When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives.

Reporting to the Executive Director of Epic Patient Financial Services – Revenue Cycle, the Senior Epic Operations Analyst is the preeminent Epic Lead analytical resource tasked with improving revenue results and operational efficiencies for all One BILH Epic Revenue Cycle entities. Due to its unique involvement across a wide scope of professional entities, interdependent departments, and responsibilities including but not limited to Epic and end-user front to back-end billing functions and workflows, charge generation and capture, claims generation and reconciliation, remittance posting processes, retro adjudication, and router actions, this position requires an advanced-level knowledge of professional business office operational workflows, policies and procedures and expertise in industry standards as well as expertise in Epic software usage, build and performance enhancement. Performs analysis and audits on current Epic build and functionality, end user Epic workflows, and payer regulatory trends compared to current Epic build with a focus on revenue cycle integrity. Due to its service focus and project management emphasis, this position requires strong interpersonal and communication skills and well-developed analytic and organizational skills. This position is a resource to the administrative staff of all levels, interfacing with other departments such as Information Systems, Ambulatory Administration, and all Ambulatory Departments and Divisions. Provides quality customer service and serves as an exemplary representative of the Patient Financial Services team.

Job Description:

Essential Duties & Responsibilities including but not limited to:
1. Analyzes, evaluates, and implements changes supporting all Epic Resolute, Claims, Remittance, and Router applications including ongoing production maintenance, upgrades, and troubleshooting.
2. Has oversight and approval of initial recommendations on decisions for planning, design, development, build, and/or configuration of all Resolute Professional Billing applications presented by the Epic Operations Analyst (EOA)
3. Uses internal and external resources to make decisions to guide PFS management and end-users on system requirements which include identifying and mitigating potential impacts.
4. Serves as the Lead Epic liaison to the IT Epic support team, vendor management, and operational departments to determine requirements and to design solutions that are scalable, sustainable, and ensure data integrity.
5. Responsible for all assigned Epic Remedy tickets to completion.
6. Manages the ticket priority for all Service Now tickets submitted to IT. Reports priorities weekly to IT management and manages all Epic remedy ticket tracking, ticket lag, and follow-up.
7. Validate and approve all testing and build changes after completion before moving to Epic production for all tickets assigned and tickets assigned to the EOA.
8. Designs, develops and implements training related to Epic Resolute and end-user workflows.
9. Has oversight of Epic upgrade features with IT. Reviews new software releases and participates in the full review of upgrade opportunities, and system enhancements, and makes decisions on which features will be utilized.
10. Oversees and provides go-live schedules and support during Epic implementation, upgrades, and new build enhancements.
11. Assign projects to EOA to perform root-cause analysis of denials to reduce denials and manual rework while implementing best Epic practices. Coordinates findings and reports results and recommendations for Epic and operational improvements to leadership.
12. Assists in the oversight and management of external system charge applications and tools.
13. Serves as a mentor, trainer, and lead to the Epic Operations Analysts.
14. Evaluate the adequacy of internal controls and compliance with organizational policies and procedures

Organizational Requirements:
• Maintain strict adherence to the BILH Confidentiality policy.
• Incorporate BILH Standards of Behavior and Guiding Principles into daily activities.
• Comply with all BILH Policies.
• Comply with the behavioral expectations of the department and BILH.
• Maintain courteous and effective interactions with colleagues and patients.
• Demonstrate an understanding of the job description, performance expectations, and competency assessment.
• Demonstrate a commitment toward meeting and exceeding the needs of our customers and consistently adhere to Customer Service standards.
• Participate in departmental and/or interdepartmental quality improvement activities.
• Participate in and complete Mandatory Education.
• Perform all other duties as needed or directed to meet the needs of the department.

Minimum Qualifications:
Education: Bachelor’s Degree or Equivalent Experience Required

Licensure, Certification & Registration:
Epic Revenue Cycle Certification/Proficiency: PB CDM, PB Charge Capture, PB Charge Router, claims and remittance preferred

Experience:
7+ years of clinical, healthcare operations, and healthcare information technology experience.
Experience in a healthcare setting, ability to understand and document business processes, ability to multi-task, and experience managing small projects with defined duration and scope.

Skills, Knowledge & Abilities:
Works independently, ability to prioritize, and has organizational skills a must. Excellent communication skills.

As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) and COVID-19 as a condition of employment. Learn more about this requirement.

More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger.

Equal Opportunity Employer/Veterans/Disabled