EPIC HB, PB, Claims Analyst [Must be certified in HB & PB Claims]
Job title: Technical Specialist- Expert (HB, PB, Claims Analyst)
Location: 3700 Wake Forest Rd, Raleigh, NC
Duration: 12 Months from projected
Interview : Either Webcam Interview or In Person
Competency Model:
Business Acumen
Ā Understands the organization's strategic goals and how department goals support the organization.
Ā Seeks opportunities to extend and deepen learning of organization and area.
Ā Shares new information and knowledge with others.
Ā Be curious; question your assumptions when presented with an issue or question.
Ā Self-motivated to research and learn new information and explore new options.
Ā Seeks to maximize potential abilities and helps others.
Ā Follow instructions, written or oral.
Ā Adhere to all scheduling and attendance requirements.
Ā Honesty, truthfulness, reliability, accountability
Ā Read, understand and apply regulations and policies.
Ā Knowledge of relevant privacy regulations such as The Privacy Act, Freedom of Information Act and HIPPA law
Ā Knowledge of revenue cycle billing, hospital billing, professional billing, and claims processing operations and workflows
Ā Knowledge and understanding of third-party applications.
Ā Establishes professional working relationships.
Ā Communicates verbally with team, departments, guests, and management.
Communication
Ā Expresses oneself clearly in conversations, business writing and interactions with others.
Ā Delivers oral and written communications that are impactful and persuasive to their intended audiences.
Ā Demonstrates a high level of emotional intelligence in the face of conflict.
Ā Responds to tickets and emails in a timely manner.
Planning and Organizing
Ā Manages and monitors time and resources effectively to complete assignments.
Ā Utilizes resources and gets involvement from others where appropriate.
Ā Shares information, materials, and time readily with others who need them
Teamwork
Ā Encourages participation from all team members, regardless of role within organization; supports team members and customers.
Ā Identifies and works through conflict that may derail the collaborative process.
Ā Holds self and others accountable to create unifying goals and measure with peers.
Ā Support NCDHHS analyst team through knowledge sharing and concise documentation.
Ā Applies the knowledge of fundamental IT concepts.
Ā Asks questions, diligently seeks and is receptive of guidance.
Drive Change
Ā Anticipates potential concerns/resistance to change and takes constructive steps to address them.
Ā Encourages others to adopt new methods or technologies that add value or improve performance.
Ā Keeps others focused on critical goals and deadlines through periods of change or ambiguity.
Ā Be flexible and adopt new processes and methods.
Ā Stay positive in attitude and actions.
Working Conditions:
Essential:
Ā May be required to work after hours or on weekends as needed
Ā Infrequent travel
Ā Pass pre-employment drug test
Experience:
Ā Must have strong leadership and communication skills with the ability to effectively present information to clinical and business leaders within the organization.
Ā Must have experience with Epic PB, HB, and Claims. 8 years required.
Ā Ability to work in small groups under tight project deadlines.
Ā Working closely with business and revenue cycle leaders around Epic workflow and to translate business needs Epic billing functionality.
Ā Must possess Epic certification, Resolute PB, HB, and Claims.
Ā Minimum of five years' progressive revenue cycle/healthcare experience with demonstrated experience in Epic build.
Ā Self-starter with demonstrated teamwork & communication skills.
Ā Excellent communication and collaboration skills.
Ā Excellent verbal and written English communication skills and the ability to interact professionally with a diverse group are required.
Ā Experience working with Third Party Vendors such as Experian, Relay Health, and Hyland OnBase.
Ā Knowledge of revenue cycle billing, hospital billing, professional billing, and claims processing operations and workflows
Ā Rapid Retest
Ā Payer/plan creation and maintenance
Ā PLBs
Ā Charge Router
Ā Contracts
Ā Behavioral Health
Ā Long term care psychiatric billing
Ā CMS IPF PPS billing regulations
Ā Substance abuse billing Ā IOP, methadone dosing
Ā Medicare exhaust billing
Ā No-pay claims.
Ā Claim splits/interim claims.
Ā Cash Management
Ā Self-pay remittance
Ā Developing testing scripts
Responsibilities:
Ā Analyzes, documents, and communicates business requirements for new system functionality and enhancements to existing functionality.
Ā Test system changes to ensure that they meet business requirements and do not adversely impact other areas of the Epic system.
Ā Acts as the primary support contact for the application's end-users.
Ā Identifies issues that arise in their application areas and issues that impact other application teams and works to resolve them
Ā Guides workflow design, builds, tests the system, and analyzes other technical issues associated with Epic software
Ā Identifies, implements, completes integrated testing, and communicates requested changes to the Epic system
Ā Works with Epic representatives and end users to ensure the system meets the organization's business needs regarding the project deliverables and timeline
Ā 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
Ā Partners with quality, operational, and business leaders on system design and optimization to meet quality, safety, financial, and efficiency needs
Ā Collects requirements regarding potential system enhancements or new system implementation and prepares details of specifications needed; prioritizes and implements requested changes to the system.
Ā Investigates standardization and process improvement opportunities by rounding within revenue cycle areas while making build decisions.
Ā Validates that data is accurate and meets business requirements.
Ā 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.
Ā Troubleshoots and identifies root causes and documents problems of simple to medium complexity for assigned applications and systems.
Ā Maintains data integrity and security for assigned applications and systems.
Ā Develops system documentation as assigned per standards.
Ā Develops communication-related education efforts for deployments, upgrades, optimizations, and other system changes as assigned.
Ā Stays current on Epic application releases and participates in upgrade planning and testing.
Ā Participates in performance improvement activities to measure, assess and improve the quality of assigned work area
Education:
Essential:
Bachelor's degree or 8 years' experience in directly related field
Credentials:
Essential:
Ā Pass general background check
Ā Epic module certification as assigned
Ā Epic HB/PB Claims Certification
Apply Now
Location: 3700 Wake Forest Rd, Raleigh, NC
Duration: 12 Months from projected
Interview : Either Webcam Interview or In Person
Competency Model:
Business Acumen
Ā Understands the organization's strategic goals and how department goals support the organization.
Ā Seeks opportunities to extend and deepen learning of organization and area.
Ā Shares new information and knowledge with others.
Ā Be curious; question your assumptions when presented with an issue or question.
Ā Self-motivated to research and learn new information and explore new options.
Ā Seeks to maximize potential abilities and helps others.
Ā Follow instructions, written or oral.
Ā Adhere to all scheduling and attendance requirements.
Ā Honesty, truthfulness, reliability, accountability
Ā Read, understand and apply regulations and policies.
Ā Knowledge of relevant privacy regulations such as The Privacy Act, Freedom of Information Act and HIPPA law
Ā Knowledge of revenue cycle billing, hospital billing, professional billing, and claims processing operations and workflows
Ā Knowledge and understanding of third-party applications.
Ā Establishes professional working relationships.
Ā Communicates verbally with team, departments, guests, and management.
Communication
Ā Expresses oneself clearly in conversations, business writing and interactions with others.
Ā Delivers oral and written communications that are impactful and persuasive to their intended audiences.
Ā Demonstrates a high level of emotional intelligence in the face of conflict.
Ā Responds to tickets and emails in a timely manner.
Planning and Organizing
Ā Manages and monitors time and resources effectively to complete assignments.
Ā Utilizes resources and gets involvement from others where appropriate.
Ā Shares information, materials, and time readily with others who need them
Teamwork
Ā Encourages participation from all team members, regardless of role within organization; supports team members and customers.
Ā Identifies and works through conflict that may derail the collaborative process.
Ā Holds self and others accountable to create unifying goals and measure with peers.
Ā Support NCDHHS analyst team through knowledge sharing and concise documentation.
Ā Applies the knowledge of fundamental IT concepts.
Ā Asks questions, diligently seeks and is receptive of guidance.
Drive Change
Ā Anticipates potential concerns/resistance to change and takes constructive steps to address them.
Ā Encourages others to adopt new methods or technologies that add value or improve performance.
Ā Keeps others focused on critical goals and deadlines through periods of change or ambiguity.
Ā Be flexible and adopt new processes and methods.
Ā Stay positive in attitude and actions.
Working Conditions:
Essential:
Ā May be required to work after hours or on weekends as needed
Ā Infrequent travel
Ā Pass pre-employment drug test
Experience:
Ā Must have strong leadership and communication skills with the ability to effectively present information to clinical and business leaders within the organization.
Ā Must have experience with Epic PB, HB, and Claims. 8 years required.
Ā Ability to work in small groups under tight project deadlines.
Ā Working closely with business and revenue cycle leaders around Epic workflow and to translate business needs Epic billing functionality.
Ā Must possess Epic certification, Resolute PB, HB, and Claims.
Ā Minimum of five years' progressive revenue cycle/healthcare experience with demonstrated experience in Epic build.
Ā Self-starter with demonstrated teamwork & communication skills.
Ā Excellent communication and collaboration skills.
Ā Excellent verbal and written English communication skills and the ability to interact professionally with a diverse group are required.
Ā Experience working with Third Party Vendors such as Experian, Relay Health, and Hyland OnBase.
Ā Knowledge of revenue cycle billing, hospital billing, professional billing, and claims processing operations and workflows
Ā Rapid Retest
Ā Payer/plan creation and maintenance
Ā PLBs
Ā Charge Router
Ā Contracts
Ā Behavioral Health
Ā Long term care psychiatric billing
Ā CMS IPF PPS billing regulations
Ā Substance abuse billing Ā IOP, methadone dosing
Ā Medicare exhaust billing
Ā No-pay claims.
Ā Claim splits/interim claims.
Ā Cash Management
Ā Self-pay remittance
Ā Developing testing scripts
Responsibilities:
Ā Analyzes, documents, and communicates business requirements for new system functionality and enhancements to existing functionality.
Ā Test system changes to ensure that they meet business requirements and do not adversely impact other areas of the Epic system.
Ā Acts as the primary support contact for the application's end-users.
Ā Identifies issues that arise in their application areas and issues that impact other application teams and works to resolve them
Ā Guides workflow design, builds, tests the system, and analyzes other technical issues associated with Epic software
Ā Identifies, implements, completes integrated testing, and communicates requested changes to the Epic system
Ā Works with Epic representatives and end users to ensure the system meets the organization's business needs regarding the project deliverables and timeline
Ā 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
Ā Partners with quality, operational, and business leaders on system design and optimization to meet quality, safety, financial, and efficiency needs
Ā Collects requirements regarding potential system enhancements or new system implementation and prepares details of specifications needed; prioritizes and implements requested changes to the system.
Ā Investigates standardization and process improvement opportunities by rounding within revenue cycle areas while making build decisions.
Ā Validates that data is accurate and meets business requirements.
Ā 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.
Ā Troubleshoots and identifies root causes and documents problems of simple to medium complexity for assigned applications and systems.
Ā Maintains data integrity and security for assigned applications and systems.
Ā Develops system documentation as assigned per standards.
Ā Develops communication-related education efforts for deployments, upgrades, optimizations, and other system changes as assigned.
Ā Stays current on Epic application releases and participates in upgrade planning and testing.
Ā Participates in performance improvement activities to measure, assess and improve the quality of assigned work area
Education:
Essential:
Bachelor's degree or 8 years' experience in directly related field
Credentials:
Essential:
Ā Pass general background check
Ā Epic module certification as assigned
Ā Epic HB/PB Claims Certification
Apply Now