Analyst II Application Development

Hospital for Special Surgery•New York, NY

3d•$99,000 - $150,750•Onsite

About The Position

The Epic Resolute Hospital Billing Analyst II is responsible for configuring, supporting, and maintaining the hospital’s EMR and billing applications to ensure accurate and efficient claims processing, payment posting, and revenue cycle operations. Key responsibilities include designing, building, testing, and implementing solutions within the Epic Resolute Hospital Billing application and its functionality such as Single Billing Office (SBO), Claims and Remittance, Charge Router, Patient Statements, and related modules. This position requires strong analytical and problem-solving skills, attention to detail, and the ability to manage multiple priorities. Participation in an on-call rotation and occasional evening or weekend support may be required.

Requirements

Requires minimum of 2 years of relevant experience with 2+ years of IT implementation and/or support experience.
BA/BS required, preferably in Information Technology, Computer Science, Healthcare Administration, or a related field.
Epic Resolute Hospital Billing/SBO
Epic Resolute Professional Billing
Epic Claims/Remittance
Participation in at least one full implementation lifecycle.
Good SharePoint usage.
Build experience with charge router, workqueue configuration, collection agency workflows, statement processing, benefit engine, and estimates.
Participation in at least one full implementation lifecycle.
Good SharePoint usage.
Very good oral, written communication and follow-up skills.
Very good interpersonal relationship skills.
Very good desktop tool usage including Word, Excel, Visio, and PowerPoint.
Self-motivated, Detail oriented, problem solver.
Self-sufficient; able to manage time effectively.

Nice To Haves

At least one year of application experience.
Healthcare experience desirable.
Master’s degree in information technology, Computer Science, Healthcare Administration, or a related field preferred.
Must have experience with charge router, workqueue configuration, collection agency workflows, statement processing, benefit engine, and estimates.
Strong interpersonal relationship skills
Demonstrated ability in adherence to process standards around documentation and workflow design.
Project management skills including, but not limited to the ability to lead meetings, prioritize, resolve conflicts, maintain issues list, and manage project plans.
Driven to expand on current healthcare IT knowledge and expertise.
Self-motivated, detail-oriented and pragmatic; a great team player who is analytical and solution-focused.
Excellent oral and written communication skills; ability to forge and maintain strong professional relationships.
Proficiency with Microsoft Office including, but not limited to Word, Project, Excel, Visio and PowerPoint.
Build experience with charge router, workqueue configuration, collection agency workflows, statement processing, benefit engine, and estimates.

Responsibilities

Assists with contracts
Assists in the negotiation of physician managed care contracts, analytics, and financial modeling.
Coordinates enrollment
Coordinates physician enrollment in managed care plans.
Ensures compliance
Ensures compliance of managed care companies with negotiated contracts.
Resolves payor issues
Follows up and resolving payment issues with Insurance Payors.
Acts as liaison
Acts as a liaison between physician offices and Insurance Payors.
Assists with meetings
Schedules, coordinates, and documents for all PHO related meetings.
Maintains tracking logs
Creates and maintains tracking logs for Insurance Payor issues and accountability for closing out items.
Oversees PHO line
Oversees PHO phone line, answers and responds to inquiries, and assists with urgent physician office issues.
Maintains satisfactory attendance record.
Reports for duty punctually.
Adjusts to changing situations and work assignments.