What are the responsibilities and job description for the Epic Hospital Billing/Claims Analyst position at Reid Hospital & Health Care Services, Inc.?
Epic Hospital Billing/Claims Analyst 8103 Information Technology- Enterprise Applications Schedule: Day Shift. Monday - Friday. 8-5, occasional evenings/weekends Type additional details specific to position and/or department. About the Position Responsible for design, analysis, testing, installation, and support activities for Epic related information system solutions as required that are developed or acquired as part of the overall hospital network of integrated computer systems. Incumbents must be able to help and consultation to enterprise departments, with system application issues, and serve as technical coordinator between departments and any outside vendors. Indepth knowledge of Epic software is obtained by attending Epic training with completion of application certification projects and tests. Training may be onsite at Verona, Wisconsin or virtually from the office. Overview of Responsibilities Completes assigned Epic certifications, training, projects, and testing. Works closely with our other EHR Certified Analysts for assigned applications. Completes Epic related tasks assigned by supervisor. Provides technical subject matter expertise and business process knowledge to project teams analyzing systemic or process issues within assigned areas. Provides input on alternative solutions ensuring the project team is fully educated on required effort, technical constraints, and impacts to existing system stability. Assists departments / project teams in defining requirements for new systems. Assists project manager in development of project plans focusing on technical work requirements and effort. Participates in vendor selection process including demonstrations and functional comparison activities. Completes appropriate departmental pre-purchase checklists and documentation. Provides input into contract / statement of work for new systems / functionality in supported areas. Provides input to design team in development of updated process diagrams, screen layouts, and any other elements of the design as defined by the project team. Writes design specifications. Completes system build / development tasks based on design specifications. Completes unit testing of system components validating accuracy of build as defined by specifications. Participates in testing using test scripts to validate business processes. Participates in development and validation of training material. Participates in training sessions ensuring appropriate knowledge transfer to end users. Participates in go-live events providing support, training, and troubleshooting assistance to deployment teams. Provides technical support to system end users functioning as the primary resource for managing and resolving system issues. Maintains software for assigned systems at supportable levels and communicates available updates and enhancements to end users. Monitors incident tickets and provides timely resolution of same. Maintains detailed system documentation reflecting system architecture, security, and other requirements as defined in documentation templates. Leads analysis of current state. Develops alternative solutions and leads teams through analysis. Develops project plans for small to medium implementations / upgrades. Coordinates vendor selection activities. Leads system design teams ensuring all business processes are addressed within specifications. Develops comprehensive test plans that cover organizational business processes affected by implementation. Coordinates cross-functional integrated testing managing schedules, organizing staff, and tracking issues. Participates in coordination of go-live event developing detailed plan and coordinating resources. Participates in change management activities for assigned systems. Coordinates optimization activities proactively identifying improvements that allow end users to function more effectively. Communicates successfully at all levels of the organization. Functions independently executing assignments with minimal oversight. Participates in implementations having high complexity / organizational visibility. Keeps abreast of current industry developments and trends. Advises supervisor of progress on projects and any key issues. Understands the Quality Assurance and Improvement Plan and participates in department activities as requested. Perform other assignments as specified by supervisor. Work independently of any consulting services other than the Epic Technical Service. Coordinates change management, optimization, activities for assigned systems. Coordinates requests requiring cross-functional teams for resolution. Epic Specific Application Information: Hospital Billing This position includes certifications in Resolute Hospital Billing, Claims, Electronic Remittance, and Contracts and Hospice Claims. The Hospital billing Analyst is responsible for configuration of the application to meet the needs of the hospital billing service line. Prior experience in hospital billing revenue cycle workflows including a solid understanding of revenue cycle management and/or experience with billing operations is a benefit. Areas that integrate with hospital billing include charging, claims and remittances, extracts, and other third-party applications. Professional Billing This position includes certification in Resolute Professional Billing and Charge Router. The Professional Billing Analyst is responsible for configuration of the application to meet the needs of the professional billing service line. Prior experience in ambulatory revenue cycle workflows including a solid understanding of revenue cycle management and/or experience with billing operations is a benefit. Areas that integrate with professional billing include charging, claims and remittances and other 3rd party applications. Education & Experience Two to three years’ experience with Information technology application development, training, and implementation in a healthcare setting. Must have at least five years of Epic experience. Must have at least two Epic certifications and be proficient in assigned module. Licensure & Certification Epic certifications required. Our values of Excellence, Empathy, Integrity and Accountability are essential to exceed our customers’ expectations. At Reid, we look for individuals who believe in our core values and demonstrate a genuine desire to make a positive impact to those we serve. We take pride in employing people who show up every day with a commitment to these values along with our mission and vision. We are one team working toward a common goal of providing outstanding customer care and service to our communities. If you have a calling to serve and are looking for meaningful and purposeful work, Reid Health is the place for you. Reid Health's inpatient hospital is a 189-bed, regional referral center with a Level lll Trauma Center and a Primary Stroke Center designation. Reid Health's outpatient services include more than 40 specialties and sub-specialties throughout an eight-county service area. With more than 3,100 employees, 100 volunteers, and 170 healthcare clinicians on staff, Reid Health believes in wholeness -- in body, mind, and spirit. The minute you step through Reid's doors, you'll be surrounded by friendly faces. Each of our employees plays an important role in the friendly and caring environment we call Reid Health. It's more than a place to work. Reid team members are involved in and care for our community, fostering a sense of belonging and camaraderie. They are the reason our patients feel safe and cared for. And they are the reason Reid Health is ranked among the best in quality care. Reid Health is looking to add to its family with service-minded individuals like you. Whether you come from a clinical background or simply want to work in an environment that allows you to pursue your passions of service to others, we have opportunities for people just like you. Find yourself at Reid Health. If you are unable to find an open position you are interested in today, please consider Introducing Yourself so that we may reach out to you in the future. Daycare, Doordash, Daily Pay, therapy dogs, massages, Forbes rated Best Places to Work 2022 Equal Employment Opportunity has been, and will continue to be, a fundamental principle at Reid Health. Therefore, Reid Health provides equal employment opportunities to all employees and applicants for employment without regard to race, color, religion, gender, national origin, citizenship, age, disability, sexual orientation, gender identity, veteran or military status, genetic information, or any other factor protected by law. This applies to all policies and procedures relating to recruitment and hiring, compensation, benefits, termination, and all other terms and conditions of employment. Reid Health does not accept unsolicited assistance from search firms for employment opportunities. Please do not call or email. All resumes submitted by search firms to any employee or other representative at Reid Health via email, the internet or in any form and/or method without a valid written search agreement in place and approved by HR will result in no fee being paid in the event the candidate is hired by Reid Health. Please be aware: Across the country there has been an increase in job offer scams. Reid Health has taken measures to protect ourselves from this. Our hiring practices do require face to face interviews and on-site visits prior to offers of employment.