Job Description

Job Description

Job Description: RTE Analyst. We are looking for someone who has implemented: Query Chaining, Utilize of the MSP Indicator, Plan Mapping and Auto Coverage Creation.

Epic Professional Billing analyst who must possess Epic Resolute Professional Billing Administration Certification and have extensive knowledge and experience in Epic Resolute Professional Billing. Primary responsibilities will include charge testing for new departments and clinics, visit type consolidation, handling charge-related issues and requests, and charge router/handler build, it is crucial that the contractor is an expert in charge router/handler build.

DESCRIPTION

UC San Diego Health is seeking a Senior Revenue Cycle Application Analyst (Epic PB Claims) who will serve as a technical leader with a high degree of knowledge and recognized expertise in Epic Revenue Cycle applications (Professional Billing, Charge Router, Single Billing Office, Claims, Remittance, and Research Billing). Responsibilities include design, building, testing, and implementation of Epic Revenue Cycle application systems as well as providing project management, customer service, troubleshooting, and maintenance.

This position will report to the Revenue Cycle IS Manager in the Information Services department and will closely collaborate with Revenue Cycle operations (Patient Access, Revenue Integrity, Professional Billing, Coding, Continuous Improvement, Trainers, Finance, Cashiers, Hospital Billing, Provider Enrollment, Provider Education, Clinical Research Billing, and Single Business Office) as well as third party vendors and other application teams on a daily basis.

MINIMUM QUALIFICATIONS

Nine (9) years of related experience, education/training, OR Bachelor's Degree in related area plus five (5) years of related experience/training (Related experience: Epic build experience in Claims and Remittance).

Broadly encompassing or highly In-depth knowledge of 1-2 areas of focus in clinical applications specialty area(s). Knowledge of operations, systems and functions, including planning, design, development, implementation, user support and training, maintenance, quality assurance, and system testing and evaluation.

Ability to apply advanced problem-resolution skills to highly complex issues, quickly diagnose problems, and develop, test, and implement appropriate and effective solutions in a timely manner.

Advanced interpersonal communication skills to effectively train, support, and collaborate productively with clinical users and key stakeholders at all professional and technical levels.

Advanced organizational and project management skills, and ability to lead a team, prioritize tasks, and see projects through from inception to completion on schedule.

Advanced written and verbal communications skills, to convey highly-technical information and instructions to all levels of clinical users and staff in a specific, clear, and concise manner.

Advanced analytical skills and expertise in documentation and reporting, with the ability to apply metrics, plan and implement testing systems, collect and analyze performance data, and produce substantive reports and analyses for management use.

Advanced ability to serve as a technical leader and information resource, and to work collaboratively with key personnel and management, providing guidance and recommendations on systems, improvements, upgrades, and industry advances and trends.

PREFERRED QUALIFICATIONS

Epic PB Claims & Remittance Certification.

Epic PB Administration Certification.

Epic Charge Router Certification.

Project Management Experience.

Revenue Cycle background and experience that provides understanding of healthcare operations.

SPECIAL CONDITIONS

Must be able to work various hours and locations based on business needs.

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