Technical Specialist- (HB, PB, Claims Analyst) - Datasoft Tech
Raleigh, NC
About the Job
Technical Specialist (HB, PB, Claims Analyst)
Remote
About the Job
Duration: 5-month contract
Location: Raleigh, NC
Pay rate: Hourly
Job ID: 749834
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 are
Qualifications:
Bachelor’s degree or 8 years’ experience in directly related field
Epic module certification as assigned
Epic HB/PB Claims Certification
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
About our Company
DataSoft Technologies is a highly recognized provider of professional IT Consulting services in the US. Founded in 1994, DataSoft Technologies, Inc. provides staff augmentation services for Information Technology and Automotive Services. Our team member benefits include:
Paid Holidays/Paid Time Off (PTO)
Medical/Dental Insurance
Vision Insurance
Short Term/Long Term Disability
Life Insurance
401 (K)
