Job Description:

Experience:

• Must have strong leadership and communication skills with the ability to effectively present information to clinical and business leaders within the organization.

• Must have experience with Epic PB. 5 years required.

• Ability to work in small groups under tight project deadlines.

• Working closely with business and revenue cycle leaders around Epic workflow and to translate business needs Epic billing functionality.

• Must possess Epic certification, Resolute PB

• Minimum of five years’ progressive revenue cycle/healthcare experience with demonstrated experience in Epic build.

• Self-starter with demonstrated teamwork & communication skills.

• Excellent communication and collaboration skills.

• Excellent verbal and written English communication skills and the ability to interact professionally with a diverse group are required.

• Experience working with Third Party Vendors such as Experian and Relay Health

• Knowledge of revenue cycle billing, professional billing, and claims processing operations and workflows

• Rapid Retest

• Payer/plan creation and maintenance

• PLBs

• Charge Router

• Contracts

• Behavioral Health

• Long term care psychiatric billing

• CMS IPF PPS billing regulations

• Substance abuse billing – IOP, methadone dosing

• Medicare exhaust billing

• No-pay claims.

• Claim splits/interim claims.

• Cash Management

• Self-pay remittance

• Developing testing scripts

Responsibilities:

• Analyzes, documents, and communicates business requirements for new system functionality and enhancements to existing functionality.

• Test system changes to ensure that they meet business requirements and do not adversely impact other areas of the Epic system.

• Acts as the primary support contact for the application's end-users.

• Identifies issues that arise in their application areas and issues that impact other application teams and works to resolve them

• Guides workflow design, builds, tests the system, and analyzes other technical issues associated with Epic software

• Identifies, implements, completes integrated testing, and communicates requested changes to the Epic system

• Works with Epic representatives and end users to ensure the system meets the organization's business needs regarding the project deliverables and timeline

• Performs in-depth analysis of current and future workflows, data collection, report details, and other technical issues associated with the Epic EHR and designated third-party applications

• Partners with quality, operational, and business leaders on system design and optimization to meet quality, safety, financial, and efficiency needs

• Collects requirements regarding potential system enhancements or new system implementation and prepares details of specifications needed; prioritizes and implements requested changes to the system.

• Investigates standardization and process improvement opportunities by rounding within revenue cycle areas while making build decisions.

• Validates that data is accurate and meets business requirements.

• Completes integrated testing to test system changes in all Epic environments to ensure that they meet business requirements and do not adversely impact other areas of the system.

• Troubleshoots and identifies root causes and documents problems of simple to medium complexity for assigned applications and systems.

• Maintains data integrity and security for assigned applications and systems.

• Develops system documentation as assigned per standards.

• Develops communication-related education efforts for deployments, upgrades, optimizations, and other system changes as assigned.

• Stays current on Epic application releases and participates in upgrade planning and testing.

• Participates in performance improvement activities to measure, assess and improve the quality of assigned work area

Education:

Essential:

Bachelor’s degree or 5 years’ experience in directly related field

Credentials:

Essential:

* Pass general background check

* Resolute Professional Billing and Electronic Remittance Administration (Epic)

Resolute Professional Billing Administration (Epic)