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Jobs/Business Continuity Planner Role/chartis - Business Process Consultant, Epic Professional Billing
chartis

chartis - Business Process Consultant, Epic Professional Billing

Remote - United States$118k - $173k2w ago
RemoteSeniorNALife InsuranceInsuranceBusiness Continuity PlannerAccounts Payable SpecialistTeam LeadershipProject PlanningKPI TrackingReportingChange Management

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Requirements

• 5+ years in PB/PB Claims leadership position. • Must be certified in Epic’s Professional Billing application. Professional Billing Claims certification a plus. • Deep understanding of the revenue cycle (especially professional billing, charging, claims processing and edits, and denials management), claims processing and edits, and denials management. • Strong project management and communication skills. • Ability to bridge technical configuration with operational needs. • Strong ability to speak to and drive organizational KPIs. • Demonstrated ability to clearly communicate with all levels of an organization, both verbally and in writing. • Salary range: $118,000-$172,500, plus may be eligible for an annual discretionary bonus. The salary range for this role takes into account 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 st

Responsibilities

• Workflow Analysis and Design: Evaluate our clients’ current billing processes. Identify inefficiencies, gaps, or compliance issues. Design future-state workflows aligned with Epic’s best practices. • System Configuration: Advise IT teams on optimal PB/PB Claims module configurations to support operational needs. When appropriate, complete in-system build and configuration. • Stakeholder Collaboration: Partner closely with providers, practice management, revenue cycle staff, compliance, IT, and clinical departments. Translate operational needs into Epic system solutions. • Optimization and Reporting: Develop and track key performance indicators (KPIs) for billing accuracy, collections, and denials. Recommend ongoing improvements and system optimizations. Guide or build reporting efforts using Clarity, Caboodle, and Reporting Workbench. • Testing and Validation: Support and guide testing (unit, integrated, user acceptance testing, etc.) to validate PB functionality. • Regulatory and Compliance Guidance: Ensure billing processes align with CMS, HIPAA, payer rules, and professional coding guidelines. Support audits and documentation efforts. • Project Management: Create and manage project plans, anticipate issues, facilitate change management, and deliver progress updates to leadership. Mentor peers and team members through end-to-end work plan development and execution. • Client Communication: Prepare concise, executive-ready deliverables with clear storylines and actionable recommendations.

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