EPIC Physician Billing Analyst

EPIC Physician Billing Analyst

Hicksville, New York, United States

Job Description

An Epic Physician Billing Analyst (also known as an Epic Professional Billing Analyst) is responsible for the configuration, maintenance, and optimization of the Epic Professional Billing module within a healthcare organization. This role is vital for ensuring accurate patient billing, claims processing, and reimbursement for services provided by individual healthcare providers, such as doctors or therapists.

Key Responsibilities

• System Configuration and Maintenance:
  • 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.
• Workflow Analysis and Optimization:
  • 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.
• Support and Troubleshooting:
  • 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.
• Training and Education:
  • 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.
• Compliance and Updates:
  • 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.

Essential Skills and Qualifications

• Education and Certification:
  • Bachelors Degree, preferably in Computer Science, Information Technology, Computer Engineering, or a related field.
  • Certified in Epic Professional Billing.
• Technical Skills:
  • 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).
• Healthcare Industry Knowledge:
  • 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.
• Soft Skills:
  • 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.