Professional Billing AnalystCrescent City Recruitment Group • Garden City, NY, United States
Professional Billing Analyst
Crescent City Recruitment Group • Garden City, NY, United States
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job_description.job_card.job_descriptionMaintain 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 : 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 : 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 : Develop and document internal procedures for using Epic and other applications. Compliance and Updates : 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. Education and Certification : Certified in Epic Professional Billing. Technical Skills : Experience with system configuration and troubleshooting tools. Proficiency with Microsoft Office Suite (Word, Project, Excel, Visio, and PowerPoint). Healthcare Industry Knowledge : Familiarity with the differences between professional billing and hospital billing. Knowledge of medical coding systems like CPT and ICD-10. Soft Skills : Analytical thinking and problem-solving abilities. Attention to detail and accuracy. Self-motivated and a team player.
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.
Analyze existing financial workflows and identify opportunities for improvement and optimization.
Act as the primary support contact for Epic Professional Billing application end-users.
Participate in training and educate end-users on the Epic Professional Billing application and related workflows.
Stay current with Epic technologies, obtain and maintain necessary Epic certifications.
Essential skills and qualifications :
Bachelor's Degree, preferably in Computer Science, Information Technology, Computer Engineering, or a related field.
Expertise in Epic's Professional Billing module, including charge router, workqueue configuration, collection agency workflows, statement processing, benefit engine, and estimates.
Strong understanding of healthcare revenue cycle processes, medical billing codes, and insurance procedures.
Strong interpersonal relationship skills and effective communication skills (both oral and written).
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Professional Billing Analyst • Garden City, NY, United States
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