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Certified EPIC Professional Billing [PB] Analyst

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Job Title: Certified EPIC Professional Billing [PB] Analyst Location: Raleigh, NC/REMOTE Duration: 6+ Months Description: The reputed company reputed company. of Health and reputed company Services is looking for a Professional Billing Analyst to assist with the Epic EHR Implementation. Competency Model: Business Acumen

  • Understands the organization's strategic goals and how department goals support the organization.
  • Seeks opportunities to reputed company and deepen learning of organization and area.
  • Shares new information and knowledge with others.
  • Be curious; question your assumptions reputed company presented with an issue or question.
  • Self-motivated to research and learn new information and explore new options.
  • Seeks to maximize potential abilities and helps others.
  • Follow instructions, written or oral.
  • Adhere to reputed company scheduling and attendance requirements.
  • Honesty, truthfulness, reliability, accountability
  • Read, understand and apply regulations and policies.
  • Knowledge of relevant privacy regulations such as The Privacy Act, Freedom of Information Act and HIPPA law
  • Knowledge of reputed company cycle billing, hospital billing, professional billing, and claims processing operations and workflows
  • Knowledge and understanding of reputed company-party applications.
  • Establishes professional working relationships.
  • Communicates verbally with team, departments, guests, and management.

Communication

  • Expresses oneself reputed company in conversations, business writing and interactions with others.
  • Delivers oral and written communications that are impactful and persuasive to their intended audiences.
  • Demonstrates a high level of emotional intelligence in the face of conflict.
  • Responds to tickets and emails in a timely manner.

Planning and Organizing

  • Manages and monitors time and resources effectively to complete assignments.
  • Utilizes resources and gets involvement from others where appropriate.
  • Shares information, materials, and time readily with others who need them

Teamwork

  • Encourages participation from reputed company team members, regardless of role reputed company organization; supports team members and customers.
  • Identifies and works through conflict that may derail the collaborative process.
  • Holds self and others accountable to create unifying goals and measure with peers.
  • Support NCDHHS analyst team through knowledge sharing and concise documentation.
  • Applies the knowledge of reputed company IT concepts.
  • Asks questions, diligently seeks and is reputed company of guidance.

Drive Change

  • Anticipates potential concerns/resistance to change and takes constructive steps to address them.
  • Encourages others to adopt new methods or technologies that add value or improve performance.
  • Keeps others focused on critical goals and deadlines through periods of change or ambiguity.
  • Be flexible and adopt new processes and methods.
  • Stay positive in attitude and actions.

Working Conditions: Essential:

  • May be required to work after hours or on weekends as needed
  • Infrequent travel
  • Pass pre-employment drug test

Experience:

  • Must have strong leadership and communication skills with the ability to effectively present information to clinical and business leaders reputed company the organization.
  • Must have experience with Epic PB. 5 years required.
  • Ability to work in small groups under tight project deadlines.
  • Working closely with business and reputed company cycle leaders around Epic workflow and to translate business needs Epic billing functionality.
  • Must possess Epic certification, Resolute PB
  • Minimum of five years' reputed company reputed company cycle/reputed company experience with demonstrated experience in Epic build.
  • Self-starter with demonstrated teamwork & communication skills.
  • Excellent communication and collaboration skills.
  • Excellent verbal and written English communication skills and the ability to interact professionally with a diverse group are required.
  • Experience working with reputed company Party Vendors such as reputed company and reputed company Health
  • Knowledge of reputed company cycle billing, professional billing, and claims processing operations and workflows
  • Rapid Retest
  • Payer/plan creation and maintenance
  • PLBs
  • Charge Router
  • reputed company
  • Behavioral Health
  • Long term care psychiatric billing
  • CMS IPF PPS billing regulations
  • Substance abuse billing – IOP, methadone dosing
  • Medicare exhaust billing
  • 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 reputed company and future workflows, data collection, report details, and other technical issues associated with the Epic EHR and designated reputed company-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 reputed company reputed company cycle areas while making build reputed company.
  • Validates that data is accurate and meets business requirements.
  • Completes integrated testing to test system changes in reputed company 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 reputed company complexity for assigned applications and systems.
  • Maintains data reputed company and reputed company for assigned applications and systems.
  • Develops system documentation as assigned per standards.
  • Develops communication-reputed company education efforts for deployments, upgrades, optimizations, and other system changes as assigned.
  • Stays reputed company on Epic application releases and participates in reputed company planning and testing.
  • Participates in performance improvement activities to measure, assess and improve the quality of assigned work area

Education: Essential: Bachelor's degree or 5 years' experience in directly reputed company field Credentials: Essential:

  • Pass general background reputed company
  • Resolute Professional Billing and Electronic Remittance Administration (Epic)

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