Medical Records Consultant

End Client: State of North Carolina

Job Title: Epic PB Billing Analyst

Duration: 12 Months

Start Date: ASAP

Location: Remote

Position Type: Contract

Interview Type: Webcam Interview Only

Requirement ID: SNC_EPIC475_VV

Position # : Technical Specialist- Expert (Epic PB Billing Analyst) (760475)

Required Skills:

• 5 Years of Must have strong leadership and communication skills with the ability to effectively present information to clinical and business leaders within the
• 5 Years of Must have experience with Epic PB.
• 5 years of Ability to work in small groups under tight project deadlines.
• 5 Years of 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. (Required).
• 5 Years of Minimum of five years’ progressive revenue cycle/healthcare experience with demonstrated experience in Epic build. (Required).
• Self-starter with demonstrated teamwork & communication skills. (Required)
• 5 Years of Excellent communication and collaboration skills.
• 5 Years of Excellent verbal and written English communication skills and the ability to interact professionally with a diverse group are required.
• 5 Years of Experience working with Third Party Vendors such as Experian and Relay Health.
• 5 Years of Knowledge of revenue cycle billing, professional billing, and claims processing operations and workflows.

Department: NCDHHS

Description:

The State of North Carolina Dept. of Health and Human Services is looking for a Professional Billing Analyst to assist with the Epic EHR Implementation.

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