Ambulatory Revenue Cycle Analyst-Not a fully Hybrid position

Job Description

Job Description

INTRODUCTION

Under the supervision of the Unity Health Care, Inc. (UHC) Applications Manager, the Ambulatory Revenue Cycle Analyst is responsible for in-depth knowledge of assigned Epic software application. He / she conducts regular day-to-day communication, reviews the software, demonstrates a deeper understanding of billing and claims operations, and works with Epic, the Project Team(s), UHC Revenue Cycle Representatives / Subject Matter Experts, and end users to tailor the system to fit the organization’s needs. The Ambulatory Revenue Cycle Analyst routinely performs in-depth analysis of workflows, data collection, report details, and other technical issues associated with the use of Epic revenue cycle system(s); is responsible for developing and documenting the internal procedures that will be used in conjunction with Epic applications; and will design, build, test, install and maintain those solutions. The Ambulatory Revenue Cycle Analyst is expected to use critical thinking skills in providing systems solutions to meet business needs and will play a key role in managing and optimizing billing processes and claims management within the Epic system for UHC to include analyzing billing data, resolving claims issues, and ensuring compliance with regulations to maximize revenue cycle efficiency. This role will leverage data analytics to drive strategic decisions, enhance operational efficiencies, and support revenue growth initiatives.

MAJOR DUTIES / ESSENTIAL FUNCTIONS

Essential and other important responsibilities and duties include, collaborates with ambulatory and operational leadership to strategically plan revenue cycle system development and coordinates with lead trainers to identify and address end user needs to achieve optimal system effectiveness and use, configuration of information, and supporting the assigned EPIC revenue cycle application(s). The analyst communicates with system end-users to understand issues and implement solutions. UHC requires that Epic certification be obtained within 180 days of hire. Required certifications must be maintained as assigned.

Cross Application Support

• Supports the following applications : Resolute Professional Billing, Resolute Professional Billing and Claims and Remittance.
• Understands the integration of Epic applications and their effects on business processes and operations.
• Stays abreast of functionality improvements in new versions and tests during upgrades; takes advantage of available resources to improve knowledge and understanding of the system.
• Adheres to IT change control process / governance, and ticket management processes.
• Independently leads Epic projects as assigned including providing appropriate documentation and status reports, delegating and making assignments for project tasks, and creating project timelines in collaboration with leadership.
• Performs system configuration and new project development, design implementation, workflow optimization, change management, and issue resolution related to the Clinic’s applications.
• Serves as the main subject matter expert for technical issues and general questions related to assigned revenue cycle applications.
• Triages requests and determines the priority of issues.
• Manages and tests new releases of assigned revenue cycle applications and applies. specialized knowledge and experience to ensure version upgrades functions smoothly.
• Resolves end‐user application issues using Epic documentation and ensuring business needs are met.
• Participates in disaster recovery measures.
• Ensures the test scripts have been created, reviewed, and updated to reflect proposed workflow solutions.
• Escalates end‐user problems to the appropriate level ﴾such as team lead﴿ when necessary.
• Validates solutions are complete and appropriately implemented.
• Champions and leads the project, providing support in ongoing implementations, optimizations, and upgrades.

Collaboration and Communication

Process Improvement and System Optimization

Quality Assurance

Training and Education

Billing Analysis, Claims Management and Reporting

MINIMUM QUALIFICATIONS

REQUIRED KNOWLEDGE, SKILLS & EXPERIENCE