Epic Resolute Professional Billing Claims & Remit Analyst

Sarasota Memorial Health Care System • Sarasota, FL

5h • Onsite

About The Position

This position is responsible for clinical/business systems analysis, data management, technical support, maintenance, application and configuration, quality improvement, user support, implementation and standards and regulation of the Clinical and Business Systems throughout the organization. Responsible for all aspects of systems planning, development, and implementation including new systems, systems upgrades and enhancements. Responsible for providing analyst leadership and direction, as well as project management for small to medium sized projects. Responsible for the development and support of a stable, reliable, and customer-oriented clinical/business system and applications that meet the needs of users and the organization.
The Epic Resolute Professional Billing Claims & Remit Analyst will implement and support the Epic PB and Claims module within the organization, with understanding of upstream and downstream data sources to be able to investigate the root causes of claims errors and configuration. A certification or accreditation in PB Claims and Remit is required and dual certification or accreditation in Resolute HB and PB is ideal. As most Epic applications ultimately contribute data to claims, the Analyst should know where each piece of data on claims forms originates in Epic. A Project Management mindset and demonstrated Analysts leadership in leading and facilitating enhancements, process improvements, and Epic system optimization is preferred.
This position is responsible for clinical/business systems analysis, data management, technical support, maintenance, application and configuration, quality improvement, user support, implementation and standards and regulation of the Clinical and Business Systems throughout the organization. Responsible for all aspects of systems planning, development, and implementation including new systems, systems upgrades and enhancements. Responsible for providing analyst leadership and direction, as well as project management for small to medium sized projects. Responsible for the development and support of a stable, reliable, and customer-oriented clinical/business system and applications that meet the needs of users and the organization.

Requirements

• Requires knowledge of the patient care setting and clinical practice, either by profession or experience.
• Require Associate Degree in Information Systems, Informatics, Business Administration, Nursing or appropriate clinical or business field. Relevant work experience may substitute on a year-for-year basis for required degree.
• Require three (3) years of applicable clinical/business experience, preferably in a multi-entity health care system, large hospital, physician office, or managed care organization. Bachelor degree in a related field may substitute for up to two (2) years of required experience.
• A certification or accreditation in PB Claims and Remit is required
• Must be FL resident and able to work on-site daily.

Nice To Haves

• Prefer ability to troubleshoot and document multi-system issues.
• Prefer demonstrated ability to implement test plans, create reports and train end-users.
• Prefer demonstrated ability to provide excellent customer-focused service to resolve end user production issues.
• Prefer familiarity with Microsoft Office and software packages.
• Prefer general conceptual knowledge of networks, servers and databases.
• Position may require at least one Software Certification in job area of focus.
• dual certification or accreditation in Resolute HB and PB is ideal.
• A Project Management mindset and demonstrated Analysts leadership in leading and facilitating enhancements, process improvements, and Epic system optimization is preferred.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree