Skill | Required / Desired | Amount | of Experience |
Certified by Epic in Resolute Hospital Billing, HB & Claims, Professions Billing, PB & Claims; & Long-Term Care Billing | Required | ||
Epic implementation or operations support experience | Required | 8 | Years |
Health IT experience | Required | 8 | Years |
Ability to set up and test paper and electronic claims and electronic remittance. | Required | 5 | Years |
Understanding of upstream and downstream data sources for claims to be able to investigate the root causes of claims errors. | Required | 8 | Years |
Thorough knowledge of assigned data and the use of its systems via developing through test plans/scenarios | Required | 8 | Years |
Familiarity with health plan concepts and workflows | Required | 5 | Years |
Working knowledge in application development and system integration | Required | 8 | Years |
Skilled in enterprise systems and familiarity with best business practices related to systems | Required | 8 | Years |
Familiarity with legal requirements and operational policies related to patient and family privacy practices | Required | 5 | Years |
Working knowledge of security protocols for systems utilized | Required | 8 | Years |
Experience in the entire development process including specification, workflow analysis, workflow diagrams, data modeling, documentation, and quality | Required | 8 | Years |
Coordinate and direct computer systems and application design and development | Required | 5 | Years |
Experience in assessing user needs through discussion with customer | Required | 8 | Years |
Able to convey technical information to client and promote understanding of relevant issues | Required | 8 | Years |
Software quality assurance/testing experience | Required | 8 | Years |
Strong understanding of the core functions and processes of the billing office | Required | ||
Understanding of the billing office's integration with other departments in the organization | Required | ||
Solid comprehension of revenue cycle management | Required | ||
Knowledge of the unique clinical and regulatory requirements for skilled nursing care settings and how these interact with typical billing workflows | Required | ||
Epic Implementation experience with at least 1 full life cycle project | Required |
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