Job Description:

• An Epic Physician Billing Analyst (also known as an Epic Professional Billing Analyst) is responsible for the configuration, maintenance, and optimization of the Epic Professional Billing module within a healthcare organization.
• This role is vital for ensuring accurate patient billing, claims processing, and reimbursement for services provided by individual healthcare providers, such as doctors or therapists.

Key Responsibilities:

• System Configuration and Maintenance:
• • 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.
• Workflow Analysis and Optimization:
• • 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.
  • Training and Education:
  • • 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.
    • Compliance and Updates:
    • • 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.

    
    Essential skills and qualifications:

    • Education and Certification:
    • • Bachelor’s Degree, preferably in Computer Science, Information Technology, Computer Engineering, or a related field.
      • Certified in Epic Professional Billing.
    • Technical Skills:
    • • Expertise in Epic's Professional Billing module, including charge router, work queue 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).
    • Healthcare Industry Knowledge:
    • • 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.
    • Soft Skills:
    • • 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.