Community Care Cooperative (C3)
Epic Professional Billing Analyst
Community Care Cooperative (C3), Boston, Massachusetts, us, 02298
Overview
Epic Professional Billing Application Analyst III
role at Community Care Cooperative (C3). Organization: Community Care Cooperative (C3) is a 501(c)(3) non-profit, Accountable Care Organization (ACO) governed by Federally Qualified Health Centers (FQHCs). Our mission is to leverage the collective strengths of FQHCs to improve the health and wellness of the people we serve. We serve Medicaid beneficiaries across Massachusetts and partner with health centers to strengthen communities. Reports to: Manager of Professional Billing and Claims Job description revision: V: 3.0; 04.11.2025 Location: Boston/Somerville area; travel onsite for site visits and project milestones as required. Job purpose
The Professional Billing Applications Analyst III will implement, maintain, support, and maximize the use of clinical, financial, and administrative software applications used by CTC under the direction of the Manager of Professional Billing and Claims. Responsibilities include maintaining current applications, implementing new applications, and assisting in workflow analysis, training, and documentation. Responsibilities
Maintain current clinical, financial, and administrative applications and implement new ones as needed. Assist in assessing workflow processes and re-engineering to improve departmental efficiency. Help users develop reports and analyses, troubleshoot, and resolve application issues. Collaborate with IT Education staff to train users and develop documentation. Maintain knowledge of IT operations, network issues, and current industry knowledge. Act as liaison between users and software vendors; guide modifications when beneficial to performance. Coordinate testing and update dates with users and vendors to ensure updates work properly before live deployment. Integrate new applications into the existing Health Information System (HIS) per implementation schedule. Respond to user questions with timely answers or referrals to appropriate departments. Assist users with technical problems by coordinating with HIS Operations staff. Coordinate with Database Analysts to develop reports and analyses; ensure interfaces between applications are functioning. Maintain dictionaries, user codes, and application security; ensure consistency across dictionaries. Investigate discrepancies in statistics indicating data accuracy issues. Collaborate with department managers and other stakeholders to analyze system functions and data across applications. Implement new clinical, financial, and administrative software, including add-ons and new routines. Participate in planning and implementation with IT and clinical/administrative areas; develop dictionaries as needed. Work with Department Managers and IT Education staff to develop and deliver training for all user levels. Develop system documentation to complement vendor manuals, detailing processes, procedures, and policies for system use. Assist in downtime procedures and schedule reports and system jobs to maintain balanced utilization. Provide emergency coverage and collaborate with Applications Manager on tasks; assist in policy and procedure development. Participate in on-call rotation and cross-functional workgroups as necessary. Demonstrate strong attention to detail and the ability to manage multiple priorities; interact professionally with peers and customers. Deliver outstanding customer service and maintain composure in challenging situations. Actively listen, demonstrate empathy, and engage professionally with individuals. Maintain industry knowledge by attending seminars and communicating with other IT analysts. Travel onsite for site visits and project milestones as needed. Required Skills
Epic Resolute Professional Billing SBO Certification Ability to understand, analyze, document, and explain business processes and underlying data Experience with Electronic Health Records, medical claims, and healthcare data Experience with Clearinghouses to facilitate claims transmission Flexible and adaptable to change in a fast-paced environment Ability to work independently and as part of a team Ability to thrive in a fast-paced environment Nuanced interpersonal communication skills Weekly on-call requirement Desired Other Skills
Familiarity with the MassHealth ACO program Familiarity with Federally Qualified Health Centers Experience in a provider organization Experience in a managed care environment Experience with anti-racism activities or lived experience with racism is highly preferred Qualifications
Bachelor’s degree in a healthcare-related field, Information Systems, or Business Management Epic Resolute Professional Billing SBO Certification (required) Experience with Epic Charge Router preferred, but not required Experience with SBO workflows Minimum of three years’ experience as a certified Epic analyst Subject Matter Expert in the claims area of Epic software; minimum experience with at least one Epic implementation In compliance with Covid-19 Infection Control practices per Mass.gov recommendations, vaccination is required where applicable by law. Seniority level
Associate Employment type
Full-time Job function
Information Technology and Analyst Industries
Hospitals and Health Care Non-profit Organizations Referrals may increase your chances of interviewing at Community Care Cooperative (C3).
#J-18808-Ljbffr
Epic Professional Billing Application Analyst III
role at Community Care Cooperative (C3). Organization: Community Care Cooperative (C3) is a 501(c)(3) non-profit, Accountable Care Organization (ACO) governed by Federally Qualified Health Centers (FQHCs). Our mission is to leverage the collective strengths of FQHCs to improve the health and wellness of the people we serve. We serve Medicaid beneficiaries across Massachusetts and partner with health centers to strengthen communities. Reports to: Manager of Professional Billing and Claims Job description revision: V: 3.0; 04.11.2025 Location: Boston/Somerville area; travel onsite for site visits and project milestones as required. Job purpose
The Professional Billing Applications Analyst III will implement, maintain, support, and maximize the use of clinical, financial, and administrative software applications used by CTC under the direction of the Manager of Professional Billing and Claims. Responsibilities include maintaining current applications, implementing new applications, and assisting in workflow analysis, training, and documentation. Responsibilities
Maintain current clinical, financial, and administrative applications and implement new ones as needed. Assist in assessing workflow processes and re-engineering to improve departmental efficiency. Help users develop reports and analyses, troubleshoot, and resolve application issues. Collaborate with IT Education staff to train users and develop documentation. Maintain knowledge of IT operations, network issues, and current industry knowledge. Act as liaison between users and software vendors; guide modifications when beneficial to performance. Coordinate testing and update dates with users and vendors to ensure updates work properly before live deployment. Integrate new applications into the existing Health Information System (HIS) per implementation schedule. Respond to user questions with timely answers or referrals to appropriate departments. Assist users with technical problems by coordinating with HIS Operations staff. Coordinate with Database Analysts to develop reports and analyses; ensure interfaces between applications are functioning. Maintain dictionaries, user codes, and application security; ensure consistency across dictionaries. Investigate discrepancies in statistics indicating data accuracy issues. Collaborate with department managers and other stakeholders to analyze system functions and data across applications. Implement new clinical, financial, and administrative software, including add-ons and new routines. Participate in planning and implementation with IT and clinical/administrative areas; develop dictionaries as needed. Work with Department Managers and IT Education staff to develop and deliver training for all user levels. Develop system documentation to complement vendor manuals, detailing processes, procedures, and policies for system use. Assist in downtime procedures and schedule reports and system jobs to maintain balanced utilization. Provide emergency coverage and collaborate with Applications Manager on tasks; assist in policy and procedure development. Participate in on-call rotation and cross-functional workgroups as necessary. Demonstrate strong attention to detail and the ability to manage multiple priorities; interact professionally with peers and customers. Deliver outstanding customer service and maintain composure in challenging situations. Actively listen, demonstrate empathy, and engage professionally with individuals. Maintain industry knowledge by attending seminars and communicating with other IT analysts. Travel onsite for site visits and project milestones as needed. Required Skills
Epic Resolute Professional Billing SBO Certification Ability to understand, analyze, document, and explain business processes and underlying data Experience with Electronic Health Records, medical claims, and healthcare data Experience with Clearinghouses to facilitate claims transmission Flexible and adaptable to change in a fast-paced environment Ability to work independently and as part of a team Ability to thrive in a fast-paced environment Nuanced interpersonal communication skills Weekly on-call requirement Desired Other Skills
Familiarity with the MassHealth ACO program Familiarity with Federally Qualified Health Centers Experience in a provider organization Experience in a managed care environment Experience with anti-racism activities or lived experience with racism is highly preferred Qualifications
Bachelor’s degree in a healthcare-related field, Information Systems, or Business Management Epic Resolute Professional Billing SBO Certification (required) Experience with Epic Charge Router preferred, but not required Experience with SBO workflows Minimum of three years’ experience as a certified Epic analyst Subject Matter Expert in the claims area of Epic software; minimum experience with at least one Epic implementation In compliance with Covid-19 Infection Control practices per Mass.gov recommendations, vaccination is required where applicable by law. Seniority level
Associate Employment type
Full-time Job function
Information Technology and Analyst Industries
Hospitals and Health Care Non-profit Organizations Referrals may increase your chances of interviewing at Community Care Cooperative (C3).
#J-18808-Ljbffr