Remote Claims Jobs in Racine, WI (NOW HIRING)

At Children's Wisconsin, we believe kids deserve the best.

Children's Wisconsin is a nationally recognized health system dedicated solely to the health and well-being of children. We provide primary care, specialty care, urgent care, emergency care, community health services, foster and adoption services, child and family counseling, child advocacy services and family resource centers. Our reputation draws patients and families from around the country.

We offer a wide variety of rewarding career opportunities and are seeking individuals dedicated to helping us achieve our vision of the healthiest kids in the country. If you want to work for an organization that makes a difference for children and families, and encourages you to be at your best every day, please apply today.

Please follow this link for a closer look at what it's like to work at Children's Wisconsin:https://www.instagram.com/lifeatcw/

Join Children's Wisconsin as a Remote Senior Applications Analyst - Epic Resolute Billing, where you will serve as a subject matter expert in Resolute Hospital Billing, leading complex, cross-functional solutions that optimize billing systems and support high-quality patient care operations.

Location: Remote

What you will do:
Provides support, analysis, configuration, development, testing and implementation services for Epic Resolute Hospital Billing. This will also include other related applications: Resolute Professional Billing, Claims. Identified as an application expert and primary contact in Resolute Hospital Billing. Performs work that is complex and cross functional in nature. Analyzes, develops, tests and implements solutions while adhering to Change Control and Testing methodologies and all other related CHW documentation standards.

Essential Functions
- Ensures the stability, reliability and performance of the applications or modules for which they provide support by having a thorough understanding of the applications, operational workflows, integration points and technical components.
- Develops and maintains working relationships with application vendor(s), aware of contracted SLA's, and establishes appropriate prioritization of requests and issues.
- Performs issue resolution, user requirement gathering for changes/enhancements, updates/upgrades and new functionality.
- Meets or exceeds service level agreements in relation to resolution of customer issues. This includes collaboration with third party resources, operations and other IS teams. Responds quickly and appropriately to customer service requests.
- Problem solving: collaborates with both internal and external resources to develop solutions to a variety of problems with large scope and complexity and measures impact of each solution.
- Discretion/latitude: works is performed without appreciable direction, assignments are often self-initiated, and applies considerable latitude in determining technical objectives of work.
- Analytical insight: clearly understands integration points with other applications and downstream systems, able to use advanced tools to run requested reports, able to translate user requirements into system specifications, works with internal teams to develop workflows, and applies best practices. Supports organizational and departmental changes. Demonstrates expertise to apply change management principles, processes, behaviors and skills necessary to effectively prepare an impacted audience for a sustainable change.
- Systems thinking: supports the holistic interrelationships that exist within and across health care systems, demonstrates support of the health systems strategic initiatives, and participates in the development of team and departmental goals. Represents the team as a primary contact on projects.
- Collaboration/liaison: collaborates with leadership, project managers and peers in the planning, development and deployment of new solutions/enhancements. Leads multiple medium to large sized initiatives following established project management methodologies. Documents workflow processes, application support knowledge, and project related activity. Proactively communicates new release features, changes and critical issues to users, staff, and leadership. Recognized as an expert resource for the team within the organization.
- Response to diversity: coaches others to promote and maintain a diverse, inclusive and stimulating work environment where others are treated with dignity and respect, valued for their differences in thought, background, experience, perspectives and empowers others to succeed.

What you will need:

• Requires a Bachelor's Degree or equivalent demonstrated knowledge.

• Minimum of 5-7 years of relevant experience.

• Epic certified in module Resolute Hospital Billing. Must continue to maintain certifications.

• Strong project management skills as demonstrated by leading medium or large projects.

• Experience with Microsoft Office tools and applications. Demonstrated strong analytical skill.

Knowledge, Skills and Abilities
- Full knowledge of industry practices and standards.
- Proficient with Microsoft Office tools and applications.
- Mentors others by sharing knowledge, skills, and experience to help others develop and grow.
- Proven ability to multi-task and set priorities on numerous competing initiatives of varying complexity.
- Excellent written and verbal communication skills that is adaptable to varying audiences.
- Independent with the development and accomplishment of personal goals. Seeks opportunities to pursue professional growth.
- Demonstrates skill with the following competencies: manage conflict, business insight, being resilient and resourcefulness.
Required for All Jobs:
- This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that may be requested in the performance of this job.
- Employment is at-will. This document does not create an employment contract, implied or otherwise.

Children's Wisconsin is an equal opportunity / affirmative action employer. We are committed to creating a diverse and inclusive environment for all employees. We treat everyone with dignity, respect, and fairness. We do not discriminate against any person on the basis of race, color, religion, sex, gender, gender identity and/or expression, sexual orientation, national origin, age, disability, veteran status, or any other status or condition protected by the law.

Certifications/Licenses: