What are the responsibilities and job description for the Senior Application PB/HB Claims Analyst - Remote position at M Health Fairview?
Overview
The Senior Application PB/HB Claims Analyst role with Epic Hospital and/or Professional billing (HB and/or PB) will provide technical expertise and leadership, including configuring, documenting, testing, modifying and maintaining software applications. Apply specific applications and technology expertise to the specification and design development process. Lead the creation of system and operating documentation. Support all issues that arise within the specific application area. Job functions include configuring applications by translating the business requirements into software specifications.
This position is eligible for benefits!
Responsibilities/Job Description
- Utilize expertise to design new and existing applications. Configure code, test and troubleshoot existing programs. Analyze end user data and business needs to assure user-orientation and optimal program/system performance.
- Proactively initiates and participates in IT workflow definition and monitoring of processes including 1) Incident and Problem Management, 2) IT Service Request and Task Management, 3) Change Control Management and 4) IT Project Management.
- Accurately and efficiently works to provide application workflow and functional analysis, build and configuration, unit and integrated testing, and plans for transition to application ongoing support. Understands workflows with the objective to meet business needs.
- Effectively unit test all code and programs prior to releasing them to the quality assurance (QA) team. Resolve all unit test issues in a timely manner. Collaborate with the QA team to identify test cases and create/mine test data to enable a thorough test of all deliverables. Respond to all inquiries and issues in a timely manner as the developed code/program moves through the testing process and ultimately into production. Provide implementation/production support as required.
- Evaluate and understand dependencies between applications to understand if making a change in one application would have a negative impact in another application. Use knowledge of assigned application(s) to help resolve issues and drive optimal business solutions.
- Maintain up-to-date application knowledge and understanding of how the business uses the applications in their workflows. Partner with the business to gather requirements and goals to drive optimal solutions.
- Evaluate, troubleshoot and lead root-cause analysis for production issues and system failures; determine corrective action and improvements to prevent recurrence. Provide implementation/production support as required.
- Proactively provide subject matter expertise regarding assigned application(s) to other members of the technology and business teams to ensure quality and minimize impact on other applications and business processes.
- Coach and mentor staff regarding technology, methodologies and standards. Proactively share knowledge and collaborate with IT teams to ensure quick and effective responses to customer needs. Maintain up-to-date business domain knowledge and technical skills in software development technologies and methodologies.
- Pro-actively participates in creating and implementing improvements to achieve clinical, satisfaction and/or efficiency outcomes.
- Provides ongoing operational system support and resolves escalated issues. Interacts with vendors on problem determination, resolution, issue tracking, upgrades and fixes.
- Participates in after-hours support as determined by IT Leadership
- Patient Centered: Provide services centered on the needs and safety of our patients and families.
Qualifications
Required Qualifications
· Bachelor’s degree or combination of education and related work experience
· 5 years of IT application experience
· Strong understanding of the Software Development Life-Cycle (SDLC).
· Demonstrated analytical critical thinking skills for process development or problem resolution.
· Demonstrated working knowledge and expertise of healthcare processes and application system coordination.
· Demonstrated knowledge of database structure and working practice of reporting techniques and tools.
License/Certification/Registration
· If supporting Epic, certification in core applications is required within six months of employment.
Preferred Qualifications
· Bachelor’s degree in IT field
· Experience within the Healthcare Industry
· Certifications and experience relative to the role
License/Certification/Registration
· Epic Certifications for Epic roles
