Jobs · Finance · California

APeX Claims Analyst

UCSF Health · San Francisco, CA · 1 mo ago
FinanceFull-time

Responsibilities

  • Plans, implements and supports clinical software, hardware, operating systems and / or distributed clinical information systems of moderate scope and complexity.
  • Contributes to estimates of resource needs and scheduling of system upgrades and modifications.
  • Works on complex initiatives to analyze patient care workflow in various clinical departments, and to develop and define information technology solutions for improved system integration and functionality.
  • Organizes medical record tools and data.
  • Applies innovation in management of complex scenarios.
  • Collaborates with key operational users on complex projects to modify workflow due to new releases and system upgrades.
  • Plans and develops improvements in functionality and efficiency of clinical applications.
  • Liaison between vendors and IT leadership.
  • Contributes to the development of new projects at all levels of scope and complexity.
  • Performs systems analysis, planning and preparation, coding, testing, implementation and client / vendor coordination.
  • Designs and conducts user training in clinical information system workflows and processes, hardware and / or operating systems at all levels of complexity.
  • Develops effective tools and aids for systems training.
  • Troubleshoots escalated issues of moderate complexity and scope with clinical software, hardware, operating systems and / or distributed clinical information systems.
  • Identifies and coordinates service and support as needed between clinical engineering, IT, networks, departments and outside vendors.
  • Proposes new solutions in regards to workflows, processes, system designs or developments as needed.
  • Participates in development of complete, concise and comprehensive polices and operation procedures to assist in communicating issues to management staff.
  • Realigns based upon business and clinical needs. Looks to new opportunities to address customer service challenges. Documents issues and develops / communicates plans to address.
  • Estimates project time requirements, addresses gaps, participates in feasibility assessments.

Qualifications

  • Bachelor's degree in health care information technology, computer science, or related area, and/or equivalent combination of experience/training.
  • Epic PB or HB Claims and Electronic Remittance Admin Certification.
  • 3 – 5 years of related work experience.
  • Knowledge of systems and functions, including design, development, implementation, user support and training, maintenance, quality assurance, and system testing and evaluation.
  • Strong problem-resolution skills, with the ability to quickly diagnose problems, and develop, test, and implement appropriate and effective solutions in a timely manner.
  • Strong interpersonal skills, with the ability to effectively train, support, and work collaboratively with users of financial clinical information systems at all professional and technical levels.
  • Detail-oriented, with proven organizational skills and the ability to effectively manage time, prioritize tasks, and see projects through to completion on deadline.
  • Strong written and verbal communication skills, with the ability to convey technical information and instructions to all levels of clinical applications users in a specific, clear, and concise manner.
  • Strong analytical skills and knowledge in documentation and reporting, with the ability to design and execute tests, analyze system performance data, and produce substantive reports and analyses.

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