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Urgent and Direct client echnical Specialist- at Remote, Remote, USA
Email: [email protected]
Hi professionals 

Good Morning

How are you all

Hope you all are doing well

Below is the JD 
for the  echnical Specialist- Expert (HB, PB, Claims Analyst) 

 Urgent and Direct client  echnical Specialist- Expert (HB, PB, Claims Analyst) 

this is very senior level position

Technical Specialist- Expert (HB, PB, Claims Analyst) (742592)

Remote (NC)

6 months

NCDHHS is a seeking an experienced Epic PB, HB and Claims Analyst .

Essential:

* May be required to work after hours or on weekends as needed

* Infrequent travel

* Pass pre-employment drug test

Experience:

Must have strong leadership and communication skills with the ability to effectively present information to clinical and business leaders within the organization.

Must have experience with Epic PB, HB, and Claims. 8 years required.

Ability to work in small groups under tight project deadlines.

Working closely with business and revenue cycle leaders around Epic workflow and to translate business needs Epic billing functionality.

Must possess Epic certification, Resolute PB, HB, and Claims.

Minimum of five years progressive revenue cycle/healthcare experience with demonstrated experience in Epic build.

Self-starter with demonstrated teamwork & communication skills.

Excellent communication and collaboration skills.

Excellent verbal and written English communication skills and the ability to interact professionally with a diverse group are required.

Experience working with Third Party Vendors such as Experian, Relay Health, and Hyland OnBase.

Knowledge of revenue cycle billing, hospital billing, professional billing, and claims processing operations and workflows

Rapid Retest

Payer/plan creation and maintenance

PLBs

Charge Router

Contracts

Behavioral Health

Long term care psychiatric billing

CMS IPF PPS billing regulations

Substance abuse billing IOP, methadone dosing

Medicare exhaust billing

No-pay claims.

Claim splits/interim claims.

Cash Management

Self-pay remittance

Developing testing scripts

Responsibilities:

Analyzes, documents, and communicates business requirements for new system functionality and enhancements to existing functionality.

Test system changes to ensure that they meet business requirements and do not adversely impact other areas of the Epic system.

Acts as the primary support contact for the application's end-users.

Identifies issues that arise in their application areas and issues that impact other application teams and works to resolve them

Guides workflow design, builds, tests the system, and analyzes other technical issues associated with Epic software

Identifies, implements, completes integrated testing, and communicates requested changes to the Epic system

Works with Epic representatives and end users to ensure the system meets the organization's business needs regarding the project deliverables and timeline

Performs in-depth analysis of current and future workflows, data collection, report details, and other technical issues associated with the Epic EHR and designated third-party applications

Partners with quality, operational, and business leaders on system design and optimization to meet quality, safety, financial, and efficiency needs

Collects requirements regarding potential system enhancements or new system implementation and prepares details of specifications needed; prioritizes and implements requested changes to the system.

Investigates standardization and process improvement opportunities by rounding within revenue cycle areas while making build decisions.

Validates that data is accurate and meets business requirements.

Completes integrated testing to test system changes in all Epic environments to ensure that they meet business requirements and do not adversely impact other areas of the system.

Troubleshoots and identifies root causes and documents problems of simple to medium complexity for assigned applications and systems.

Maintains data integrity and security for assigned applications and systems.

Develops system documentation as assigned per standards.

Develops communication-related education efforts for deployments, upgrades, optimizations, and other system changes as assigned.

Stays current on Epic application releases and participates in upgrade planning and testing.

Participates in performance improvement activities to measure, assess and improve the quality of assigned work area

Education:

Essential:

Bachelors degree or 8 years experience in directly related field

Credentials:

Essential:

* Pass general background check

* Epic module certification as assigned

*  Epic HB/PB Claims Certification

Skill Required

Must have strong leadership and communication skills with the ability to effectively present information to clinical and business leaders within the

Must have experience with Epic PB, HB, and Claims

Ability to work in small groups under tight project deadlines

Working closely with business and revenue cycle leaders around Epic workflow and to translate business needs Epic billing functionality

Must possess Epic certification, Resolute PB, HB, and Claims

Minimum of five years progressive revenue cycle/healthcare experience with demonstrated experience in Epic build

Self-starter with demonstrated teamwork & communication skills

Excellent communication and collaboration skills

Thanks & Regards 

Akhil Reddy

Administrative Assistant

Keshav Consulting Solutions, LLC

Phone:  9
1
9-439-7374

Email: [email protected]

Address: 5470 McGinnis Village Place, Suite102, Alpharetta, GA, 30005,

Website: 
www.keshavconsulting.com

Keywords: Georgia North Carolina
Urgent and Direct client echnical Specialist-
[email protected]
[email protected]
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Wed Jul 24 20:49:00 UTC 2024

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