Epic - Resolute Hospital Reimbursement Contract Analyst

Sarasota Memorial Health Care System; Sarasota (FL); On-site; USD 50,000 - 90,000; Full time

Job summary

Join a forward-thinking healthcare system as an Epic-Resolute Hospital Reimbursement Contract Analyst. This role is crucial in the transition to the Epic platform, enhancing patient care through innovative technology. You will be responsible for systems analysis, data management, and providing technical support to ensure seamless operations. With a commitment to community and impact, this position offers a chance to make a significant difference while enjoying robust benefits and growth opportunities. Embrace the chance to thrive in a dynamic environment that values your contributions and fosters professional development.

Benefits

Paid Time Off

Tuition Reimbursement

Discounted Medical Benefits

Flexible Spending Accounts

Life Insurance

Disability Insurance

Retirement Savings Plan

Free Parking

On Campus Dining Discount

Free Wellness Screening

Qualifications

• Requires certification in Resolute Hospital Billing Expected Reimbursement Contracts.
• 3 years of clinical/business experience in healthcare settings preferred.

Responsibilities

• Design and build Epic system configurations and validate reimbursement terms.
• Collaborate with stakeholders to ensure accurate system implementation.
• Mentor team members on Epic functionality and workflows.

Skills

Clinical Systems Analysis

Data Management

Technical Support

Project Management

Mentoring

Customer Service

Education

Associate Degree in Information Systems

Bachelor Degree in a Related Field

Tools

Epic EHR

Microsoft Office

Job description

Department

Epic EHR
Job Summary

Epic- Resolute Hospital Reimbursement Contract Analyst

Sarasota Memorial Healthcare System is transitioning to the Epic platform across the health care system. Long regarded as a leader in information technology, Sarasota Memorial Health Care System will be replacing its current electronic health records (EHR) systems with a single, integrated platform by industry leader, Epic. When fully implemented over the next two years, the new platform will replace numerous standalone and ancillary systems, streamline processes for care providers and tap innovative tools to optimize the delivery of patient care. Among other benefits, Epic will allow the seamless exchange of patients' health information using one EHR platform across all Sarasota Memorial providers and facilities. Epic also deploys the latest tools and technology, including artificial intelligence and predictive modeling, to provide clinicians with up-to-date insights to enhance that care. SMHCS is searching for Epic professionals to join our Team.

Learn more about the Epic opportunities at SMHCS by submitting your application today!

This position is responsible for clinical/business systems analysis, data management, technical support, maintenance, application and configuration, quality improvement, user support, implementation and standards and regulation of the Clinical and Business Systems throughout the organization. Responsible for all aspects of systems planning, development, and implementation including new systems, systems upgrades and enhancements. Responsible for providing analyst leadership and direction, as well as project management for small to medium sized projects. Responsible for the development and support of a stable, reliable, and customer-oriented clinical/business system and applications that meet the needs of users and the organization.

Requires Certification in Resolute Hospital Billing Expected Reimbursement Contracts. Must be a Florida resident or relocate to Florida to become a Florida resident.

Key Responsibilities:

1. Design, build, analyze, and coordinate with key operational stakeholders to test and validate reimbursement terms.
2. Collaborate with operational users to design and build the Epic system in a timely and professional manner and make corrective configuration or enhancements.
3. Translate user requirements into functional and technical design specifications and review with client(s) to ensure accuracy.
4. Mentor team members on Epic functionality as well as workflows, documentation, best practices, change management, etc.
5. Serve as a subject matter expert for Epic’s Reimbursement Contracts module.
6. Participate in design and validation sessions and ensure appropriate documentation, follow-up and issue escalation occurs.
7. Function as a liaison between Revenue Cycle Operations, Information Technology, Managed Care, and other operational departments.
8. Obtain and maintain in-depth knowledge of software functionality; acquire and utilize knowledge of operational workflows.
9. Perform in-depth analysis of workflows, data collection, report details, and other technical issues associated with Epic software.
10. Work with trainers to develop and maintain application specific training curriculum and materials.
11. Load contract language and terms in Epic.
12. Research and implement new contract language, payor policies and any updated language as executed by payer and all parties.
13. Translate annual contract terms into build configuration in Epic.
14. Configure contracts to reflect modifier percentage changes and re-evaluate existing contractual write-offs.
15. Report and follow-up on services for which the organization was underpaid or undercharged.
16. Import fee schedules.

Required Qualifications

- Requires knowledge of the patient care setting and clinical practice, either by profession or experience.

- Requires Associate Degree in Information Systems, Informatics, Business Administration, Nursing or appropriate clinical or business field. Relevant work experience may substitute on a year-for-year basis for required degree.

- Requires three (3) years of applicable clinical/business experience, preferably in a multi-entity health care system, large hospital, physician office, or managed care organization. Bachelor degree in a related field may substitute for up to two (2) years of required experience.

About Sarasota Memorial Health Care System

Founded in 1925, Sarasota Memorial Health Care System is a regional medical center offering Southwest Florida’s greatest breadth and depth of care, with more than 2,000 physicians and advanced practice providers and nearly 2 million patient visits a year across its network of care. Sarasota County’s largest employer, the health system includes two full-service hospitals in Sarasota and Venice, a freestanding ER in North Port, and a comprehensive network of outpatient centers, urgent care clinics and physician practices that stretch from Manatee County to North Port. As the region's only public health system and not-for-profit health care provider, SMH serves as a critical safety net for the uninsured in Sarasota County. Visit smh.com for information.

Why work at Sarasota Memorial Health Care System

Reputation. Community. Impact. Growth.

Every day, our patients at Sarasota Memorial Health Care System receive a first-class experience in care from a team on a mission to deliver the highest level of care in America. In the process of rising to that challenge, one by one, our people are finding their purpose and feeling their impact. Now it is your turn to see yourself here.

The benefits of being the best:

Our commitment to becoming the best community hospital and health care system means providing the best possible benefits to our people. Some highlights:

• Paid Time Off (start earning PTO on day one of employment)
• Tuition Reimbursement
• Discounted Medical, Prescription, Dental, Vision Benefit Plans for Full & Part-Time Employees
• Flexible Spending Accounts (Health Care and Dependent Care) - Pre-Tax Dollars
• Life Insurance
• Disability Insurance
• Retirement Savings Plan: 403b
• Bereavement Leave
• Free Parking
• On Campus Dining w/ a 10% discount
• Direct Deposit
• Free Wellness Screening
• Free confidential counseling services
• Employee Discount Programs
• Employee Recognition Programs
• Generous Referral Programs
• Tremendous growth opportunities for hard workers!

- Prefer ability to troubleshoot and document multi-system issues.

- Prefer demonstrated ability to implement test plans, create reports and train end-users.

- Prefer demonstrated ability to provide excellent customer-focused service to resolve end user production issues.

- Prefer familiarity with Microsoft Office and software packages.

- Prefer general conceptual knowledge of networks, servers and databases.

- Position may require at least one Software Certification in job area of focus.