Billing Analyst
Ashley
- Hicksville, NY
- Permanent
- Full-time
We are seeking a detail-oriented and analytical EPIC Physician Billing Analyst to join our healthcare team. The ideal candidate will be responsible for managing billing processes, ensuring accuracy in medical coding, and facilitating timely collections. This role requires a strong understanding of medical terminology, coding systems, and billing practices to support our operations effectively.EPIC Physician Billing AnalystResponsibilities
- Configure and customize the Epic Professional Billing application to meet the specific business needs and workflows of the organization.
- Maintain the Resolute Professional Billing module to manage charges, benefit engines, and workflows with external collection agencies.
- Perform ongoing maintenance and updates to Epic applications.
- Build and test system changes, presenting them to end-users and migrating them to production.
- Analyze existing financial workflows and identify opportunities for improvement and optimization.
- Design and implement leading practice workflows to enhance efficiency and effectiveness.
- Collaborate with various stakeholders, including IT, finance, and end-users, to ensure the Epic system aligns with business operations.
- Support and Troubleshooting:
- Act as the primary support contact for Epic Professional Billing application end-users.
- Provide support to end-users on the Epic EMR system, including integrating revenue cycle processes such as maintaining claim scrubbers and payment processors.
- Troubleshoot system errors and resolve issues related to billing, claims, and reimbursement.
- Provide on-call support on a rotating basis.
- Participate in training and educate end-users on the Epic Professional Billing application and related workflows.
- Develop and document internal procedures for using Epic and other applications.
- Stay current with Epic technologies, obtain and maintain necessary Epic certifications.
- Ensure compliance with industry standards and regulations, such as transitioning between different claim formats (e.g., X12 4010 to 5010) and coding systems (e.g., ICD-9 to ICD-10).
- Review and assess the impact of changes and enhancements with each new Epic release and make recommendations for the best course of action.
- Proven experience in medical billing, coding, or collections within a healthcare setting.
- Bachelor’s Degree, preferably in Computer Science, Information Technology, Computer Engineering, or a related field.
- Certified in Epic Professional Billing.
- Expertise in Epic's Professional Billing module, including charge router, workqueue configuration, collection agency workflows, statement processing, benefit engine, and estimates.
- Experience with system configuration and troubleshooting tools.
- Proficiency with Microsoft Office Suite (Word, Project, Excel, Visio, and PowerPoint).
- Strong understanding of healthcare revenue cycle processes, medical billing codes, and insurance procedures.
- Familiarity with the differences between professional billing and hospital billing.
- Knowledge of medical coding systems like CPT and ICD-10.
- Strong interpersonal relationship skills and effective communication skills (both oral and written).
- Analytical thinking and problem-solving abilities.
- Attention to detail and accuracy.
- Self-motivated and a team player.
- Familiarity with DRG, CPT coding, ICD-9, ICD-10, and general medical coding practices is essential.
- Strong understanding of medical terminology and the ability to interpret medical records accurately.
- Experience with EMR and EHR systems is preferred.
- Excellent attention to detail with strong analytical skills for problem-solving.
- Ability to communicate effectively with healthcare providers and patients regarding billing inquiries.
- Previous experience in a medical office environment is a plus. If you are passionate about contributing to the healthcare industry through accurate billing practices and have the necessary qualifications, we encourage you to apply for this rewarding opportunity as a Billing Analyst.