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    • 5+ years of PB claims/billing experience.
    • Strong understanding of claims lifecycle, denial management, and payer guidelines.
    • Effectuer l'analyse d'un ensemble de demandes de prestations d'assurance salaire en plus du service de gestion des absences.
    • Reviewing, examining, calculating, and making decisions on a variety of claims received in the claims processing unit, to ensure the claim is paid under the…
    • Assist front line claims staff in interpreting complex medical and functional information.
    • Th focus is on enhancing customer outcomes and clinical consistency…
    • 3 - 4 years’ experience handling litigated bodily injury claims, including both general liability/premises operations claims and auto tort liability.
    • Le *Groupement des assureurs automobiles (GAA)* est un organisme à but non lucratif qui aide les conducteurs québécois en matière d’assurance automobile et qui…
    • Capacité à examiner des dossiers et à interpréter des données financières et administratives.
    • Examiner et analyser les réclamations d'assurance afin d'en…
    • Coordonner les activités des différents intervenants dans le dossier et prendre les décisions sur l’acception de responsabilité et le paiement des sinistres.
    • Reviews claim entitlement recommendations for creditor claim acceptance or denial and provide financial and process oversight for Examiners.
    • Training Materials: You will update and maintain technical documentation, the claims manual and all claim' handbooks.
    • Participation in the profit share program.
  • View similar jobs with this employer
    • Manage challenging coverage claims with tact and professionalism.
    • Litigations claims : 3 years (required).
    • Minimum 3 years of experience handling bodily injury…
    • Maintain claim related notes in the company’s platform Exclaim, related to various tasks involved in handling the claim.
    • Wellness programs and gym membership.
    • You’ll communicate claim decisions and prepare supporting documentation when required.
    • You’ll assess claims details and accurately update information within…
    • Nous acceptons activement des candidatures pour pourvoir un poste vacant.
    • Expérience de travail de cinq années ou plus dans la gestion de l’invalidité, les…
    • Enquêter, évaluer et déterminer l’admissibilité au paiement initial et continu des demandes de règlement selon les renseignements médicaux, les exigences de…
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Job Post Details

Epic PB Claims Analyst - job post

W3Global Canada, Inc
Remote
$100,000–$120,000 a year - Full-time

Job details

Pay

  • $100,000–$120,000 a year

Job type

  • Full-time

Full job description

Role Summary:
Seeking an experienced Epic PB Claims Analyst (5+ years) to support professional billing operations in a client-facing role. The candidate will leverage Epic PB expertise to manage the end-to-end claims lifecycle, resolve issues, and partner closely with clients to drive revenue cycle performance.

Key Responsibilities:

  • Manage and resolve Epic PB claims edits, denials, and rejections

  • Work directly with client stakeholders to provide updates, insights, and solutions

  • Perform claim corrections, resubmissions, and payer follow-ups within Epic

  • Monitor work queues and ensure SLA adherence

  • Collaborate with coding, front-end, and billing teams for clean claim submission

Required Qualifications:

  • 5+ years of PB claims/billing experience

  • Mandatory: Hands-on experience with Epic PB

  • Mandatory: PB Claims Certification

  • Strong understanding of claims lifecycle, denial management, and payer guidelines

  • Proven client-facing experience with strong communication skills

  • Strong analytical and problem-solving abilities with attention to detail





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