Billing Analyst

Summary

Join our team as a remote HB Billing Analyst in Raleigh, NC for a 12+ month contract! This role requires a certified and experienced professional to contribute to our Epic EHR implementation. You will analyze business requirements, test system changes, and provide primary support to end-users. Strong leadership, communication, and teamwork skills are essential, along with extensive experience in Epic HB and revenue cycle billing. The ideal candidate possesses relevant certifications and a Bachelor's degree with 8+ years of experience.

Requirements

• Possess a Bachelor’s degree and 8 years of experience in directly related field
• Pass general background check
• Possess Resolute Hospital Billing Administration (Epic) Certification and Resolute Hospital Billing Charging (Epic) Certification
• Possess Long Term Care Billing Certification
• Possess Resolute Hospital Billing Expected Reimbursement Contracts Administration Certification
• Have strong leadership and communication skills with the ability to effectively present information to clinical and business leaders within the organization
• Have experience with Epic HB
• Be able to work in small groups under tight project deadlines
• Work closely with business and revenue cycle leaders around Epic workflow and to translate business needs Epic billing functionality
• Possess Epic certification, Resolute Hospital Billing Claims and Electronic Remittance Administration (Epic)
• Possess Epic certification, Resolute Hospital Billing Administration (Epic)
• Have minimum of five years’ progressive revenue cycle/healthcare experience with demonstrated experience in Epic build
• Be a self-starter with demonstrated teamwork & communication skills
• Have excellent communication and collaboration skills
• Have excellent verbal and written English communication skills and the ability to interact professionally with a diverse group
• Have experience working with Third Party Vendors such as Experian and Relay Health
• Have knowledge of revenue cycle billing, hospital billing, and claims processing operations and workflows

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

Preferred Qualifications

• Payer/plan creation and maintenance
• Charge Description Master
• Charge Router
• Contracts
• Behavioral Health
• Long term care psychiatric billing
• CMS IPF PPS billing regulations
• Work queue Development and Management
• Developing testing scripts
• SmartText (letters and statements)
• General Ledger
• Orion/Nova Notes
• Financial Assistance

Benefits

• May be required to work after hours or on weekends as needed
• Infrequent travel