EPIC Billing and Claims Application Manager (Atwater / Remote)
EPIC Billing and Claims Application Manager (Atwater / Remote)
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$ 104334 - 114768
1 Vacancy
Job Description
The EPIC Billing and Claims Application Manager is a professional specializing in the configuration implementation and support of the EPIC electronic health record (EHR) system specifically within the billing and claims processing areas. Responsible for managing the day to day activities of Billing Trainer and the assigned Billing and Claims Analyst team and coordinating activities with multiple IT teams to develop maintain support and enhance applications. Support revenue cycle functions by partnering with business owners across the revenue cycle to identify and evaluate processes deficiencies and work towards resolving them. Produces reporting as well as providing analytic analysis of the data to Director of Revenue Cycle and other stakeholders in the organization.
This position is primarily remote working MondayFriday from 8:00am to 5:00pm with occasional on-site work at our Atwater office on an as-needed basis.
Compensation: $104334.80 - $114768.28 Annual Salary depending upon experience at offer stage.
Golden Valley Health Centers offers excellent benefits including Medical: (0 Deductible / $2000 Individual; $4000 Family Out-of-Pocket Max) excellent PPO coverages; Dental; Vision; 403(b) with match FSA plans gym discounts and so much more!
Essential Duties and Responsibilities
- Responsible for recruiting training supervising and completing performance evaluations for assigned team.
- Management oversight for projects and efforts including prioritization resource utilization timeline development and task completion.
- Maintain knowledge of assigned Epic and other professional billing and claims configuration management and act as subject matter expert on application(s) functionality.
- Assist and Understand system build changes in other Epic Application areas including but not limited to Prelude Cadence MyChart Interfaces and EpicCare Ambulatory.
- Collaborate regularly with other applications to provide support where needed.
- Manage professional billing and claims request. Prioritize track and resolve end-user support requests with a sense of urgency problem solve escalated tasks.
- Manage the planning design development build and/or configuration of applications and Epics Resolute Professional Billing applications which include Resolute Professional Billing Charge Router General Ledger and other related Epic and third party applications.
- Review the status of projects and issues on ongoing basis with organization leadership; ensure project timelines are adhered to and implement plans of action as necessary.
- Work with end users to ensure that systems are used effectively and provide direction to improve efficiency.
- Train and implement workflows across Billing Department and front end areas for best system utilization to resolve claim and charge review errors.
- Analyze user requirements develop and implement systems.
- Testing Take responsibility for the integrity of billing application testing activities for assigned team to ensure quality standards are met.
- Monitor billing application modification requests and ensure best practices are being utilized.
- Coordinate activities of team and act as a source for direction training and guidance.
- Support staff in their accurate determination and resolution of problems that affect users.
- Partner with billing management operations and other stakeholders across the organization to identify and address operational issues related to Revenue Cycle performance.
- Conduct revenue cycle analysis and provides trends to billing and operations management to identify improvement opportunities enhancement or system automation.
- In conjunction with billing management coordinates Revenue Cycle system enhancements and upgrades with IT Operations and other departments as needed.
- Conduct research and interpret regulations and other requirements to determine charging and billing alternatives and compliance issues in conjunction with operational and billing management.
- Oversee updates including but not limited to charge master sliding fee contracts billing edits as new and updated regulatory and contractual requirements are identified.
- Run review interpret analyze and validate Revenue Cycle reports. Ensure the integrity of data provided to all areas of the revenue cycle and other areas of the organization is necessary for good decision making.
- Creation and Analyzation of month-end reporting to the billing and finance teams.
- Additional duties and responsibilities as assigned.
Min. Qualifications
- Knowledge of 3rd party and governmental billing requirements/regulations.
- Knowledge of healthcare reimbursement and billing procedures HCPCS CPT and ICD-10 coding and medical terminology.
- Excellent analytical research communication and organizational skills as well as attention to detail.
- Ability to analyze and interpret large amounts of data efficiently and effectively.
- Understanding of the Revenue Cycle in healthcare.
- Possesses excellent interpersonal skills and can effectively communicate with supervisors team members and other departments.
- Ability to work efficiently and effectively with tight deadlines interruptions and high-work volume.
- Working knowledge in operating a personal computer and Microsoft Suite.
- Valid CA Drivers License reliable transportation acceptable driving record and liability insurance.
Physical Demands
- Must be able to lift up to 20 pounds occasionally and push up to 50 pounds (on wheels) on rare occasions.
- Must be able to hear staff on the phone and those who are served in-person and speak clearly in order to communicate information to clients and staff.
- Must have vision with or without lenses that is adequate to read memos a computer screen personnel forms and clinical and administrative documents.
Work Environment
The physical environment requires the employee to work indoors primarily in an office setting. The noise level inside is quiet to average. Use of general office equipment is required on a daily basis. Travel may be required at times.
Education/Experience Requirements
- High school diploma or equivalent.
- Bachelors Degree in Healthcare Administration Business or related field preferred.
- Minimum of three (3) years of EPIC build experience preferably in an ambulatory setting FQHC preferred
- The following active EPIC certifications are required Professional Revenue Cycle Operations Resolute Professional Billing Administration Charge Router Resolute Professional Billing Claims and Electronic Remittance Administration.
- EPIC certification must be continuously maintained.
- Previous supervisory experience required
- For remote work option previous work from home experience with management of a team required.
Required Experience:
Manager
Employment Type
Full-Time
