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Epic Resolute Professional Billing Analyst II

Company: VHC Health
Location: Arlington
Posted on: August 7, 2022

Job Description:

-Epic Resolute Professional Billing Analyst II -Schedule: 4 Days Remote (work from home) and 1 Day On-Campus a Week! -The Epic Resolute Professional Billing Analyst functions as the technical application support for complex Epic applications, analyzing, evaluating, and troubleshooting and provides high level analysis of multiple applications and/or highly complex applications. The analyst understands and translates the business functionality into the Epic systems configuration and workflow. Plans and prepares ADT/Prelude test scripts for application testing, integration testing and user acceptance testing.This person provides ADT Prelude application and technical support for the product line in addition to providing triage and troubleshooting to the product customers. Monitors the systems for data quality, efficiency, operation, and data integrity and appropriately escalates issues/problems. This role provides system analysis, design, development, documentation, and configuration as well as testing and training of the product. The ADT/Prelude Analyst provides standardization direction for the product aligning the application version and workflow with current standards.Under limited supervision, gathers and analyzes user needs for developing and modifying applications in the healthcare environment. Analyzes complex results, proposes solutions and/or recommendations in addition to building, configuring and/or modifying the Prelude application using existing application tools. This role also provides complex application support, writes documentation and specifications.The ADT/Prelude Analyst is responsible for achieving in-depth knowledge of Epic System's ADT/Prelude software and serves as a liaison between end users and Epic implementation staff. Conducts regular day-to-day communication with the Epic's installation team, reviews the software, analyzes business operations, and works with Epic, other third party vendors, project team(s), business representatives, subject matter experts, and end users to tailor the system to fit the organization's needs. The Analyst routinely performs in-depth analyses of workflows, data collection, report details/specifications, and assists with technical issues and is responsible for developing and documenting the internal procedures that are used in conjunction with Epic's applications, designs, builds, tests, installs and maintains those solutions. Evaluate and understand dependencies between applications to understand if making a change in one application would have a negative impact in another application. -Come join a hospital dedicated to you and your career!

  • Bachelor's Degree in a health, science, or business field, or an approved equivalent combination of education and experience, especially with process improvement / business applications in broader and complex areas.
  • Minimum of 3 years of experience working in a position of a health care provider or organization with healthcare technology implementations.
  • Hands-on experience with Epic Resolute Billing design, configuration, and build in a real-time environment with Claims as they relate to the Resolute Module. Demonstrated knowledge of HB Rule, HB Work Queues, HB Billing Indicators, Statement Process, Letters - Insurance/Self Pay follow up and Payment/Adjustment posting.
  • Must have demonstrated experience implementing financial and administrative systems including patient accounting, billing, claims processing, managed care, and decision support. A solid understanding of the business aspects of hospital/physician based business operations
  • Strong functional knowledge of Prelude and Cadence and how they impact Hospital Billing is preferred.
  • Creativity and analytical ability to solve problems in a variety of client situations, roles and environments.
  • Extensive knowledge of hospital workflow and business process flow analysis and design.
  • Prior experience with IT systems and systems development projects.
  • Ability to identify, document, resolve and/or escalate issues and maintain a complete issues log.
  • Ability to research, organizes, analyze, and synthesize data to support effective decision making.
  • Must have excellent verbal, written communication, and documentation skills.
  • Proficient with Microsoft Office tools (Project, Visio, Word, Excel and PowerPoint).
  • Project management skills including the ability to lead meetings, prioritize, resolve conflicts, and manage project plan.
  • Must be able to work on multiple projects concurrently.
  • Strong customer service orientation.
  • Experience working with interfaced/integrated multi-vendor applications preferred. Must recognize and evaluate problems and refer appropriately when necessary.
  • High functioning team skills, including active listening, rapport building, effective written and verbal communication.
  • Must have the ability to develop and maintain good working relationships and to interact positively and productively with teams across organizational lines, including administrative and executive staff.
  • Ability to identify, document, resolve and/or escalate issues and maintain a complete issues log.
  • Ability to research, organizes, analyze, and synthesize data to support effective decision making.
  • Detail orientation and a knack for probing for information in order to fully understand the underlying needs that influence how the system should be configured.
  • Ability to work independently with minimal supervision and manage multiple priorities.Certification
    • Existing Epic certification in appropriate module(s) is preferred. - -Epic certification is required within 9 months from hire.Skills and Knowledge
      • Competent to work at a high technical level on all phases of application systems analysis, workflow analysis, build, design, testing, interface knowledge and programming activities. - -
      • Possesses a thorough knowledge of the inpatient/outpatient revenue cycle environment and hospital operations, procedures/functions and the relationships between them.
      • Exhibits solid knowledge of the revenue cycle workflows and the integration with clinical processes and practices including inpatient billing and professional billing and claims. -
      • Ability to analyze complex system configuration.
      • Ability to document current state workflow; configure system based on organizational requirements, document build processes and participate in product testing.
      • Ability to create testing scenarios based on current state workflow processes; troubleshoot issues and report findings to leadership as appropriate.
      • Ability to analyze, build and design work queues to improve financial reimbursement.
      • Ability to interact effectively with department stakeholders, project team members and vendors.
      • Demonstrates the ability to build relationships and effectively communicate with the project team, and key stakeholders, including clinical and non-clinician. - Must be able to work effectively with all staff levels and collaboratively with other project team members. -
      • Displays a solid understanding of computer systems, interfaces, software, and IT functions.
      • Displays a solid knowledge and skill set for Epic system build/trouble shooting.
      • Able to identify business processes to improve the Revenue Cycle Flow; make recommendations to project leadership to ensure compliance with regulatory billing requirements.
      • Must possess the ability to understand the integration of applications and their impact on business processes and operations.
      • Must be forward thinking, able to meet project deadlines, possess high level of energy and professional acumen, and be client service oriented. Must be able to work independently or as part of a team.
      • Must exhibit a dedication to quality, reliability and resourcefulness.
      • Excellent attention to detail, organizational, listening, and verbal and written communication skills are required.
      • Ability to take initiative, advises internal users on alternate methods of solving problems, or recommends specific solutions. Creativity and excellent presentation skills is an asset.
      • Ability to anticipate problems and visualize solutions on a proactive basis.
      • High level of proficiency required within the MS Office Professional Suite: Word, Excel and PowerPoint.
        • Coordinates and supports -full cycle implementation -and ongoing optimization and stabilization -of the Epic Resolute Billing module. -Assists in ensuring timely deliverables of high quality work including requirements gathering, analysis, current and future state workflows, coding, design, system configuration, testing, implementation, support and documentation required for the Epic Resolute application.
        • Planning, development, training, implementation, and evaluation of application functionality.
        • Design workflows and build the Epic application, conduct testing, assist with training curriculum creation, and support the go live.
        • Works with the team and key customers to ensure appropriate development, training, and implementation of application functionality, and to validate system design and identify additional requirements for successful adoption/use.
        • Handles rapidly evolving system requirements and demands.
        • Executes build activities and ensure the build complies with Epic build guidelines and design decisions.
        • Works with end users to validate system design and identify additional requirements for successful adoption/use.
        • Participates in workflow design and understand how the system will impact end users. - -Through the implementation process become proficient with host applications, touch points with other applications and interface requirements.
        • Provides end user support and resolve issues once the system is activated Follow guiding principles for master file ownership and manage assigned master files. Participate in education, design and validation sessions.
        • Stays current with new versions and interim release functionality.
        • Works closely with other application analysts and IT on integration points across applications.
        • Conducts facility impact analysis to determine exceptions to enterprise model.
        • Reviews enterprise application workflows and model with facilities to identify exceptions and assist them in developing solutions.
        • Practice billing operations duties:
          Reviews, develops, implements, evaluates, and revises -charge guidelines to optimize revenue management; -effectively -implements recommendations and monitors results.Prepares analyses and reports/recommendations based on -activities.Evaluates/monitors the charge submission and accounts -receivable work done by the practices.Assist Sr. Billing/Revenue Analysts with -charge/AR work as needed by the practices or other areas of the hospital.Ensures charge submission, work queue submissions, and -follow-up required by the practices is occurring on a timely basisReviews office procedures as they relate to charge -submission and accounts receivable management; recommends suggestions, -ideas and solutions to improve operational processesCollaborates with practice personnel and administration -to implement change to practice operations where necessary and -communicate

Keywords: VHC Health, Arlington , Epic Resolute Professional Billing Analyst II, Accounting, Auditing , Arlington, Virginia

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