EPIC Physician Billing Analyst at KLM Careers in Hicksville, New York, United States

Responsibilities

• Configure and customize the Epic Professional Billing application to meet the specific business needs and workflows of the organization.
• 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, presenting them to end-users and migrating 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 various stakeholders, including IT, finance, and end-users, to ensure the Epic system aligns with business operations.
• Act as the primary support contact for Epic Professional Billing application 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, obtain and maintain necessary Epic certifications.
• Ensure compliance with industry standards and regulations, such as transitioning between different 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.

Requirements

• Must be a US Citizen or Green Card holder
• Bachelors Degree, preferably in Computer Science, Information Technology, Computer Engineering, or a related field.
• Certified in Epic Professional Billing.
• 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).
• 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.
• Strong interpersonal relationship skills and effective communication skills (both oral and written).
• Analytical thinking and problem-solving abilities.
• Attention to detail and accuracy.
• Self-motivated and a team player.
• 1. Do you have a Bachelors Degree, preferably in Computer Science, Information Technology, Computer Engineering, or a related field.
• 2. Do you have Certified in Epic Professional Billing.
• 3. Do you have 3+ years of experience and expertise in Epic's Professional Billing module, including charge router, work queue configuration, collection agency workflows, statement processing, benefit engine, and estimates.
• 4. Do you have Experience with system configuration and troubleshooting tools.
• 5. Do you have Strong understanding of healthcare revenue cycle processes, medical billing codes, and insurance procedures.
• 6. Do you have Familiarity with the differences between professional billing and hospital billing.
• 7. Do you have Knowledge of medical coding systems like CPT and ICD-10.
• 8. Must be a US Citizen or Green Card holder.

Skills

Required

• Attention to detail and accuracy.
• Self-motivated and a team player.