Senior EPIC Billing/Claims Analyst, Full Time, DIO Miramar: Information Technology Admin

Memorial Healthcare System Miramar, FL

About the Job

We are looking for candidates that are certified and familiar with EPIC Resolute Professional Billing, Hospital Billing Claims, and Professional Billing Claims. This position involves integration with many EPIC systems across the revenue cycle.  


Summary:
This position is responsible for administration and work related to Memorial's business or clinical applications. Provides day-to-day management of applications for complex or large applications. Responsible for supporting systems designing, building, testing, debugging and installation.

 

Detailed responsibilities:
• Performs complex work for assigned applications including analyzing system capabilities to resolve questions of program intent, identifying output requirements, input data acquisition, reporting techniques and structure, and data controls.
• Maintains assigned application through partnership with technical experts, vendors, and technology teams to ensure the application continues to support end-users and to mitigate any functional or operational issues. Tests and troubleshoots existing and proposed systems in order to resolve and anticipate application issues, but also to verify accuracy and compliance with Memorial procedures.
• Contributes to the planning of application development and deployment, looking at existing information to identify areas for improvement. Independently provides viable resolution to end-user inquiries and problems related to applications, consulting with appropriate vendors where needed.
• Leads vendor selection, data management, and process improvement activities for assigned business application. Contributes to the design and upgrade of systems to ensure up-to-date versions. Provides guidance to vendors on patches and upgrades needed to existing business systems in order to ensure up-to-date and reliable functionality fit for Memorial.
• Researches market and industry data to understand the use and prevalence of specific clinical applications within healthcare systems.
• Partners with other business applications management teams and contractors to identify synergies and opportunities for improvement, and works with vendors to ensure upgrades and configuration changes are maintained and accurate.
• Develops or modifies established processes and procedures, leveraging market and industry research, to support application efficiency and improvement.
• Manages multiple applications projects or serves as a project lead for a application module or system that requires high level of subject matter expertise or certifications related to a specific application
• Maintains advanced knowledge of current operational workflows that are supported through the business or clinical applications.
• Proactively analyzes operational processes and data to identify opportunities and improve existing processes for workflow optimization.
• Serves as a mentor and technical resource for junior analyst to gain expertise on more specialized and complex clinical applications and functions.
• Recognized subject matter expert for assigned clinical application and may manage special projects for applications teams aimed at advancing the customer experience, reporting, and overall work and data flow through the system.
• Generates and analyzes reports for a specific application in order to inform Memorial's decision making process, improve efficiency, and to outline workflow and processes.


Competencies and skills:
Essential:
• STANDARDS OF BEHAVIOR: Acts in a manner that supports the standards of communication, respect, privacy, and teamwork by demonstrating a commitment to professional and ethical conduct.
• CUSTOMER SERVICE: Demonstrates commitment to service excellence by promptly addressing internal/external customer issues/requests, resolving concerns while maintaining a professional image and behavior to build and enhance the patient/family/customer experience.
• ACCOUNTABILITY: Accepts ownership of job roles and specific assignments/goals; works independently, takes responsibility for own actions; admits mistakes and judgment errors; and accepts constructive feedback. Connects personal work results to the accomplishment of team and organizational goals.
• RESPONDING TO CHANGE: Accepts change and adapts in a positive and productive manner; handles unexpected situations and changes in direction calmly and with confidence. Views new assignments and job responsibilities as an opportunity for growth.

 

 

Education:
Essential:
• Associates

 

Education specialization:
Essential:
• Information Technology


Credentials:



Education equivalent experience:
Essential:
• Computer Science, or related field. Relevant work experience may substitute for education requirement.

 

Other information:
Complexity of Work: Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action. May require specialized knowledge in a business line.

Required Work Experience: Minimum 5 years of relevant experience

 

 

Working conditions:
Essential:
• Bending and Stooping    40.00%
• Climbing    20.00%
• Keyboard Entry    60.00%
• Kneeling    40.00%
• Lifting/Carrying Patients 35 Pounds or Greater    20.00%
• Lifting or Carrying 0 - 25 lbs Non-Patient    60.00%
• Lifting or Carrying 25.01 lbs - 75 lbs Non-Patient    40.00%
• Lifting or Carrying > 75 lbs Non-Patient    20.00%
• Pushing or Pulling 0 - 25 lbs Non-Patient    40.00%
• Pushing or Pulling 26 - 75 lbs Non-Patient    40.00%
• Pushing or Pulling > 75 lbs Non-Patient    20.00%
• Reaching    40.00%
• Repetitive Movement Hand/Arm    60.00%
• Sitting    60.00%
• Squatting    40.00%
• Standing    60.00%
• Walking    60.00%
• Audible Speech    60.00%
• Hearing Acuity    60.00%
• Depth Perception    60.00%
• Distinguish Color    60.00%
• Seeing - Far    60.00%
• Seeing - Near    60.00%
• Bio hazardous Waste    20.00%
• Biological Hazards - Respiratory    20.00%
• Biological Hazards - Skin or Ingestion    20.00%
• Blood and/or Bodily Fluids    20.00%
• Communicable Diseases and/or Pathogens    20.00%
• Cytotoxic Chemicals    20.00%
• Dust    60.00%
• Gas/Vapors/Fumes    20.00%
• Hazardous Chemicals    20.00%
• Hazardous Medication    20.00%
• Latex    20.00%
• Computer Monitor    60.00%
• Domestic Animals    20.00%
• Hazardous Noise    20.00%
• Laser/High Intensity Lights    20.00%
• Magnetic Fields    20.00%
• Moving Mechanical Parts    20.00%
• Potential Electric Shock    20.00%
• Radiation    20.00%
• Wet or Slippery Surfaces    20.00%

  

 

Disclaimer: This job description is not intended, nor should it be construed to be an exhaustive list of all responsibilities, skills, efforts or working conditions associated with the job. It is intended to indicate the general nature and level of work performed by employees within this classification.