IT Epic Revenue Cycle Claims Analyst

White Plains Hospital Center White Plains , NY 10601

Posted 2 weeks ago

Title: Epic HB/PB Claims Application Analyst At White Plains Hospital, you have an opportunity to work side-by-side with some of the most talented people in the world. We have been widely recognized for our exceptional culture, world-class physicians, Magnet-designated nurses and passionate employees who make a real difference in our community. With tremendous growth opportunities, great benefits, and flexible work schedules, it is no wonder why we are consistently recognized as a Great Place to Work. Position Summary: The Epic Application Analyst is responsible for the implementation of Epic HB/PB Claims applications, upgrades, and modifications. The Epic HB/PB Claims Application Analyst is responsible for advanced workflow configurations, go-live support, and on-going client support. Provides outstanding client service and contributes to the organizations mission of utilizing information technology to improve patient care. Essential Functions and Responsibilities Include the Following: Understand and adhere to the WPH Performance Standard, Policies and Behaviors. Analyzes and determines systems requirements and specifications.Performs and documents workflow analysis while evaluating user experience.Work closely with the Revenue Cycle Operations staff. Lead meetings regarding Epic Builds and Implementations.Collaborate with end-users to gather and interpret user requirements to assist with designing and discussing optimal solutions.Install Epic HB/PB Claims applications, new components, and upgrade existing modules. Configure application settings and validate configurations. Provide timely, effective, and professional customer support by troubleshooting and managing complex reported issues as they arise until resolution. Proactively acknowledge and manage all assigned service request tickets received from end-users. Participate in the design, build, testing, and maintenance of complex system enhancements and/or work with the appropriate Montefiore IT associate or vendor to coordinate modifications. Resolve critical issues independently as necessary. Forward issues to the correct group for remediation or elevate it to the vendor if required. Act as a liaison to the end-user for vendors or Montefiore IT. Contact vendors to report escalations and obtain assistance with complex solving issues. Perform coordination of vendor activities including, device integration testing, hardware or software installation. Execute system changes in accordance with IT Change Management Process, including creating test plans and documenting all outcomes of testing and obtaining appropriate approvals. Provide go-live and/or daily end-users support and training on Epic applications, modules, and functionality. Write and maintain accurate documentation of workflow for supported Epic HB/PB Claims applications; and disseminate material to users. Participate in policy and procedure development as it relates to security, downtime, backup operations and disaster recovery activities. Performs all other related duties as assigned. Education Experience Requirements Bachelors degree Required. 3+ years of Epic HB/PB Claims experience. Understanding of claims processes including: claims submission, claims logic, CDF, lockboxes, and electronic remittance. Epic HB Claims and PB Claims Certifications Required. Application testing experience. Related clinical or business experience. Core Competencies Ability to handle analysis, design system configuration and testing tasks. Uses critical thinking skills for assigned tasks. Strong communication skills. Well organized with the ability to manage multiple projects and meet deadlines. Provides excellence in customer service under all circumstances. Physical/Mental Demands/Requirements Work Environment May be exposed to chemicals necessary to perform required tasks. Any hazardous chemicals the employee may be exposed to are listed in the hospitals SDS (Safety Data Sheet) data base and may be accessed through the hospitals Intranet site (Employee Tools/SDS Access). A copy of the SDS data base can also be found at the hospital switchboard, saved on a disc. Primary Population Served Check appropriate box(s) below: â˜Neonatal (birth 28 days) â˜Patients with exceptional communication needs â˜Infant (29 days less than 1 year) â˜Patients with developmental delays â˜Pediatric (1 12 years) â˜Patients at end of life â˜Adolescent (13 17 years) â˜Patients under isolation precautions â˜Adult (18 64 years) â˜Patients with cultural needs â˜Geriatric (65 years) â˜All populations â˜Bariatric Patients with weight related comorbidities â˜' Non-patient care population The responsibilities and tasks outlined in this job description are not exhaustive and may change as determined by the needs of White Plains Hospital. Salary Range: $93,829.13-$140,754.51

Title: Epic HB/PB Claims Application Analyst

At White Plains Hospital, you have an opportunity to work side-by-side with some of the most talented people in the world.

We have been widely recognized for our exceptional culture, world-class physicians, Magnet-designated nurses and passionate employees who make a real difference in our community. With tremendous growth opportunities, great benefits, and flexible work schedules, it is no wonder why we are consistently recognized as a Great Place to Work.

Position Summary: The Epic Application Analyst is responsible for the implementation of Epic HB/PB Claims applications, upgrades, and modifications. The Epic HB/PB Claims Application Analyst is responsible for advanced workflow configurations, go-live support, and on-going client support. Provides outstanding client service and contributes to the organization's mission of utilizing information technology to improve patient care.

Essential Functions and Responsibilities Include the Following:

  • Understand and adhere to the WPH Performance Standard, Policies and Behaviors.

  • Analyzes and determines systems requirements and specifications. Performs and documents workflow analysis while evaluating user experience.

  • Work closely with the Revenue Cycle Operations staff. Lead meetings regarding Epic Builds and Implementations. Collaborate with end-users to gather and interpret user requirements to assist with designing and discussing optimal solutions.

  • Install Epic HB/PB Claims applications, new components, and upgrade existing modules. Configure application settings and validate configurations.

  • Provide timely, effective, and professional customer support by troubleshooting and managing complex reported issues as they arise until resolution.

  • Proactively acknowledge and manage all assigned service request tickets received from end-users.

  • Participate in the design, build, testing, and maintenance of complex system enhancements and/or work with the appropriate Montefiore IT associate or vendor to coordinate modifications.

  • Resolve critical issues independently as necessary. Forward issues to the correct group for remediation or elevate it to the vendor if required.

  • Act as a liaison to the end-user for vendors or Montefiore IT.

  • Contact vendors to report escalations and obtain assistance with complex solving issues.

  • Perform coordination of vendor activities including, device integration testing, hardware or software installation.

  • Execute system changes in accordance with IT Change Management Process, including creating test plans and documenting all outcomes of testing and obtaining appropriate approvals.

  • Provide go-live and/or daily end-users support and training on Epic applications, modules, and functionality.

  • Write and maintain accurate documentation of workflow for supported Epic HB/PB Claims applications; and disseminate material to users.

  • Participate in policy and procedure development as it relates to security, downtime, backup operations and disaster recovery activities.

  • Performs all other related duties as assigned.

Education & Experience Requirements

  • Bachelor's degree Required.

  • 3+ years of Epic HB/PB Claims experience.

  • Understanding of claims processes including: claims submission, claims logic, CDF, lockboxes, and electronic remittance.

  • Epic HB Claims and PB Claims Certifications Required.

  • Application testing experience.

  • Related clinical or business experience.

Core Competencies

  • Ability to handle analysis, design system configuration and testing tasks.

  • Uses critical thinking skills for assigned tasks.

  • Strong communication skills.

  • Well organized with the ability to manage multiple projects and meet deadlines.

  • Provides excellence in customer service under all circumstances.

Physical/Mental Demands/Requirements & Work Environment

  • May be exposed to chemicals necessary to perform required tasks. Any hazardous chemicals the employee may be exposed to are listed in the hospital's SDS (Safety Data Sheet) data base and may be accessed through the hospital's Intranet site (Employee Tools/SDS Access). A copy of the SDS data base can also be found at the hospital switchboard, saved on a disc.

Primary Population Served

Check appropriate box(s) below:

â˜Neonatal (birth - 28 days) â˜Patients with exceptional communication needs

â˜Infant (29 days - less than 1 year) â˜Patients with developmental delays

â˜Pediatric (1 - 12 years) â˜Patients at end of life

â˜Adolescent (13 - 17 years) â˜Patients under isolation precautions

â˜Adult (18 - 64 years) â˜Patients with cultural needs

â˜Geriatric (> 65 years) â˜All populations

â˜Bariatric Patients with weight related comorbidities â˜' Non-patient care population

The responsibilities and tasks outlined in this job description are not exhaustive and may change as determined by the needs of White Plains Hospital.

Salary Range: $93,829.13-$140,754.51


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