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Epic PB Claims Associate Analyst

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Overview

Premise Health remote roles offer flexibility and convenience for those who prefer to work from the comfort of home or any other space of their choosing. Our remote team members are an integral part of our community, and we support them by facilitating seamless digital connection with their team. We care deeply about our remote team members’ wellbeing and are dedicated to supporting a healthy work-life balance in addition to competitive pay, comprehensive benefits, paid holidays, vacation time, company-sponsored wellness programs and more.

Who we serve

  • Team Members
  • Employers
  • Employees
  • Families

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Success Profile

Our team members are what makes working at Premise Health great! These are a few of the traits that get us excited.

  • Communicator
  • Detail-oriented
  • Personable
  • Proactive
  • Problem-solver
  • Self-starter

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Quote

"Changing careers and working for Premise has been the best decision I’ve made in my professional life. Not only do we have outstanding leadership that ‘walk the talk,’ they also push for increased work-life balance, something I’ve been missing for over ten years."

- Sarah Alisaleh,
Learning and Development Specialist

"With Premise Health, I found a mission and team, helping people get, stay, and be well!"

- John F. Drozd, Ph.D, Director of National Virtual Behavioral Health

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Responsibilities

Epic PB Claims Associate Analyst

Requisition Number 28952 Job Location Brentwood, Tennessee

Healthcare Without Rival


Premise Health is the world's leading direct healthcare provider and one of the largest digital providers in the country, serving over 11 million eligible lives across more than 2,500 of the largest commercial and municipal employers in the U.S. Premise partners with its clients to offer fully connected care – in-person and in the digital environment. It operates more than 800 onsite and nearsite wellness centers in 45 states and Guam, delivering care through the Digital Wellness Center and onsite, nearsite, mobile, and event solutions. 


Premise delivers value by simplifying complexity and breaking down barriers to give diverse member populations access to convenient, integrated, high-quality care. We offer more than 30 products, delivering the breadth and depth of care required to serve organizations' total populations. The result is healthcare that meets the needs of members and their families, helping them live healthier while lowering costs for organizations. 


Premise offers a wide range of dynamic, purpose-driven career opportunities. We are currently looking for an Epic PB Claims Associate Analyst to join our team remotely.


About the role: Plans, analyzes, designs and modifies clinical software applications, including designing, configuring, testing, troubleshooting and installing to support an organization's clinical application systems.


Essential Functions:  

  • Plans, design, implement, maintain, and provide ongoing optimization and support for clinical application software.  
  • Consults with users to identify current operating procedures and to clarify application needs and objectives.  
  • Performs workflow assessments, capture business needs, and analyze internal systems to determine functional requirements for optimal utilization of clinical applications.  
  • Works within cross-functional team and with end-users to achieve application integration to meet clinical needs.  
  • Performs builds, upgrades, and system enhancements as needed. Support applications throughout all phases of implementation.  
  • Delivers post-implementation support, troubleshooting, and maintenance.  
  • May be expected to write documentation to describe program design, settings and configurations, logic, options, decisions, and corrections.  
  • May require other duties as assigned.  


Job Requirements: 

  • Bachelor’s degree preferred, or equivalent experience.  
  • Requires 1 to 3 years of experience as an Epic PB or Claims Analyst and/or related experience with professional billing, electronic claims processing, remittance, and denials management.  
  • Epic Resolute Professional Billing Claims and Remittance certification/proficiency preferred.  
  • Epic Data Courier Mover Badge preferred.


Preferred Experience: 

  • Possess clinical application knowledge and experience  
  • Positive attitude, detail oriented, self-motivated, critical thinker  
  • Ability to troubleshoot basic application issues and provide solutions from an existing knowledge base  
  • Basic presentation skills  
  • Ability to interact and develop relationships with intra-departmental teams  
  • Effectively communicate in both oral and written form to a widely diverse audience  
  • Requires basic understanding of healthcare terminology, clinical application configuration and/or workflows and related technologies  
  • Requires basic skills using Microsoft Office Suite (Outlook, Word, Excel, PowerPoint)  
  • Ability to complete work assignments in a timely manner as assigned by supervisor  
  • Excellent customer service skills  
  • Ability to multi-task effectively in a rapidly changing environment  
  • Ability to embody Premise Health’s cultural beliefs (Respectful, Accountable, Courageous, Ethical, Engaged, Innovative, Quality-Focused)  


Work-life balance is at the foundation of how decisions are made and where Premise is headed. We can only help people get, stay, and be well if we do the same for ourselves. In addition to competitive pay, Premise offers benefits packages including medical, dental, vision, life insurance, 401(k), paid holidays and vacation time, a company-sponsored wellness program, and much more our talent acquisition team will be happy to share with you. 


Premise Health is an equal opportunity employer; we value inclusion, and we do not discriminate based on race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status or disability status.


For individuals living in California, Colorado, Washington; as well as, for individuals living in or reporting to New York State only, Premise Health is required to  include an estimate of the salary and benefits for this role. While a number of factors influence salary, our estimated California, Colorado, Washington, and New York compensation is $50,000 - $68,500. Please note, this is a general guideline and your experience qualifications, geographic location, and other factors will be taken into consideration. For more information regarding the benefits we offer, please visit our career site, jobs.premisehealth.com/benefits.


Values

  • Accountable
  • Respectful
  • Engaged
  • Courageous
  • Innovative
  • Ethical
  • Quality-focused

What Premise Health Offers You

Along with medical, dental, and vision, Premise offers virtual behavioral health, pharmacy and 401(k) plan to just name a few!

  • Collaboration

    Delivering comprehensive integrated care to help people lead healthier lives while collaborating with the onsite team.

  • Compensation

    Competitive rate of pay, 401(k) plan, and performance-based incentive program.

  • Health and Wellness

    Programs that reduce lifestyle risks and improve overall wellbeing.

  • Professional Development

    Dedicated time off and annual stipend toward CME.

  • Work Life Balance

    10 company holidays plus paid time off that increases with years of service, no weekends or on call, manageable patient load in one location.

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