Connecticut Children's
RevCycle Optimization Analyst
Connecticut Children's, Hartford, Connecticut, us, 06112
Job Description
SUMMARY
In collaboration with Patient Accounting leadership, the Revenue Cycle Optimization Analyst supports the Epic Resolute Hospital and professional billing system needs based on business requirements. The position is responsible for design, build, implement and support Epic Resolute hospital/professional billing system components. The position collaborates with patient accounting managers and is collaborative with other revenue cycle area to ensure proper build and development surrounding the business needed. This position requires forward-thinking individuals who seek opportunities to apply technology to improving business processes within strategic system goals.
Responsibilities
ROLE RESPONSIBILITIES
•Responsible for the development, maintenance, trouble-shooting, testing, and monitoring of the Revenue Cycle systems; ensure that new development is thoroughly scoped and tested to ensure no downstream impact to end user, AR or other applicable workflows.
•Uses critical and analytical thinking to perform analysis and system configuration; proactively identifies areas of opportunity for improvement recommends changes to operational or system workflow.
•Gathers business requirements, conducts needs assessments and develop functional specifications for system changes and coordinating implementation of these changes to meet new organizational needs with scope including clinical, operational and administrative areas; as needed coordinate with other Epic project teams to ensure proper setup of billing components within their build.
•Provide end user communication and status reports as needed as well as applicable training and tip sheets for system changes impacting current or new workflows.
•Provide technical assistance for incidents and requests logged by users throughout the facility relating to revenue cycle/resolute application. Interpret end user requirements, by fully discussing potential options, and help client move towards optimal solution
•Responsible for support in implementation of new applications, upgrades, and modifications to existing systems and assisting in the coordination of these efforts; Aid in review of epic release notes for version changes; Participate in integrated testing activities surrounding relevant Revenue Cycle application and workflow.
•Collaborates with vendors to develop innovative system solutions to meet new regulations and operational needs * All other applicable application support, build and collaborative efforts as needed per manager/leadership
Qualifications
EDUCATION and/or EXPERIENCE REQUIRED
Associate's degree (or equivalent combination of formal education and experience) requires at least 2 + years relevant experience in either of the following: Business/healthcare systems analysis, system maintenance preferably across multiple hardware and software platforms. Minimum of 5 years' experience in a billing or patient financial services department.
LICENSE and/or CERTIFICATION REQUIRED
For Epic applications, at least one relevant Epic certification is required as outlined in the Epic certification policy.
KNOWLEDGE, SKILLS AND ABILITIES REQUIRED
KNOWLEDGE OF: Organizational and departmental structure, systems, workflow, and operations policies/procedures pertaining to revenue cycle and healthcare finance. Extensive knowledge of epic billing applications Resolute HB or PB.
SKILLS: * Basic PC Skills (Office applications, Hospital information systems, etc.) * General technical proficiencies * Analytical skills * Critical thinking Kills * Problem solving skills * Dependability, task and detail orientation * Basic knowledge of EDI formats related to billing (ANSI 837 and 835). * Good verbal and written communication skills * Good interpersonal skills and the ability to interact and work effectively with medical center personnel, government agencies, physicians and contractors.
ABIILITY TO:
* Ability to be a team player; flexible, friendly, congenial, and enthusiastic. * Able to work independently without the need for constant supervision, while maintaining open communication channels * Ability to work remotely and manage workload and complete tasks by established due dates
About Us
Connecticut Children's is the only health system in Connecticut that is 100% dedicated to children. Established on a legacy that spans more than 100 years, Connecticut Children's offers personalized medical care in more than 30 pediatric specialties across Connecticut and in two other states. Our transformational growth establishes us as a destination for specialized medicine and enables us to reach more children in locations that are closer to home. Our breakthrough research, superior education and training, innovative community partnerships, and commitment to diversity, equity and inclusion provide a welcoming and inspiring environment for our patients, families and team members.
At Connecticut Children's, treating children isn't just our job - it's our passion. As a leading children's health system experiencing steady growth, we're excited to expand our team with exceptional team members who share our vision of transforming children's health and well-being as one team.
SUMMARY
In collaboration with Patient Accounting leadership, the Revenue Cycle Optimization Analyst supports the Epic Resolute Hospital and professional billing system needs based on business requirements. The position is responsible for design, build, implement and support Epic Resolute hospital/professional billing system components. The position collaborates with patient accounting managers and is collaborative with other revenue cycle area to ensure proper build and development surrounding the business needed. This position requires forward-thinking individuals who seek opportunities to apply technology to improving business processes within strategic system goals.
Responsibilities
ROLE RESPONSIBILITIES
•Responsible for the development, maintenance, trouble-shooting, testing, and monitoring of the Revenue Cycle systems; ensure that new development is thoroughly scoped and tested to ensure no downstream impact to end user, AR or other applicable workflows.
•Uses critical and analytical thinking to perform analysis and system configuration; proactively identifies areas of opportunity for improvement recommends changes to operational or system workflow.
•Gathers business requirements, conducts needs assessments and develop functional specifications for system changes and coordinating implementation of these changes to meet new organizational needs with scope including clinical, operational and administrative areas; as needed coordinate with other Epic project teams to ensure proper setup of billing components within their build.
•Provide end user communication and status reports as needed as well as applicable training and tip sheets for system changes impacting current or new workflows.
•Provide technical assistance for incidents and requests logged by users throughout the facility relating to revenue cycle/resolute application. Interpret end user requirements, by fully discussing potential options, and help client move towards optimal solution
•Responsible for support in implementation of new applications, upgrades, and modifications to existing systems and assisting in the coordination of these efforts; Aid in review of epic release notes for version changes; Participate in integrated testing activities surrounding relevant Revenue Cycle application and workflow.
•Collaborates with vendors to develop innovative system solutions to meet new regulations and operational needs * All other applicable application support, build and collaborative efforts as needed per manager/leadership
Qualifications
EDUCATION and/or EXPERIENCE REQUIRED
Associate's degree (or equivalent combination of formal education and experience) requires at least 2 + years relevant experience in either of the following: Business/healthcare systems analysis, system maintenance preferably across multiple hardware and software platforms. Minimum of 5 years' experience in a billing or patient financial services department.
LICENSE and/or CERTIFICATION REQUIRED
For Epic applications, at least one relevant Epic certification is required as outlined in the Epic certification policy.
KNOWLEDGE, SKILLS AND ABILITIES REQUIRED
KNOWLEDGE OF: Organizational and departmental structure, systems, workflow, and operations policies/procedures pertaining to revenue cycle and healthcare finance. Extensive knowledge of epic billing applications Resolute HB or PB.
SKILLS: * Basic PC Skills (Office applications, Hospital information systems, etc.) * General technical proficiencies * Analytical skills * Critical thinking Kills * Problem solving skills * Dependability, task and detail orientation * Basic knowledge of EDI formats related to billing (ANSI 837 and 835). * Good verbal and written communication skills * Good interpersonal skills and the ability to interact and work effectively with medical center personnel, government agencies, physicians and contractors.
ABIILITY TO:
* Ability to be a team player; flexible, friendly, congenial, and enthusiastic. * Able to work independently without the need for constant supervision, while maintaining open communication channels * Ability to work remotely and manage workload and complete tasks by established due dates
About Us
Connecticut Children's is the only health system in Connecticut that is 100% dedicated to children. Established on a legacy that spans more than 100 years, Connecticut Children's offers personalized medical care in more than 30 pediatric specialties across Connecticut and in two other states. Our transformational growth establishes us as a destination for specialized medicine and enables us to reach more children in locations that are closer to home. Our breakthrough research, superior education and training, innovative community partnerships, and commitment to diversity, equity and inclusion provide a welcoming and inspiring environment for our patients, families and team members.
At Connecticut Children's, treating children isn't just our job - it's our passion. As a leading children's health system experiencing steady growth, we're excited to expand our team with exceptional team members who share our vision of transforming children's health and well-being as one team.