Senior Hospital Applications Analyst (Epic Resolute Claims and Remittance)

University Hospital, Newark NJ•Newark, NJ

16h•$89,754 - $129,432

About The Position

This position is responsible for the management of Hospital Billing and Professional Billing claims and remittance programming functions within Epic. Fundamental responsibilities of this position will include programming within Epic to ensure accurate and timely claims and remittance. The individual must work closely with financial, and IT leadership and staff of University Hospital New Jersey (UHNJ) to ensure that claims and remittance processes function smoothly. The position will also be responsible for educating revenue center departments on best practices and working with third party vendors as needed. The Claims/Remittance Analyst must be a skilled communicator who makes decisions independently and in collaboration with others. The position will also involve communication with third party vendors that support claims and remittance functions. Attention to detail is a critical skill for this position. Successful candidates must enjoy helping other users to learn and adopt to use of the application.

Requirements

Bachelor’s Degree preferred in a health‐related discipline (Nursing, Pharmacy, etc.), Computer Science, Business Administration, Liberal Arts, Science, or related field.
In lieu of a degree, three (3) years of experience in information systems with preference given to candidates from a patient care environment.
Prior Epic experience in Resolute, Prelude, Grand Central or Cadence is highly desirable.
Must complete certification on an Epic application specified by management within 6 months of training.
Ability to maintain and assist in managing project work plans.
Demonstrated interpersonal skills working in a service‐oriented environment.
Effective written and oral communications a must.
Established organizational and problem‐solving skills are required.
The Billing Analyst must be a skilled communicator who makes decisions independently and in collaboration with others.
Attention to detail is a critical skill for this position.
Successful candidates enjoy helping other users to learn and adopt to use the application.
Equivalent education, experience and/or training may be substituted for the degree requirements.
Additional relevant experience, or clinical expertise, may be substituted for information systems experience.

Nice To Haves

Direct experience with electronic medical records is preferred.

Responsibilities

Works closely with financial, IT, and Revenue Cycle teams to optimize Epic programming, configuration, and workflows for claims and remittance.
Identifies issues that arise in assigned application area as well as issues that impact other application teams.
Provides subject matter expertise to ensure claims are submitted timely/accurately and remittances are posted timely/accurately.
Proactively works with third party vendors such as claims/remittance clearinghouse and bank.
Leads workflow design discussions, building and testing the system and analyzing associated issues.
Reviews the status of deliverables, issues, and milestones with leadership.
Helps educate financial, IT, and Revenue Cycle teams on best practices within Epic.
Serves as a liaison between end users’ workflow needs and Epic implementation staff.