Professional Billing Analyst

Connectly Recruiting Logo
Connectly Recruiting
Garden, NEW YORK, United States
  • Finance
  • FullTime
  • Applications have closed

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’s Degree, preferably in Computer Science, Information Technology, Computer Engineering, or a related field.

  • Certified in Epic Professional Billing.

  • 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.

Connectly Recruiting

Apply for job