Are you ready to make an impact in the world of non-profit healthcare IT? Carex is thrilled to be partnering with a mission-driven organization as they search for an Epic Professional Billing Analyst (must have Epic certs). This person 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. This role is remote and will work mainly CST hours.
What You’ll Do:
- 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.
What You’ll Bring:
- Bachelor’s degree in Engineering, Computer Science, or related field. Prior experience may also be considered in lieu of a degree.
- 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.
- Strong Business Acumen, Strategic Thinking, and Problem Solving
- Exceptional Customer Service and Interpersonal Skills
- Values Ethics, Diversity, Initiative, Teamwork, Leadership
- Quality, Safety & Security
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.
Salary Range: $75,000 – $90,000 base/yr
If the range doesn’t align with your needs, please still apply! Carex values transparency in all steps of the recruiting process. The range listed above is dependent on skills and experience as it relates to the role. New roles arise every day, and we want you to be the first to know when the right role pops up for you.
Carex Consulting Group is an equal opportunity employer. We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, marital status, disability, gender identity or Veteran status.
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