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.