Epic Professional Billing Analyst

New York, NY Full Time
POSTED ON 5/8/2024

Epic Resolute Professional Billing Analyst

New York, NY (Manhattan) Near 48th & Lexington

Hybrid - 3 Days in Office

Full-Time – Direct Hire (Not a Contract)

Overview:

Our client has an opportunity for an experienced Epic Analyst to collaborate on all aspects of implementations, upgrades, and maintenance of the Epic Enterprise System’s Professional Billing module. As a key member of the Information Technology Department, the Epic Analyst II will attain/maintain specialized knowledge of our enterprise Electronic Medical Record (EMR) software and serve as a vital liaison between the IT Department, hospital departments, physician’s offices, and Epic representatives.

  • Configure the Hospital’s electronic medical record and additional applications.
  • Maintain Resolute Professional Billing module to configure trigger/modify charges, benefit engine, and work with external collection agencies. Build, test, and present to end-users and change control, and migrate build to production.
  • Support all end users on Epic EMR system, integrate Revenue Cycle processes such as maintaining claim scrubber and payment processor.
  • Responsible for system implementations, current system upgrades, and industry standard (transition from X12 4010 to 5010 format, ICD 9 to 10 upgrade, and implement new user workflows).
  • Support other IT department initiatives and projects. Use advanced knowledge of assigned Epic System software to collaborate on all aspects of the Epic Systems and PB modules, as well as complimentary software mentioned above.
  • Use advanced knowledge of enterprise Electronic Medical Record (EMR) software and serve as a vital liaison between the HSS IT Department, Professional Billing Office, Finance, billing vendors, collection agencies.
  • Conduct regular day-to-day communication, reviewing the software, demonstrating a deeper understanding of business operations, and working with Epic, other software vendors, HSS Operational Representatives/Subject Matter Experts, and end-users to tailor the systems to fit the organization's needs while maintaining data integrity.
  • Perform in-depth analysis of workflows, data collection, report details, and other technical issues, develop and document the internal procedures that will be used in conjunction with Epic and other applications.
  • Remain current on Epic technologies, obtain, and maintain Epic certifications as warranted.
  • Provide on-site support during go-live and system upgrade scenarios.
  • Experience and ability to work in a ticket system effectively and efficiently.
  • Provide on-call support on a rotating basis
  • Identifies opportunities to improve existing processes and gives meaningful feedback to help the customer or team to improve.
  • Reviews and assesses the impact of changes and enhancements with each new Epic release and makes recommendations for the best course of action.

Minimum Requirements

  • Bachelor’s Degree and certified in Epic Professional Billing.
  • Must have experience with charge router, work queue configuration, collection agency workflows, statement processing, facility structure, security, and credit card gateway.
  • Demonstrated ability to adhere to process standards around documentation and workflow design.
  • Project management skills including, but not limited to the ability to lead meetings, prioritize, resolve conflicts, maintain issues list, and manage project plans.
  • Driven to expand on current healthcare IT knowledge and expertise. Self-motivated, strong interpersonal skills, excellent verbal, and written communication skills, detail-oriented and pragmatic; a great team player who is analytical and solution-focused.
  • Proficiency with Microsoft Office including, but not limited to Word, Project, Excel, Visio, and PowerPoint.
  • Successful candidates will be required to obtain/maintain Epic Certification(s) essential to their job responsibilities.
  • Flexibility to work an expanded work schedule, including early mornings, nights and weekends during major implementations, upgrades and/or support efforts.

Desired Qualifications

  • 3 years working in a physician and revenue cycle environment.
  • Prior experience implementing, teaching, and supporting users with new applications and/or Epic in an ambulatory or hospital environment is preferred.
  • Cross-application integration experience is highly desired.
  • Assessment and change management/transformation experience preferred.

Job Type: Full-time

Pay: $56,020.78 - $120,465.88 per year

Benefits:

  • 401(k)
  • Dental insurance
  • Health insurance
  • Paid time off
  • Vision insurance

Work setting:

  • In-person

Experience:

  • HEDIS: 1 year (Preferred)

License/Certification:

  • Epic Certification (Preferred)

Ability to Commute:

  • New York, NY 10001 (Required)

Ability to Relocate:

  • New York, NY 10001: Relocate before starting work (Required)

Work Location: In person

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