Description
Serves as a key liaison between Revenue Cycle operations and Information Services to support the design, optimization, and use of Epic Professional Billing applications and workflows for the Swedish Medical Group (SMG) professional billing team.
This role is highly embedded within operations and partners closely with frontline teams, cross-functional departments, and leadership to identify workflow and system improvement opportunities.
Responsible for proactively identifying issues within work queues, reporting, and system configuration, and supporting implementation of solutions that improve efficiency, reduce denials, and support accurate revenue capture.
ESSENTIAL FUNCTIONS
Collaborate with operational users and IS teams to identify and resolve system issues
Monitor work queues and reporting (Anodyne, Reporting Workbench, Clarity, SlicerDicer, Excel) to identify trends and issues
Analyze workflows and system configuration to identify gaps or inefficiencies
Translate business needs into system requirements and enhancement requests
Support optimization of work queues, denial reduction, and charge capture processes
Provide troubleshooting support for end users
Support build intake and coordination with IS
Participate in testing and implementation of system changes
Contribute to projects including work queue optimization and denial reduction
Collaborate with leadership and cross-functional teams
Develop training materials and job aids
Understanding or experience with Claim Edit Rules, Follow Up Rules
Experience with Epic build around claim edits, routing logic, department and provider profile builds.
Work collaboratively across workgroups and meetings to gather and communicate updates, key discussion points, and training needs affecting Revenue Cycle stakeholders.
Facilitate information sharing to promote alignment, support operational readiness, and keep teams informed of process changes, initiatives, and organizational priorities.
Required Qualifications:
Coursework/Training: Formal technical training, especially in data resource management principals
Upon hire: Certification in Epic Resolute Professional Billing Administration I & II, but can be obtained while in position
5 years progressively more responsible work experience in a health care business office
Data control functions
Preferred Qualifications:
Bachelor's Degree, or equivalent education/healthcare billing experience, including formal job training, may be substituted for each year of college not completed. This equivalency is in addition to what is required in the experience section.
Upon hire: Certification or proficiency obtained in Epic Resolute Professional Billing Claims and Epic Resolute Professional Billing Electronic Remittance
Strong understanding of work queues, denials, and charge capture
Ability to proactively identify issues in workflows, reporting, and system build system build
Experience using reporting tools (Anodyne, Reporting Workbench, Clarity, SlicerDicer, Excel)
Ability to translate operational needs into system requirements
Experience troubleshooting system and workflow issues
Strong communication and cross-functional collaboration skills
Ability to manage multiple priorities in a fast-paced environment
Why Join Providence Swedish?
Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our mission of improving the health and wellbeing of each patient we serve.
Accepting a new position at another facility that is part of the Providence family of organizations may change your current benefits. Changes in benefits, including paid time-off, happen for various reasons. These reasons can include changes of Legal Employer, FTE, Union, location, time-off plan policies, availability of health and welfare benefit plan offerings, and other various reasons.
About Providence
At Providence, our strength lies in Our Promise of “Know me, care for me, ease my way.” Working at our family of organizations means that regardless of your role, we’ll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.
Posted are the minimum and the maximum wage rates on the wage range for this position. The successful candidate's placement on the wage range for this position will be determined based upon relevant job experience and other applicable factors. These amounts are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits.
Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.
About the Team
Providence Swedish is the largest not-for-profit health care system in the greater Puget Sound area. It is comprised of eight hospital campuses (Ballard, Edmonds, Everett, Centralia, Cherry Hill (Seattle), First Hill (Seattle), Issaquah and Olympia); emergency rooms and specialty centers in Redmond (East King County) and the Mill Creek area in Everett; and Providence Swedish Medical Group, a network of 190+ primary care and specialty care locations throughout the Puget Sound. Whether through physician clinics, education, research and innovation or other outreach, we’re dedicated to improving the wellbeing of rural and urban communities by expanding access to quality health care for all.
Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement.
For any concerns with this posting relating to the posting requirements in RCW 49.58.110(1), please click here where you can access an email link to submit your concern.
Requsition ID: 440818
Company: Swedish Jobs
Job Category: Analytics/Business Intelligence
Job Function: Information Technology
Job Schedule: Full time
Job Shift: Day
Career Track: Business Professional
Department: 3908 PHYSICIANS BILLING WA
Address: WA Seattle 1730 Minor Ave
Work Location: Swedish Metropolitan Park East-Seattle
Workplace Type: Remote
Pay Range: $41.81 - $64.91
The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
