- Full-Time/Benefits Eligible
- Monday - Friday - 8am - 5pm
- Westerville, OH
POSITION SUMMARY:
This position serves as the application specialist for Epic’s Resolute professional billing modules under the direction of the Supervisor of Epic Resolute Application Analysts. The Application Analyst provides ongoing support, configuration, and optimization of these system functions to promote accurate billing, efficient claims processing, and reimbursement performance, and partners with CBO and practice leadership, Information Services, and end users to translate operational needs into workflow solutions. The analyst also supports future upgrades/changes, testing, and system documentation.
ESSENTIAL FUNCTIONS AND RESPONSIBILITIES:
- Serve as the application specialist for Epic’s Resolute Professional Billing (PB) modules, providing production support and acting as a resource for questions and issues as they arise.
- Configure, maintain, and optimize Resolute PB functionality, including charge review, claim edits and billing work queues, electronic claim submission, electronic remittance advice (ERA) and payment posting, payer configuration, and denial management workflows.
- Interact with management and end users to understand workflow and business processes, gather requirements, and translate operational needs into workflow enhancements that improve billing accuracy, reduce claim denials, and increase automation.
- Troubleshoot and resolve complex billing and claims issues by analyzing workflows, application configuration, interfaces, and downstream financial systems.
- Develop and maintain configuration, workflow, and system documentation.
- Assist with analysis of data (analytics, quality, root cause) to identify trends and opportunities for revenue cycle improvement.
- Perform upgrade, integrated, and enhancement testing and analysis, including new functionality releases.
- Provide technical consultation and end-user guidance on Resolute PB workflows and best practices.
- Ensure all work is performed in accordance with COPC policies, payer requirements, HIPAA regulations, and information security standards.
- Attend meetings and is accountable for action items assigned.
QUALIFICATIONS:
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- Education, Licensures & Certifications
- Preferred: Bachelor’s Degree
- Required: Epic Resolute base certification or obtain within 3 months of hire
- Required: Three years’ minimum experience with Epic Resolute or equivalent medical-based revenue cycle applications.
- Preferred: Experience supporting Epic Resolute in a live production environment, including enhancements, optimization, and upgrades.
- Knowledge, Skills & Abilities
- Organized and self-sufficient.
- Skilled with multitasking and participating in multiple projects concurrently.
- Strong computer skills with working knowledge of Microsoft’s Office Suite.
- Knowledge of ambulatory medical practice professional billing processes, including charge capture, claims submission, payment posting, and denials.
- Working knowledge of payer reimbursement and compliance requirements, including HIPAA.
- Ability to identify issues, analyze root cause and provide potential resolutions.
- Strong written and verbal communication skills, with the ability to document workflows and train end users.
- Cognizant of end-user needs.