EPIC Physician Billing Analyst

KLM Careers; Hicksville (NY); On-site; USD 80,000 - 100,000; Full time

Job summary

A leading healthcare organization located in Hicksville, NY, seeks an EPIC Physician Billing Analyst. The role involves configuring and supporting the Epic Professional Billing application, collaborating with various departments, and ensuring the accuracy of billing processes. Candidates should have a Bachelor's degree in a relevant field and certification in Epic Professional Billing. Strong skills in healthcare revenue cycles and interpersonal communication are essential.

Qualifications

• Bachelor’s Degree, preferably in Computer Science, Information Technology, Computer Engineering, or related field.
• Certified in Epic Professional Billing.
• Expertise in Epic’s Professional Billing module, including charge router and workqueue configuration.

Responsibilities

• Configure and customize the Epic Professional Billing application.
• Maintain the Resolute Professional Billing module.
• Collaborate with IT, finance, and end-users regarding system alignment.

Skills

Expertise in Epic’s Professional Billing module

Strong interpersonal communication

Analytical thinking

Attention to detail

Problem-solving skills

Education

Bachelor’s Degree in Computer Science or related field

Certification in Epic Professional Billing

Tools

Microsoft Office Suite

Epic applications

Job description

Overview

EPIC Physician Billing Analyst

Location: Hicksville, NY

Must be a US Citizen or Green Card holder

Responsibilities

• Configure and customize the Epic Professional Billing application to meet the organization’s business needs and workflows.
• 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, present them to end-users, and migrate them to production.
• Analyze existing financial workflows and identify opportunities for improvement and optimization.
• Design and implement leading-practice workflows to enhance efficiency and effectiveness.
• Collaborate with IT, finance, and end-users to ensure the Epic system aligns with business operations.
• Act as the primary support contact for Epic Professional Billing 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.
• 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.
• Stay current with Epic technologies and obtain/maintain necessary Epic certifications.
• Ensure compliance with industry standards and regulations, such as transitioning between claim formats (e.g., X12 4010 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.

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 and written/spoken communication, analytical thinking, problem-solving, attention to detail, and teamwork.

Note: Required Knowledge, Skills, and Abilities align with the company’s ATS questions as listed in the original description.