EPIC Physician Billing Analyst

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.