Senior Epic Applications Analyst - Professional Billing and Claims

About the role

The Application Analyst will play a critical role in the implementation and support of Epic Resolute, Claims and Remittance modules. This position is a senior role in Epic Practice Management system products.

Responsibilities

• Epic Resolute Implementation and Support: Lead the implementation and configuration of Epic Resolute, collaborating with stakeholders to understand billing and revenue cycle management requirements. Support existing clinic/s billing and claims workflows. Customize and optimize Resolute workflows to ensure accurate and efficient financial transactions.
• Claims and Remittance Management: Design and build the Claims and Remittance processes within the Epic system, ensuring timely and accurate submission and processing of claims. Analyze and optimize workflows related to claims adjudication and remittance processing.
• Integration and Interoperability: Collaborate with other IT teams to integrate Epic Resolute and Claims/Remittance modules with other healthcare information systems. Implement and test interfaces to enhance data exchange and interoperability, ensuring seamless connectivity with external payers and clearinghouses.
• User Support and Training: Provide user support for Epic Resolute, Claims, and Remittance applications, addressing queries and issues related to billing and claims processing. Develop and deliver training programs for end-users to optimize the use of Epic applications for billing and claims management.
• Continuous Improvement: Analyze system performance and user feedback to identify areas for improvement in Epic Resolute and Claims/Remittance functionalities. Proactively suggest and implement enhancements to streamline billing processes, reduce denials, and improve revenue cycle efficiency.

Qualifications

• 4+ years of experience with a Bachelor’s degree
• 5+ years of experience as an Epic Application Analyst, strongly preferred
• Strong analytical and problem-solving skills
• Required certifications: Epic Resolute PB and Claims
• Experience in business analysis in a technical environment, supporting large teams of business, IT staff, and executive management
• Experience with both process and data-driven structured analysis techniques
• Experience with healthcare information systems in a clinical setting is a plus
• Excellent communication, influence, presentation, team and interpersonal skills; able to present goals, project scope, and requirements to any level in the organization
• Champion of change, process and best practices to both the business and technical team members
• Strong multi-tasking abilities with project management skills
• Strong data interpretation skills to form actionable suggestions to support business requirements
• Able to conceptualize business problems and out of the box solutions
• Strong decision-making skills and process management to ensure stakeholders understand all the conditions, environment, and measures in which the decision will be made
• Ability to perform evaluation of historical trends to provide predictive insights
• Ability to offer solutions to resolve risks, conflicts, and assumptions
• Ability to summarize requirements and connect requirements to business goals while anticipating impact on target as well as related systems
• Moderate experience with agile methodologies (with Kanban boards or Sprints)
• Strong root cause analysis skills and ability to write and execute basic SQL queries and reports
• Deep level of understanding of multiple systems