EPIC Physician Billing Analyst - TalentPlug LLC : Job Details

Job Title: EPIC Physician Billing Analyst

Job Description:

• An Epic Physician Billing Analyst (also known as an Epic Professional Billing Analyst) is responsible for the configuration, maintenance, and optimization of the Epic Professional Billing module within a healthcare organization.
• This role is vital for ensuring accurate patient billing, claims processing, and reimbursement for services provided by individual healthcare providers, such as doctors or therapists.

Key Responsibilities:

System Configuration and Maintenance:

• Configure and customize the Epic Professional Billing application to meet the specific business needs and workflows of the organization.
• Maintain the Resolute Professional Billing module to manage charges, benefit engines, and workflows with external collection agencies.
• Perform ongoing maintenance and updates to Epic applications.
• Build and test system changes, presenting them to end-users and migrating them to production.

Workflow Analysis and Optimization:

• Analyze existing financial workflows and identify opportunities for improvement and optimization.
• Design and implement leading practice workflows to enhance efficiency and effectiveness.
• Collaborate with various stakeholders, including IT, finance, and end-users, to ensure the Epic system aligns with business operations.

Support and Troubleshooting:

• Act as the primary support contact for Epic Professional Billing application end-users.
• Provide support to end-users on the Epic EMR system, including integrating revenue cycle processes such as maintaining claim scrubbers and payment processors.
• Troubleshoot system errors and resolve issues related to billing, claims, and reimbursement.
• Provide on-call support on a rotating basis.

Training and Education:

• Participate in training and educate end-users on the Epic Professional Billing application and related workflows.
• Develop and document internal procedures for using Epic and other applications.

Compliance and Updates:

• Stay current with Epic technologies, obtain and maintain necessary Epic certifications.
• Ensure compliance with industry standards and regulations, such as transitioning between different claim formats (e.g., X12 4010 to 5010) and coding systems (e.g., ICD-9 to ICD-10).
• Review and assess the impact of changes and enhancements with each new Epic release and make recommendations for the best course of action.

Essential skills and qualifications:

Education and Certification:

• Bachelor is Degree, preferably in Computer Science, Information Technology, Computer Engineering, or a related field.
• Certified in Epic Professional Billing.

Must Have:

• Bachelor is Degree, preferably in Computer Science, Information Technology, Computer Engineering, or a related field.
• Certified in Epic Professional Billing.
• 3+ years of experience and expertise in Epic's Professional Billing module, including charge router, work queue configuration, collection agency workflows, statement processing, benefit engine, and estimates.
• Experience with system configuration and troubleshooting tools.

Technical Skills:

• Expertise in Epic's Professional Billing module, including charge router, workqueue configuration, collection agency workflows, statement processing, benefit engine, and estimates.
• Experience with system configuration and troubleshooting tools.
• Proficiency with Microsoft Office Suite (Word, Project, Excel, Visio, and PowerPoint).

Healthcare Industry Knowledge:

• Strong understanding of healthcare revenue cycle processes, medical billing codes, and insurance procedures.
• Familiarity with the differences between professional billing and hospital billing.
• Knowledge of medical coding systems like CPT and ICD-10.

Soft Skills:

• Strong interpersonal relationship skills and effective communication skills (both oral and written).
• Analytical thinking and problem-solving abilities.
• Attention to detail and accuracy.
• Self-motivated and a team player.

Header:

• An Epic Physician Billing Analyst (also known as an Epic Professional Billing Analyst) is responsible for the configuration, maintenance, and optimization of the Epic Professional Billing module within a healthcare organization.
• This role is vital for ensuring accurate patient billing, claims processing, and reimbursement for services provided by individual healthcare providers, such as doctors or therapists.
• Candidate must be aware and comfortable that this role requires 5 days per week onsite during training. After training, it transitions to a hybrid schedule with Monday, Tuesday, and Friday in-office in Hicksville/Garden City, NY

Additional information:

• Highly prefer someone local to the Hicksville, Garden City NY area – no relocation package and interview is in-person/onsite
• Benefits:

Medical, Dental, Vision – BCBS

401k

FSA

Tuition reimbursement

PTO, 9 paid holidays, 12 sick days

• Interview process: Onsite interview w/ President and VP/CFO