Epic Resolute Hospital Billing (HB) Analyst
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Title: Epic Resolute Hospital Billing (HB) Analyst
Location: Remote
Duration: 12+ Months
Working Conditions- Essential:
* May be required to work after hours or on weekends as needed
* Infrequent travel
* Pass pre-employment drug test
Required Experiences:
- 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 HB. 8 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. (5 years required)
- Must possess Epic certification, Resolute HB
- Minimum of five years progressive revenue cycle/healthcare experience with demonstrated experience in Epic build. (5 years required)
- Experience working with Third Party Vendors such as Experian and Relay Health (5 years required)
- Knowledge of revenue cycle billing, hospital billing, and claims processing operations and workflows
- Rapid Retest
- Payer/plan creation and maintenance
- Charge Router
- Contracts
- Behavioral Health
- Long term care psychiatric billing
- CMS IPF PPS billing regulations
- Substance abuse billing IOP, methadone dosing
- Medicare exhaust billing
- Estimates, Single Billing Office, and/or Claims.
- 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
Credentials
Essential:
* Pass general background check
* Resolute Hospital Billing Claims and Electronic Remittance Administration (Epic)
Resolute Hospital Billing Administration (Epic)
About Logisoft:
We represent Logisoft Technologies, Inc. with pride; We present ourselves as a premiere Technology, Consulting, Product Development, and Software Services Company.
Our Head Office is located in South Plainfield, NJ, and Our Offices location is in Hyderabad, INDIA & Accra, GHANA.
We are Microsoft Official Partners - A Microsoft Certified Partner that helps customers with a range of IT projects and specific IT solutions.
We started our journey in the year 2008. In the past 16+ years, we have acquired the trust of many IT market leaders.
LOGISOFT Technologies is committed to a policy of Equal Employment Opportunity and will not discriminate against an applicant or employee on the basis of age, sex, sexual orientation, race, color, creed, national origin, ancestry, disability, marital status, or any other legally protected basis under federal, state or local law.
