Epic Professional Billing Analyst III

Title: Professional Billing Analyst III

Reports to: Director of Revenue Cycle Applications

Organization Summary: (C3) is a 501(c)(3) non-profit, Accountable Care Organization (ACO) governed by Federally Qualified Health Centers (FQHCs). Our mission is to leverage the collective strengths of FQHCs to improve the health and wellness of the people we serve. We are a fast-growing organization founded in 2016 with 9 health centers and now serving hundreds of thousands of beneficiaries who receive primary care at health centers and independent practices across Massachusetts. We are an innovative organization developing new partnerships and programs to i mprove the health of members and communities and to strengthen our health center partners.

Job Summary: The Professional Billing Application Analyst III position will be housed under a new subsidiary organization of C3, Community Technology Cooperative, LLC (CTC). To implement, maintain, support, and maximize the use of clinical, financial, and administrative portions of the software applications utilized by CTC in conducting daily operations under the direction of the Director of Applications.

Responsibilities:

Maintaining current clinical, financial, and administrative applications, implementing new clinical, financial, and administrative applications

Assisting in the assessment of workflow processes and assisting in process re-engineering to achieve efficiencies in departmental operations

Assisting users in developing reports and analyses, troubleshooting, and resolution of application issues

Working with the IT Education staff to assist in training users and in the development of documentation

Maintaining a level of knowledge about IT operations and network issues and maintaining current industry knowledge

Ability to maintain current system applications

Facilitate end users ability to understand and maximize the use of the software to perform daily operations

Evaluate user knowledge and work with IT education staff to develop specialized training when necessary; educate users in system optimization

Acts as liaison between users and the software vendor(s)

Guides the modification of system applications in instances where current applications impede performance or where changes will enhance performance

Ensure system application updates are working properly before updates are loaded into the live system by coordinating testing and update dates with users and vendors

Integrate new application(s) in the existing HIS according to the implementation schedule

Respond to user questions with timely answers and/or referral to appropriate department/person

Assist users with technical problems by alerting HIS Operations staff to the need for repair or investigation

Coordinate with Database Analysts to provide expertise in the development of reports and analyses

Work with other IT staff to ensure interfaces between applications and systems are functioning properly

Maintain and periodically review dictionaries, assist in entering and maintaining user codes, maintain the security of applications, and ensure consistency between various dictionaries

Investigate on timely basis discrepancies in statistics which could indicate a problem with the accuracy of data

Work with application managers, staff from affected areas, and representatives from other impacted areas, to analyze computer system functions and compare data and existing systems both functionally and procedurally

Implement new clinical, financial, and administrative software, including add-on features, and/or new routines in existing applications

Participates with other IT staff and other clinical, financial, and administrative areas in the planning and implementation stages of the application, including the development of dictionaries

Work with Department Managers and IT Education staff to ensure training programs for use of applications are developed and conducted for all levels of users and participate in such programs when needed

Develop system documentation to supplement vendor manuals and which defines processes, procedures, and policies regarding utilization of various functions

Assist departments with the development of downtime procedures

Work with Operation Manager and staff to establish schedules for report production and system jobs to maintain balanced system utilization and minimize system degradation, if necessary

Sustain working knowledge of key functions of all aspects of the department in order to provide emergency coverage in the absence of others in the department

Work with Applications Manager to accomplish other departmental tasks

Notify the Applications Manager of requests for custom modifications to standard applications and of any updates to standard systems which replace existing custom modifications so that the Application Manager can take appropriate action

Assist in the development of IT policies and procedures and notify users as appropriate

Participate in applications on-call rotation for the information system

Participate in hospital quality teams and committees as necessary

Demonstrates competent and effective job performance skills as evidenced by the volume, skill, and technical knowledge of work performed, neatness, accuracy, thoroughness, and completeness, and the ability to follow instructions

Demonstrates the ability to interact effectively and in a professional manner with peers

Administration, and other customers as demonstrated by willingness to work with others to achieve CTC s goals

Ability to present a friendly and positive manner, willingness to seek additional tasks

Responsibility to assist the department and/or peers, ability to be flexible and perform new tasks and adjust to change even under pressure

Ability to accomplish results by working effectively with or through other people

Ability to hear and communicate with others in a clear, understandable, and professional manner in person and on the phone

Demonstrated use of good written and verbal communication skills

Maintain current industry knowledge by attending industry seminars, reviewing professional literature, and communicating on a regular basis with other IT analysts

Required Skills:

Epic Resolute Professional Billing SBO Certification

Ability to understand, analyze, document, and explain business processes and the data that underly them

Experience working with Electronic Health Records, medical claims, and other health care data

Flexible and adaptable to change in a fast-paced environment

Demonstrated ability to work both independently and as part of a team

Demonstrated ability to thrive in a fast-past environment

Nuanced interpersonal communication skills

Weekly on-call will be a requirement for this position

Desired Other Skills:

Familiarity with the MassHealth ACO program

Familiarity with Federally Qualified Health Centers

Experience working in a provider organization

Experience working in a managed care environment

Experience with anti-racism activities, and/or lived experience with racism is highly preferred

Qualifications:

Bachelor s degree in a healthcare-related field, Information Systems or Business Management

Minimum of three years' experience as a certified Epic analyst

Subject Matter Expert in a designated area of Epic software

Experience with Epic Charge Router preferred but not required

Experience with SBO workflows

Minimum experience of having participated in at least one Epic implementation

C3 is an Equal Opportunity Employer

In order to provide equal employment and advancement opportunities to all individuals, employment decisions are based on merit, qualifications, and job-related abilities. The Company is committed to a policy of non-discrimination and equal opportunity for all applicants and employees in recruitment, hiring, placement, promotion, compensation, discipline, demotion, transfers, layoffs, return from layoffs, terminations, access to training, and agency-sponsored programs and activities without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, ancestry, age, ability, veteran status, military service, genetic information, receipt of free medical care, or any other category protected under applicable federal, state or local law.