Available Position (Company name withheld)

EPIC Physician Billing Analyst

Remote
Full Time
Mid Level

Job Description:

  • An Epic Physician Billing Analyst (also known as an Epic Professional Billing Analyst) is responsible for the configuration, maintenance, and optimization of the Epic Professional Billing module within a healthcare organization.
  • This role is vital for ensuring accurate patient billing, claims processing, and reimbursement for services provided by individual healthcare providers, such as doctors or therapists.

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.
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