Job 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.
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
