Hospital Claims Analyst
Yuma Regional Medical Center - Yuma, AZ

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The Hospital Claims Analyst will be responsible for building all the claims adjudication features in the acute hospital setting. Should be knowledgeable about policies, procedures, and business operations in the acute hospital business environment. Participates in regular day-to-day communication with other project teams and works with Epic and community based Subject Matter Experts (SMEs) to ensure the claims build will fit the organization’s and community needs. Participates in the development of workflows, data collection and analysis, reporting, and other technical issues associated with the use of business software. Participates in developing and documenting the standard build procedures that will be used in conjunction with other Epic applications.

Job Description-Education
Associates Degree or equivalent higher education (60+ completed college credits) in related field. Education Preferred: Bachelor degree in education, business, or related field

Job Description -Experience
• 2+ years healthcare setting experience or 2+ years technical setting experience or hold Electronic Health Record certification/credentials • Computer proficiency (must be able to pass computer proficiency assessment) and demonstrate proficiency in related technical knowledge • Demonstrate expertise in Claims Adjudication. Preferred: • Experience with EPIC Electronic Health Record or similar electronic record systems. • Epic claims and remittance experience • 5+ years claims adjudication in acute hospital setting Certification/Travel Requirement: Must become certified in appropriate module which includes travel to the training facility for three separate week periods and successfully pass tests and project assignments within designated time periods. Must maintain certification yearly per Epic Standards Note: YRMC will accept equivalent combination of education and experience.

YRMC will accept equivalent combination of education and experience.

About this company
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As the only full-service acute care hospital between Phoenix and San Diego, YRMC offers you a rare opportunity to find a rewarding career...