Claims Analyst jobs in Tucson, AZ

Epic IS Analyst – Professional Billing/Claims (Remote) Arizona Community Physicians

Description:

Become part of Arizona Community Physicians (ACP), Arizona’s largest and most successful physician owned medical group. ACP is a patient-centered organization consisting of approximately 800 employees. Our group includes 166 providers in the specialties of family medicine, internal medicine, geriatrics, pediatrics, endocrinology, rheumatology, dermatology, and gynecology. We are located in 50 locations of varying sizes in Tucson, Oro Valley, and Green Valley. Our dynamic group offers many opportunities for professional growth and personal satisfaction.

Our IS Department is currently seeking a qualified candidate to join our collaborative team in delivering excellence in systems management and user support. Our IS Department is comprised of a skilled team of application, systems support and management professionals. This position is in our Executive Central Business Office where employees enjoy a casual and professional work environment with an opportunity for remote work status if location is outside of the Tucson area.

Responsibilities:

The Epic Professional Billing/Claims Applications Analyst is responsible for configuring, supporting, and maintaining our PB, Claims, Charge Router, and work queues. This includes, but is not limited to, the following:

• Provide application support to end users including troubleshooting issues, answering questions, and resolving system issues, thus promoting, and maintaining optimal usage of the system,

• Must be available for planned downtime support and assess departmental needs and objectives,

• Monitor and complete tasks via internal helpdesk ticketing system,

• Analyze new functionality in software releases to determine whether or how new functionality will be utilized,

• Successfully review documentation to understand requirements of the build and to work with vendor as needed to ensure successful implementation of solutions,

• Follow change control procedures for the application supported. Prioritize and implement changes requested for the system,

• Coordinate software updates and changes with users and operational leaders,

• Perform complex system build, test, debug and implement,

• Communicate software problems and issues to vendor support teams,

• Create documentation for supported systems and enhancements.

• Monitor and support application interfaces.

• Perform analysis and troubleshooting for various clinical and business applications and have a solid understanding of workflows across applications.

• Assist with development and design of training materials as needed.

• Perform other duties as assigned.

Requirements:

This position includes training provided by Epic educators and will require the selected candidate pass prescribed tests to become Epic certified, allowing access to and support of Epic application(s).

Required Qualifications:

• Bachelor’s degree in IT, Business, Healthcare, or related field OR a minimum of four (4) years’ experience working as an Epic PB systems analyst.

• Two (2) years’ experience in support of practice management, billing, or coding systems.

• Two (2) years’ experience providing end-user support for enterprise applications.

• Two (2) years’ experience working with third-party vendors for application support and implementations.

• Familiarity with the following ambulatory physician office operations,

 Accounts Receivable follow-up  

Patient registration, appointment scheduling, pre-auth and auth

 Insurance/Payor  

Billing and coding

• Familiarity with HL7 and X12 Interface messaging.

• Excellent written and oral communication skills, including instructional and presentation skills.

• Highly self-motivated and directed.

• Ability to effectively prioritize and execute tasks in a high-pressure environment.

• Very strong customer service orientation.

• Experience working in a team-oriented, collaborative environment.

• Experience with integrated ancillary clinical IT systems.

Preferred Qualifications:

• EPIC Certified, Revenue Cycle model (Resolute PB, Claims, Prelude, Cadence, and HIM)

• Two (2) years’ experience administering, configuring, and supporting one or more of the following Epic applications:

 Resolute Professional Billing

 Resolute Professional Billing Claims and Electronic Remittance

 Charge Router

• Knowledge of report writing tools desirable SQL experience a plus 

Two (2) years’ experience monitoring and supporting application interfaces.