EPIC Resolute Professional Billing Analyst

Company: Salinas Valley Memorial Healthcare System
Location: Salinas
Posted on: May 14, 2022

Job Description:

Works under the direction of the Director of Ambulatory Medical Informatics. The Resolute Professional Billing, Analyst supports the planning, design, development, build and/or configuration of third party applications and Epic's Resolute Professional Billing applications which include Resolute Professional Billing (non-SBO), Charge Router, and other related Epic and third party applications. Epic Resolute Professional Billing Analysts will have a solid understanding of the revenue cycle operations of SVMHS' ambulatory practices including (but not limited to) ambulatory clinic-based physician billing, RVU reporting, Fee Schedule build and maintenance, Cash Management, Reporting Workbench and Radar reports (include batch/extracts to 3rd party vendors), build and maintenance of the General Ledger, integration with MyChart bill pay.Acts as the primary support contact for the application's end-users. Identifies issues that arise in their application area as well as issues that impact other application teams, and working to resolve them. Guides workflow design, builds and tests the system, and analyzes other technical issues associated with Epic software. Identifies and implements requested changes to the system. Serves as a liaison between end users' workflow needs and Epic implementation staff. Communicates all necessary application changes, enhancements and procedures to all necessary department teams. Maintaining regular communication with Epic representatives, including participating in weekly project team meetings. Works with Epic representatives, SVMHS' business partners, and end users to ensure the system meets the organization's business needs in regards to the project deliverables and timeline. Develops an understanding the clinical and operational needs to set the direction for the organization's workflows by attending site visits, workflow sessions, and other integrated sessions. May participate in the development of end-user training processes and/or curriculum content.Troubleshoots problems and questions from end users. Reviews the status of projects and issues on an ongoing basis with manager. Attends weekly meetings with team members to discuss the status of deliverables, shared issues, end-user concerns, budget, and upcoming milestones. In conjunction with operational subject matter experts, builds application-specific workflows or processes for ambulatory practices and users that could include, for example, visit navigators, preference lists, orders and linked charges, results routing, documentation templates, application-specific rules, flowsheets, reports, SmartForms, visit types, user role templates, application-specific schedules, etc. Completes testing cycles (unit, functional and integration testing); includes coordinating with departmental end-users and obtaining customer signoff. Works with other analysts to maintain continuity in process and in support of our integrated Epic electronic medical record. Conducts system enhancements/new features, build, upgrades/quarterly updates and optimization. Ensures all changes to the application follow approved change management procedures and protocols, create and maintain all documentation for all assigned applications and develop, plan and execute testing for supported applications. Information Systems job responsibilities: Employee should be familiar with the Information Systems Standards and Best Practices concepts and requirements. http://policies/dotNet/documents/?docid=4484=viewIT will review the Information Systems Standards and Best Practices concepts, requirements and documentation with employees at least once a year for understanding, completeness and accuracy.Employee shall document the system management, maintenance, and support requirements in a location accessible to Information Technology and appropriate SVMH support staff who have responsibility. Performs other duties as assigned.Education: Associate's degree required or two years' experience in one or more of the following areas: health care, design of an electronic healthcare record system or information technology.Licensure: Current Epic Resolute Professional Billing certification required. New hires and transfers have 45 days from completion of SVMHS-sponsored Epic training to complete required Epic certification. Current certification in Epic Resolute Single Billing Office preferred Experience: A minimum of two (2) years' of electronic health record systems analysis, design, build and support required. Epic application implementation, troubleshooting, testing, and support experience preferred. Must have experience with data collection procedures and data management. A minimum of two (2) years' experience in California with complicated payor requirements, demonstrable knowledge in the area of regulatory billing requirements by CMS, Medicaid and other payors required. Must have the ability to translate and write functional specifications, develop and document operational procedures, test software, and coordinate software release procedures. Experience with, or certification in any of the following applications or modules is preferred: EpicCare Ambulatory, Cadence, Prelude, Resolute Professional Billing (non-SBO), HIM- ROI, Security, Bones, Surescripts, SmartForms, Order Transmittal, Referrals, Reporting Workbench, Cadence, Haiku/Canto, CareEverywhere, Urgent Care and/or MyChart. Experience in medical billing, claims, or other related areas of the revenue cycle preferred. Experience with Rural Health Clinic billing payor requirements preferred.

Keywords: Salinas Valley Memorial Healthcare System, Salinas , EPIC Resolute Professional Billing Analyst, Professions , Salinas, California