The specialist is responsible for researching and resolving outstanding insurance denials and managing accounts receivable. They must also identify denial trends and provide education to prevent future avoidable denials.
The specialist is responsible for managing accounts receivable, resolving patient and insurance credit accounts, and ensuring accurate charge capture and claim filing. They also perform detailed analysis of payer variances and maintain revenue integrity through collaboration with other departments.
The coordinator is responsible for the design, build, configuration, testing, and ongoing support of Epic Cadence applications. They will collaborate with business representatives to translate operational needs into system design while maintaining Epic certification.
The coordinator manages utilization review and case management activities to ensure appropriate levels of care and compliance with health plan standards. They facilitate clinical reviews, maintain accurate databases, and communicate effectively with providers and third-party administrators.
Lead the design, improvement, and support of Epic Professional Billing applications to optimize surgical and anesthesia workflows. Collaborate with clinical leaders to translate operational needs into technical specifications and mentor junior analysts.
As an Epic Application Coordinator, you will design, build, test, and support Epic Bridges and Data Courier workflows. You will collaborate with clinical and operational teams to enhance patient care and streamline workflows.