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Technical Specialist- Expert (HB, PB, Claims Analyst)

Remote: 
Full Remote
Contract: 
Work from: 

Offer summary

Qualifications:

15+ years of experience with State or Federal clients, preferably in Texas., Strong knowledge of revenue cycle billing, hospital billing, and claims processing operations., Epic certification in Resolute PB, HB, and Claims is required., Excellent verbal and written communication skills, with the ability to present to clinical and business leaders..

Key responsabilities:

  • Analyze and document business requirements for new system functionality and enhancements.
  • Act as the primary support contact for end-users of the application.
  • Guide workflow design, build, and test the system while resolving technical issues associated with Epic software.
  • Collaborate with quality and operational leaders to optimize system design and meet business needs.

Gov Services Hub logo
Gov Services Hub Startup www.govserviceshub.com
11 - 50 Employees
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Job description

Job Location:  Available to work Remote, Austin, TX.

 

Note: 15+ yrs. Exp. with State or Federal client experience, Local to TX, May be required to work after hours or on weekends as needed, Infrequent travel

 

Job Description:


Competency Model:
  • Business Acumen
  • Understands the organization's strategic goals and how department goals support the organization.
  • Seeks opportunities to extend and deepen learning of organization and area.
  • Shares new information and knowledge with others.
  • Be curious; question your assumptions when presented with an issue or question.
  • Self-motivated to research and learn new information and explore new options.
  • Seeks to maximize potential abilities and helps others.
  • Follow instructions, written or oral.
  • Adhere to all scheduling and attendance requirements.
  • Honesty, truthfulness, reliability, accountability
  • Read, understand and apply regulations and policies.
  • Knowledge of relevant privacy regulations such as The Privacy Act, Freedom of Information Act and HIPPA law
  • Knowledge of revenue cycle billing, hospital billing, professional billing, and claims processing operations and workflows
  • Knowledge and understanding of third-party applications.
  • Establishes professional working relationships.
  • Communicates verbally with team, departments, guests, and management.

Communication

  • Expresses oneself clearly in conversations, business writing and interactions with others.
  • Delivers oral and written communications that are impactful and persuasive to their intended audiences.
  • Demonstrates a high level of emotional intelligence in the face of conflict.
  • Responds to tickets and emails in a timely manner.

Planning and Organizing

  • Manages and monitors time and resources effectively to complete assignments.
  • Utilizes resources and gets involvement from others where appropriate.
  • Shares information, materials, and time readily with others who need them

 Teamwork

  • Encourages participation from all team members, regardless of role within organization; supports team members and customers.
  • Identifies and works through conflict that may derail the collaborative process.
  • Holds self and others accountable to create unifying goals and measure with peers.
  • Support NCDHHS analyst team through knowledge sharing and concise documentation.
  • Applies the knowledge of fundamental IT concepts.
  • Asks questions, diligently seeks and is receptive of guidance.

 Drive Change

  • Anticipates potential concerns/resistance to change and takes constructive steps to address them.
  • Encourages others to adopt new methods or technologies that add value or improve performance.
  • Keeps others focused on critical goals and deadlines through periods of change or ambiguity.
  • Be flexible and adopt new processes and methods.
  • Stay positive in attitude and actions.
  • Working Conditions

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 application's end-users.
  • 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 organization's business needs regarding the project deliverables and timeline
  • Performs in-depth analysis of current and future workflows, data collection, report details, and other technical issues associated with the Epic EHR and designated third-party 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 communication-related 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


Requirements

Skills Set:

 

Skill

Required /Desired

Experience

experience with Epic PB, HB, and Claims

Required

8 years

evenue cycle/healthcare with Epic build experience

Required

5 years

Strong leadership and communication skills; able to present to clinical/business leaders

Required

-

Ability to work in small groups under tight deadlines

Required

-

Collaborate with revenue cycle leaders on Epic workflow and billing functionality

Required

-

Epic certification in Resolute PB, HB, and Claims.

Required

-

Self-starter with teamwork and communication skills

Required

-

Excellent verbal and written English communication; professional interaction with diverse groups

Required

-

Experience with Third Party Vendors (Experian, Relay Health, Hyland OnBase).

Required

-

Knowledge of revenue cycle billing, hospital/professional billing, and claims processing.

Required

-

Familiarity with Rapid Retest, payer/plan maintenance, PLBs, Charge Router, contracts, behavioral health, long-term care psychiatric billing, CMS IPF PPS regulations, substance abuse billing, Medicare exhaust, no-pay claims, claim splits/interim claims, cash management, self-pay remittance, and developing testing scripts

Required

-



Required profile

Experience

Spoken language(s):
English
Check out the description to know which languages are mandatory.

Other Skills

  • Time Management
  • Emotional Intelligence
  • Problem Solving

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