Senior Resolute Claims & Remittance/ Professional Billing Analyst

Kelsey Seybold Clinic Pearland , TX 77584

Posted 2 months ago

Overview

Senior Resolute Claims & Remittance/ Professional Billing Analyst

Location: Pearland Administrative Office Job Type:

Full Time Department: General Admin- IT Applications Mgmt

COMPANY PROFILE

Kelsey-Seybold Clinic.

Kelsey-Seybold Clinic is Houston's premier multispecialty group practice, founded in 1949 by Dr. Mavis Kelsey.

With 19 clinic locations and more than 400 physicians, Kelsey-Seybold provides medical care in 55 medical specialties and is home to a nationally accredited Breast Diagnostic Center, Endoscopy Center, Infusion Center and Cancer Center. Our mission is to provide our team members with exceptional opportunities for professional and personal growth.

JOB SUMMARY

Competent to work at the highest technical level of all phases of application systems analysis, workflow analysis, build,design, testing, interface knowledge and programming activities. Under general direction, formulates/defines system scope and objectives.

Able to work individually, on a team or project teams and can multi-task. May be responsible for completion of a phase of a project or responsible for leading and completing a project. Regularly provides guidance and training to less experienced analysts.

Works with business owners, physicians, clinicians, stakeholders, and IT personnel to assess and develop best practice models. May support implementation and upgrades to clinical and bio-medical applications. Provide weekly status updates on project(s) progress. Position will require travel to KSC clinic locations for implementation, training and support.Other duties as assigned.

EDUCATION REQUIREMENTS & EXPERIENCE REQUIREMENTS

(A = basics; B = preferred)

Education

A.

Bachelor's degree or at least 3 years of equivalent relevant work experience

B.

Clinical, or Advanced Degree helpful

Experience

A.

Minimum 3 years experience in applicable healthcare clinical operations, project management, or systems design, implementation, configuration or support

B.

Ambulatory EMR implementation and support experience.

Licenses

A.

Valid Texas Driver's License

B.

Special Skills

A.

  • Resolute Claims & Remittance, Professional Billing, or Tapestry Certified (in order of preference)- 5+ years Epic Resolute Build experience
  • 3+ years Healthcare Revenue Cycle experience

  • Thorough documentation skills:o Technical requirementso User documentationo Administrator documentation

Here are the skills I would like to see (though not required) in an experienced Resolute applicant:- Tapestry Certified- Health Plan Administration experience- 5+ years Healthcare Revenue Cycle experience

  • Healthcare Operations experience

Supervisory and performance management experience; Complex project management experience with demonstrably successful outcome

Other

A.

Proven communication, presentation, teamwork, project management, problem solving and technical skills are also required. Candidates must have a positive and "can do" attitude. Ability to learn quickly, and to obtain Epic System Certification level (as defined by Epic) and/or other clinical system certifications as required.

B.

Demonstrable knowledge of clinical data sets (CPT, HCPCS, ICD-9, etc).

WORKING ENVIRONMENT

Office



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Senior Resolute Claims & Remittance/ Professional Billing Analyst

Kelsey Seybold Clinic