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EPIC Physician Billing Analyst
3 weeks ago
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., X 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.
