, FDF/ABF and claim edits.
• Collaborate with the Professional Billing Claims team on shared projects and system issues.
• Coordinate Claims-owned regulatory updates and edits (CCI, LCD, MUE) as well as periodic Epic upgrades (Nova Notes).
• Provide strong technical and functional guidance of claims and remittance administration.

Qualifications

• Seven years of total related experience, including one year experience as a senior or lead, OR equivalent combination of education/experience. (Claims & Remittance)
• Professional knowledge of IT methods.
• Proficient understanding of IT strategy and its relation to business objectives.
• Ability to successfully supervise projects to completion on time and within budget.
• Ability to make decisions or recommendations based on various types and amounts of information.

Top Skills Needed

• Current Epic HB Claims and Remittance certification and at least 7 years of experience.
• Robust problem-solving skills, ability to leverage Epic UserWeb for research and Epic Sherlock to escalate complex issues to Epic TS for guidance.
• Superior communication skills (verbal and written).
• Experience with ticket triaging applications (ServiceNow, or instance).
• Ability to enforce UPMC corporate change control policies.

Must Have Current Certification

• Epic HB Claims and Remittance

Benefits

We offer a comprehensive benefits package including:

• Over 5 weeks of paid time off annually
• Affordable medical, dental, and vision coverage
• Student loan assistance and tuition reimbursement options
• Up to 8% of your eligible pay in retirement contributions from UPMC
• Employer-paid life insurance

Support for You – and Your Family

• Paid parental leave
• Family planning resources
• Tuition assistance for dependents
• Comprehensive health care for dependents
• Emergency child and elder care options
• Flexible work arrangements

A Culture That Cares

• Employee resource groups
• Awards for champions of dignity & respect
• Center for Workplace Culture and Engagement
• Programs for veteran engagement

Tools to Reach Your Potential

• Up to $6,000 of annual tuition assistance
• Ongoing learning via LinkedIn Learning
• Accelerated career pathways for growth
• Robust instructor-led education and learning pathways