Epic Professional Billing Analyst

Job Title: Epic Professional Billing Analyst

Location: Remote

Department: Epic Operations

Reports to: Epic Professional Billing Application Manager

Employment Type: Full time, Exempt

Travel Required: Up to 5%

Salary Range: $75,000 to $90,000

Summary

The Epic Professional Billing Analyst will be responsible for facilitating the discovery, design, configuration, and maintenance of the Epic professional billing modules and associated applications such as Resolute, Benefits Engine, Charge Router, and claims management and remittance functionalities. The Professional Billing Analyst will be responsible for translating the unique state billing requirements into the professional billing modules system build and configuration through collaboration with other Epic Professional Billing Analysts and Application Managers. The analyst will possess knowledge of best practice professional billing requirements, policies, and procedures. The Professional Billing Analyst coordinates all issues that arise during and after the project for their application areas and must be very knowledgeable about policies, procedures, and business operations.

Essential Functions

• Meeting with operational, administrative, and billing staff end users to understand key workflows, affiliate billing requirements, state billing nuances, and key workflows.
• Guiding professional billing workflow design, building and testing the system, and analyzing other technical issues associated with Epic software.
• Developing an understanding of operational needs to set the direction for the organization’s workflows by attending site visits and other integrated sessions.
• Attending Epic training classes to obtain required certifications in Resolute and ancillary professional billing modules.
• Translating knowledge of best practice Resolute design, build, and testing techniques throughout the implementation and ongoing support phases.
• Working with Epic project representatives to complete design, build, and testing tasks in accordance with the project plan.
• Acting as the primary support contact for the application’s end users.
• Identifying issues that arise within professional billing applications as well as issues that impact other application teams and working to reach resolution.
• Identifying and implementing requested changes to the system.
• Maintaining regular communication with Epic representatives, including participating in weekly project team meetings.
• Participating in training and working with end users to troubleshoot problems and questions.
• Holding weekly communications with team members to discuss the status of deliverables, shared issues, end user concerns, budget, and upcoming milestones.
  
  

Supervisory Responsibility: This position has no supervisory responsibility.

Competencies

To perform the job successfully, an individual should demonstrate the following competencies:

• Business Acumen, Strategic Thinking, Problem Solving,
• Customer Service and Interpersonal Skills, Oral and Written Communications
• Ethics, Diversity, Initiative, Teamwork, Leadership
• Computer and Technical Skills
• Quality, Safety & Security
  
  

Education And/or Experience

• Bachelor’s degree in Engineering, Computer Science, or related field. Prior experience may also be considered in lieu of a degree.
  
  

Required

Skills

• Possesses prior operational experience.
• Possesses prior Epic experience.
• Possesses Resolute Professional Billing Administration Certification.
• Possesses Charge Router Certification.
• Possesses excellent time management and organizational skills.
• Demonstrates adaptability and flexibility with respect to changing end user business needs.
• Demonstrates a willingness to learn new software and systems.
• Conveys information clearly and concisely with project leadership and subject matter experts.
• Conveys the ability to gain trust and establish effective relationships with Epic counterparts.
• Seeks, logically examines, and interprets information from different sources to determine a problem’s cause and develop a course of action to resolve the problem and to prevent its recurrence.
• Has a demonstrated understanding of the role that racial inequity plays in our society and its impact on healthcare systems and institutions.
• Background in professional billing, medical coding, or claims administration.
  
  

Preferred

• Possesses prior experience with professional billing workflows, charge capture and routing, insurance follow up, and healthcare insurance requirements.
• Possesses prior experience with large data gathering efforts and completing current state assessments and gap analyses of technology.
• Possesses Benefit Engine Certification or Badge.
• Demonstrates established project management skills.
• Prior experience with professional billing design and implementation efforts.
  
  

Physical and Environmental Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to sit, talk, and listen. Specific vision abilities required by this job include close vision, distance vision, color vision, and ability to adjust focus.

Sedentary Work

• Exerting up to ten pounds of force occasionally (Occasionally: activity or condition exists up to 1/3 of the time)
• And/or a negligible amount of force frequently (Frequently: activity or condition exists from 1/3 to 2/3 of the time) to lift, carry, push, pull, or otherwise move objects.
• Sedentary work involves sitting most of the time but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally, and all other sedentary criteria are met.
• Must be able to travel throughout and between facilities.
• Normal routine involves no exposure to blood, body fluid or tissue and as part of their employment, incumbents are not called upon to perform or assist in emergency care or first aid.
• There is no occupational risk for exposure to communicable diseases.
  
  

Duties and responsibilities may be added, deleted, or changed at any time at the discretion of management, formally or informally, either verbally or in writing.