Epic App Specialist PB/Claims

DUTIES:

Epic Community Connect EHR implementations focused on ambulatory setting for community providers in Atrium markets.

Application Specialist will provide consultation and complete design/build/testing/go-live activities for Professional Billing, Claims, and Remittance posting. The Application Specialist must have an in-depth understanding of workflows, policies and procedures, billing office practices, regulatory requirements, and industry best practices.

RESPONSIBILITIES:

Acting as the primary contact for the Epic Professional Billing and Claims module application for all phases of the system development life cycle

Serving as a liaison between end users, third parties, and Epic implementation staff to ensure the system meets the organization's business needs

Performing in-depth analysis and documentation of current state/future state workflows, data collection, report details, and other technical requirements associated with Epic software

Understanding the choices involved in application configuration

Following standards for naming and numbering conventions and security classifications using the Epic Style Guide for Master File Naming and Numbering Conventions

Application testing scenario development, execution, and remediation to ensure system functionality and integration with other applications/systems as appropriate

Ensuring that data coming across an interface into or from the Epic application meets the business need

Troubleshooting problems and questions from end users

Working with report writers to ensure that the application has the necessary reports.

KEY COMPETENCIES:

A deep understanding of the Professional Billing setting and associated end user workflows

Strong project management and organizational skills with ability to lead meetings, prioritize, resolve conflicts, maintain issues lists, and manage a project plan

Strong oral and written communication skills

Ability to develop, document and ensure adherence to technical standards

Ability to understand customer requirements and the impact on technical/functional performance of the application

The ability and interest to learn the software and increase knowledge over time

Eagerness to learn the system and promote it within the organization

Operational experience in a clinical setting (helpful, not required)

SPECIAL QUALIFICATIONS: SPECIAL RESPONSIBILITIES:

Epic Professional Billing Certification

Experience Resolute Professional Billing Claims & Remittance

o Experienced work experience and use of Professional Billing application and familiarity with workflows and integration points in the areas of:

Claims

Payment posting

Electronic remittance

Nice, but not necessary:

Knowledge of charge router/charging workflows

Knowledge of insurance follow-up workflows

Knowledge of reimbursements contracts and fee schedules

EDUCATION:

High School Diploma or GED required; Bachelor's Degree in Computer Science, Business Administration or related job field preferred

Health care industry experience preferred

TRAVEL:

Minor travel to be expected. Primarily for customer discovery sessions and go-live support events.