California Licensed PB Analyst
Job Summary
To support the transition of Optum Claims Manager edits to Epic charge review edits, the contract California Licensed PB Analyst will lead charge router cleanup and regulatory edits efforts while working remotely until September 2027.
Key responsibilities
- Lead the transition of Optum Claims Manager edits to Epic charge review edits
- Assist with charge router cleanup and management of workqueues
- Utilize expertise in regulatory edits, including LCD/NCD, CCI, and MUE
Required qualifications
- California Licensed PB Analyst certification
- Epic Resolute Professional Billing Admin certification
- Experience with charging workflows and charge router processes
- Knowledge of regulatory edits such as LCD/NCD, CCI, and MUE
- Ability to lead projects and collaborate with cross-functional teams
Complete Job Description
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