Technical Specialist- Expert HB PB Claims Analyst
Technical Specialist- Expert HB PB Claims Analyst
Posted on :
27-10-2024
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Job Description
Job: Technical Specialist Expert (HB PB Claims Analyst)
Location : REMOTE
Duration: Long term Contract
Experience:
- Must have strong leadership and communication skills with the ability to effectively present information to clinical and business leaders within the organization.
- Must have experience with Epic PB HB and Claims. 8 years required.
- Ability to work in small groups under tight project deadlines.
- Working closely with business and revenue cycle leaders around Epic workflow and to translate business needs Epic billing functionality.
- Must possess Epic certification Resolute PB HB and Claims.
- Minimum of five years progressive revenue cycle/healthcare experience with demonstrated experience in Epic build.
- Selfstarter with demonstrated teamwork & communication skills.
- Excellent communication and collaboration skills.
- Excellent verbal and written English communication skills and the ability to interact professionally with a diverse group are required.
- Experience working with Third Party Vendors such as Experian Relay Health and Hyland OnBase.
- Knowledge of revenue cycle billing hospital billing professional billing and claims processing operations and workflows
- Rapid Retest
- Payer/plan creation and maintenance
- PLBs
- Charge Router
- Contracts
- Behavioral Health
- Long term care psychiatric billing
- CMS IPF PPS billing regulations
- Substance abuse billing IOP methadone dosing
- Medicare exhaust billing
- Nopay claims.
- Claim splits/interim claims.
- Cash Management
- Selfpay remittance
- Developing testing scripts
Responsibilities:
- Analyzes documents and communicates business requirements for new system functionality and enhancements to existing functionality.
- Test system changes to ensure that they meet business requirements and do not adversely impact other areas of the Epic system.
- Acts as the primary support contact for the applications endusers.
- Identifies issues that arise in their application areas and issues that impact other application teams and works to resolve them
- Guides workflow design builds tests the system and analyzes other technical issues associated with Epic software
- Identifies implements completes integrated testing and communicates requested changes to the Epic system
- Works with Epic representatives and end users to ensure the system meets the organizations business needs regarding the project deliverables and timeline
- Performs indepth analysis of current and future workflows data collection report details and other technical issues associated with the Epic EHR and designated thirdparty applications
- Partners with quality operational and business leaders on system design and optimization to meet quality safety financial and efficiency needs
- Collects requirements regarding potential system enhancements or new system implementation and prepares details of specifications needed; prioritizes and implements requested changes to the system.
- Investigates standardization and process improvement opportunities by rounding within revenue cycle areas while making build decisions.
- Validates that data is accurate and meets business requirements.
- Completes integrated testing to test system changes in all Epic environments to ensure that they meet business requirements and do not adversely impact other areas of the system.
- Troubleshoots and identifies root causes and documents problems of simple to medium complexity for assigned applications and systems.
- Maintains data integrity and security for assigned applications and systems.
- Develops system documentation as assigned per standards.
- Develops communicationrelated education efforts for deployments upgrades optimizations and other system changes as assigned.
- Stays current on Epic application releases and participates in upgrade planning and testing.
- Participates in performance improvement activities to measure assess and improve the quality of assigned work area
Education:
Essential:
Bachelors degree or 8 years experience in directly related field
Credentials:
Essential:
* Pass general background check
* Epic module certification as assigned
* Epic HB/PB Claims Certification
- Must have strong leadership and communication skills with the ability to effectively present information to clinical and business leaders within the
- Required
- 3 Years
- Must have experience with Epic PB HB and Claims
- Required
- 8 Years
- Ability to work in small groups under tight project deadlines
- Required
- 3 Years
- Working closely with business and revenue cycle leaders around Epic workflow and to translate business needs Epic billing functionality
- Required
- 3 Years
- Must possess Epic certification Resolute PB HB and Claims
- Required
- Minimum of five years progressive revenue cycle/healthcare experience with demonstrated experience in Epic build
- Required
- 5 Years
- Selfstarter with demonstrated teamwork & communication skills
- Required
- 3 Years
- Excellent communication and collaboration skills
What we are:
My3Tech is an IT services firm focused on catalyzing transformational IT initiatives of its clients through deep domain knowledge technology expertise and customer commitment. A trusted longterm service provider for various state governments across both the software product development and IT Staff Augmentation. Certified Minority Business Enterprise (MBE) with over 13 years of experience. We are CMMI Level 3 Certified for both IT Development and IT Services ISO 27001:2022 certified for Information Security Management and ISO 9001:2015 certified for Quality Management Systems.
Employment Type
Full Time
Key Skills
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