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 Manager of Revenue Cycle Analytics and System Operations, the Epic Operations Analyst is the preeminent Epic analytical resource tasked with improving revenue results and operational efficiencies for all One BILH Epic Professional Billing 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, well-developed analytic and organizational skills. This position is a resource to 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:

• Analyzes, evaluates, and implements changes in support of all Epic Resolute Professional Billing, Claims, Remittance, and Router applications, including ongoing production maintenance, upgrades, and troubleshooting.
• Responsible for providing initial recommendations on decisions for planning, design, development, build, and/or configuration of all Resolute Professional Billing applications and presenting to the Senior Epic Operations Analyst (SEOA) for approval before presenting to leadership.
• Uses internal and external resources to make recommendations to guide PFS management and end-users on system requirements, which include identifying and mitigating potential impacts.
• Serves as the 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.
• Responsible for assigned Professional Billing Epic Remedy tickets to completion.
• Manages the ticket priority for assigned Service Now tickets submitted to PB IT. Reports priorities weekly to IT management and manages all Epic Remedy ticket tracking, ticket lag, and follow-up.
• Validates and approves all testing and build changes after completion before moving to Epic production for all tickets assigned.
• Participates and assists in the Design, development, and implementation of training related to Epic Resolute Professional Billing and end-user workflows.
• Assist in the review of Epic upgrade features with IT. Reviews new software releases and participates in the full review of upgrade opportunities, system enhancements, and makes recommendations on which features should be utilized.
• Provides go-live support during Epic implementation, upgrades, and new build enhancements.
• Responsible for projects assigned by the SEOA to perform root-cause analysis of denials to reduce denials and manual rework while implementing best Epic practices. Provides findings and reports results, and recommendations for Epic and operational improvements to the SEOA and leadership.
• Assists in the oversight and management of external system charge applications and tools.
• Evaluates the adequacy of internal controls and compliance with organizational policies and procedures.
• Performs analysis and audits on current Epic build and functionality, end-user Epic workflows, and payer regulatory trends compared to the current Epic build with a focus on revenue cycle integrity.
• Provides quality customer service and serves as an exemplary representative of the Patient Financial Services team.

Minimum Qualifications:

Education:

Bachelor’s Degree or equivalent experience required

Licensure, Certification & Registration:

Epic Revenue Cycle Proficiency: Professional Billing Application, PB CDM, PB Charge Capture, PB Charge Router, claims, and remittance preferred

Experience:

• 5+ years of clinical, healthcare operations, and healthcare information technology experience.
• Experience in a healthcare setting, ability to understand and document business processes, ability to multitask, and experience managing large projects with defined duration and scope.

Skills, Knowledge & Abilities:

• Ability to work independently, prioritize tasks, and organizational skills are 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) 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