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Epic Resolute PB Claims Analyst
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Talent Groups . 2 days ago Be among the first 25 applicants. Job Summary The Professional Billing Claims Analyst III position will be housed under a subsidiary organization. To implement, maintain, support, and maximize the use of clinical, financial, and administrative software applications utilized by the client in daily operations under the supervision of the Manager of Professional Billing and Claims. Responsibilities Maintain current clinical, financial, and administrative applications, and implement new ones. Assist in assessing workflow processes and re-engineering to improve departmental efficiency. Help users develop reports, troubleshoot, and resolve application issues. Collaborate with IT Education staff to train users and develop documentation. Maintain knowledge of IT operations, network issues, and industry trends. Ensure users understand and maximize software use for daily operations. Evaluate user knowledge and develop specialized training as needed. Act as liaison between users and software vendors. Guide modifications to system applications to improve performance. Coordinate testing and updates of system applications to ensure proper functioning before deployment. Integrate new applications into existing HIS according to schedule. Respond to user inquiries and assist with technical problems. Work with Database Analysts for report development. Ensure interfaces between applications and systems function properly. Maintain dictionaries, user codes, and application security. Investigate discrepancies in data that may indicate issues. Collaborate with various stakeholders to analyze system functions and data accuracy. Implement new software features and routines. Participate in planning and implementation of applications, including development of dictionaries. Work with department managers and IT staff to develop and conduct training programs. Create system documentation and assist departments with downtime procedures. Coordinate report production and system jobs to optimize system utilization. Maintain knowledge of department functions for emergency coverage. Notify the Applications Manager of system modification requests and updates. Assist in developing IT policies and participate in on-call rotations and committees. Demonstrate effective job performance and attention to detail. Manage multiple priorities effectively. Interact professionally with peers and clients, providing excellent customer service. Maintain current industry knowledge through seminars and literature. Travel onsite for visits and project milestones as required. Perform other duties as assigned. Required Skills Understanding and explaining business processes and underlying data. Experience with Electronic Health Records, claims, and healthcare data. Experience with Clearinghouses for claims transmission. Subject Matter Expert in Epic claims software. Adaptability in a fast-paced environment. Ability to work independently and in teams. Experience with Epic implementation. Desired Skills Familiarity with MassHealth ACO, FQHCs, provider organizations, and managed care environments. 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. Resolute Professional Billing Claims Administration certification. Resolute Professional Billing Electronic Remittance certification. Epic Resolute Professional Billing SBO Certification (preferred). At least three years of experience as a certified Epic analyst. Seniority level
Mid-Senior level Employment type
Full-time Job function
Other Industries
Staffing and Recruiting This job posting is active and not expired.
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Epic Resolute PB Claims Analyst
role at
Talent Groups . 2 days ago Be among the first 25 applicants. Job Summary The Professional Billing Claims Analyst III position will be housed under a subsidiary organization. To implement, maintain, support, and maximize the use of clinical, financial, and administrative software applications utilized by the client in daily operations under the supervision of the Manager of Professional Billing and Claims. Responsibilities Maintain current clinical, financial, and administrative applications, and implement new ones. Assist in assessing workflow processes and re-engineering to improve departmental efficiency. Help users develop reports, troubleshoot, and resolve application issues. Collaborate with IT Education staff to train users and develop documentation. Maintain knowledge of IT operations, network issues, and industry trends. Ensure users understand and maximize software use for daily operations. Evaluate user knowledge and develop specialized training as needed. Act as liaison between users and software vendors. Guide modifications to system applications to improve performance. Coordinate testing and updates of system applications to ensure proper functioning before deployment. Integrate new applications into existing HIS according to schedule. Respond to user inquiries and assist with technical problems. Work with Database Analysts for report development. Ensure interfaces between applications and systems function properly. Maintain dictionaries, user codes, and application security. Investigate discrepancies in data that may indicate issues. Collaborate with various stakeholders to analyze system functions and data accuracy. Implement new software features and routines. Participate in planning and implementation of applications, including development of dictionaries. Work with department managers and IT staff to develop and conduct training programs. Create system documentation and assist departments with downtime procedures. Coordinate report production and system jobs to optimize system utilization. Maintain knowledge of department functions for emergency coverage. Notify the Applications Manager of system modification requests and updates. Assist in developing IT policies and participate in on-call rotations and committees. Demonstrate effective job performance and attention to detail. Manage multiple priorities effectively. Interact professionally with peers and clients, providing excellent customer service. Maintain current industry knowledge through seminars and literature. Travel onsite for visits and project milestones as required. Perform other duties as assigned. Required Skills Understanding and explaining business processes and underlying data. Experience with Electronic Health Records, claims, and healthcare data. Experience with Clearinghouses for claims transmission. Subject Matter Expert in Epic claims software. Adaptability in a fast-paced environment. Ability to work independently and in teams. Experience with Epic implementation. Desired Skills Familiarity with MassHealth ACO, FQHCs, provider organizations, and managed care environments. 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. Resolute Professional Billing Claims Administration certification. Resolute Professional Billing Electronic Remittance certification. Epic Resolute Professional Billing SBO Certification (preferred). At least three years of experience as a certified Epic analyst. Seniority level
Mid-Senior level Employment type
Full-time Job function
Other Industries
Staffing and Recruiting This job posting is active and not expired.
#J-18808-Ljbffr