DSOHF EHR- Technical Specialist- Expert HB Billingyst

Title

DSOHFEHR Technical Specialist Expert (HB BillingAnalyst)

Location

RaleighNC (Remote)

Duration

12Months

InterviewType

WebcamInterviewOnly

JobType

C2CW2

JobDescription

NC DHHS is looking fora certified and experienced HB Billing Analyst to work on the EpicEHRimplementation.

CompetencyModel : BusinessAcumen

BusinessAcumen

• Understands theorganizations strategic goals and how department goals support theorganization.
• Seeks opportunitiesto extend and deepen learning of organization andarea.
• Shares newinformation and knowledge withothers.
• Be curious; questionyour assumptions when presented with an issue orquestion.
• Selfmotivated toresearch and learn new information and explore newoptions.
• Seeks to maximizepotential abilities and helpsothers.
• Follow instructionswritten or oral.
• Adhere to allscheduling and attendancerequirements.
• Honesty truthfulnessreliabilityaccountability
• Read understand andapply regulations andpolicies.
• Knowledge of relevantprivacy regulations such as The Privacy Act Freedom of InformationAct and HIPPA law
• Knowledge of revenuecycle billing hospital billing professional billing and claimsprocessing operations andworkflows
• Knowledge andunderstanding of thirdpartyapplications.
• Establishesprofessional workingrelationships.
• Communicates verballywith team departments guests andmanagement.

Communication

• Expressesoneself clearly in conversations business writing and interactionswith others.
• Delivers oral andwritten communications that are impactful and persuasive to theirintendedaudiences.
• Demonstrates a highlevel of emotional intelligence in the face ofconflict.
• Responds to ticketsand emails in a timelymanner.

Planning andOrganizing

• Managesand monitors time and resources effectively to completeassignments.
• Utilizes resourcesand gets involvement from others whereappropriate.
• Shares informationmaterials and time readily with others who needthem

Teamwork

• Encouragesparticipation from all team members regardless of role withinorganization; supports team members andcustomers.
• Identifies and worksthrough conflict that may derail the collaborativeprocess.
• Holds self and othersaccountable to create unifying goals and measure withpeers.
• Support NCDHHSanalyst team through knowledge sharing and concisedocumentation.
• Applies the knowledgeof fundamental ITconcepts.
• Asks questionsdiligently seeks and is receptive ofguidance.

DriveChange

• Anticipates potentialconcerns / resistance to change and takes constructive steps toaddress them.
• Encourages others toadopt new methods or technologies that add value or improveperformance.
• Keeps others focusedon critical goals and deadlines through periods of change orambiguity.
• Be flexible and adoptnew processes andmethods.
• Stay positive inattitude andactions.

WorkingConditions : Essential :

Essential :

• May berequired to work after hours or on weekends asneeded
• Infrequenttravel
• Pass preemploymentdrug test

Experience :

• Must havestrong leadership and communication skills with the ability toeffectively present information to clinical and business leaderswithin theorganization.
• Must have experiencewith Epic HB. 8 yearsrequired.
• Ability to work insmall groups under tight projectdeadlines.
• Working closely withbusiness and revenue cycle leaders around Epic workflow and totranslate business needs Epic billingfunctionality.
• Must possess Epiccertification ResoluteHB
• Minimum of five yearsprogressive revenue cycle / healthcare experience with demonstratedexperience in Epicbuild.
• Selfstarter withdemonstrated teamwork & communicationskills.
• Excellentcommunication and collaborationskills.
• Excellent verbal andwritten English communication skills and the ability to interactprofessionally with a diverse group arerequired.
• Experience workingwith Third Party Vendors such as Experian and RelayHealth
• Knowledge of revenuecycle billing hospital billing and claims processing operations andworkflows
• RapidRetest
• Payer / plan creationand maintenance
• ChargeRouter
• Contracts
• BehavioralHealth
• Long term carepsychiatricbilling
• CMS IPF PPS billingregulations
• Substance abusebilling IOP methadonedosing
• Medicare exhaustbilling
• Estimates SingleBilling Office and / orClaims.
• Nopayclaims.
• Claim splits / interimclaims.
• CashManagement
• Selfpayremittance
• Developing testingscripts

Responsibilities :

• Analyzesdocuments and communicates business requirements for new systemfunctionality and enhancements to existingfunctionality.
• Test system changesto ensure that they meet business requirements and do not adverselyimpact other areas of the Epicsystem.
• Acts as the primarysupport contact for the applicationsendusers.
• Identifies issuesthat arise in their application areas and issues that impact otherapplication teams and works to resolvethem
• Guides workflowdesign builds tests the system and analyzes other technical issuesassociated with Epicsoftware
• Identifies implementscompletes integrated testing and communicates requested changes tothe Epic system
• Works with Epicrepresentatives and end users to ensure the system meets theorganizations business needs regarding the project deliverables andtimeline
• Performs indepthanalysis of current and future workflows data collection reportdetails and other technical issues associated with the Epic EHR anddesignated thirdpartyapplications
• Partners with qualityoperational and business leaders on system design and optimizationto meet quality safety financial and efficiencyneeds
• Collects requirementsregarding potential system enhancements or new systemimplementation and prepares details of specifications needed;

prioritizes and implements requested changes to thesystem.

• Investigatesstandardization and process improvement opportunities by roundingwithin revenue cycle areas while making builddecisions.
• Validates that datais accurate and meets businessrequirements.
• Completes integratedtesting to test system changes in all Epic environments to ensurethat they meet business requirements and do not adversely impactother areas of thesystem.
• Troubleshoots andidentifies root causes and documents problems of simple to mediumcomplexity for assigned applications andsystems.
• Maintains dataintegrity and security for assigned applications andsystems.
• Develops systemdocumentation as assigned perstandards.
• Developscommunicationrelated education efforts for deployments upgradesoptimizations and other system changes asassigned.
• Stays current on Epicapplication releases and participates in upgrade planning andtesting.
• Participates inperformance improvement activities to measure assess and improvethe quality of assigned workarea

Education : Essential :

Essential :

Bachelorsdegree or 8 years experience in directly relatedfield

Credentials : Essential :

Essential :

• Passgeneral backgroundcheck
• Resolute HospitalBilling Claims and Electronic Remittance Administration (Epic)Resolute Hospital Billing Administration(Epic)

Skill

Required / Desired

Amount

ofExperience

Musthave strong leadership and communication skills with the ability toeffectively present information to clinical and businessleaders

Required

Years

Musthave experience with EpicHB

Required

Years

Abilityto work in small groups under tight projectdeadlines.

Required

Years

Workingclosely with business and revenue cycle leaders around Epicworkflow and to translate business needs Epic billingfunctionality.

Required

Years

Mustpossess Epic certification Resolute Hospital Billing Claims andElectronic Remittance Administration(Epic)

Required

Mustpossess Epic certification Resolute Hospital Billing Administration(Epic)

Required

Minimumof five years progressive revenue cycle / healthcare experience withdemonstrated experience in Epicbuild.

Required

Years

Selfstarterwith demonstrated teamwork & communicationskills.

Required

Years

Excellentcommunication and collaborationskills.

Required

Years

Excellentverbal and written English communication skills and the ability tointeract professionally with a diverse group arerequired.

Required

Years

Experienceworking with Third Party Vendors such as Experian and RelayHealth

Required

Years

Knowledgeof revenue cycle billing hospital billing and claims processingoperations andworkflows

Required

Years