Applications Analyst, Resolute PB Claims & Remittance
San Ramon, CA

Job Description

We're delighted you're considering joining us!

At Hill Physicians Medical Group, we're shaping the healthcare of the future: actively managed care that prevents disease, supports those with chronic conditions and anticipates the needs of our members.

Join Our Team

Hill Physicians has much to offer prospective employees. We're regularly recognized as one of the "Best Places to Work in the Bay Area" and have been recognized as one of the "Healthiest Places to Work in the Bay Area." When you join our team, you're making a great choice for your professional career and your personal satisfaction.

This is a temporary, full time position with benefits for 3 years.

Under the leadership of the Application Team Lead in the Provider Application and Support Department, the Application Analyst is responsible for activities and tasks related to installing, designing, configuring, maintaining and supporting Epic Resolute Professional Billing Claims and Remittance. The Analyst works to ensure that user problems and configuration requests are properly addressed, system upgrades are executed successfully with minimal disruption to the practices, and application documentation is current.

Responsibilities:

* Provides Epic Resolute Professional Billing product function, design, and build expertise needed for successful product implementation.
* Works with the I.S. team members, vendors and customers to ensure that the Epic Resolute Professional Billing system is properly maintained and necessary changes are reliably tested, documented, and implemented.
* Ensures the design and configuration meets patient care and business needs. Completes the appropriate Resolute Professional Billing build and testing.
* Attends weekly team meetings to discuss team and project related activities, issues, change, communications, and updates.
* Coordinates program and/or data moves from development to test/education and production regions working independently, while mentoring/assisting others.
* Develops effective relationships with end-users and other team members to enhance the timeliness and effectiveness of technology solutions.
* Participates in software upgrades, and ensure that they are tested and successfully implemented.
* Assists practice users with claims/denial issues to prevent revenue loss.
* Identifies areas for workflow and process improvement. Develops solutions and collaborates with the team and management to implement these solutions
* Other related duties as assigned.

Requirements:

* Current Epic certification in Resolute PB Claims and Remittance required
* Three or more years' healthcare experience required, preferably in a provider organization.
* Three or more years of experience working with structured analysis concepts and problem management concepts, and performing organizational analysis, with a focus on information systems.
* Demonstrated knowledge of structured software testing and documentation required.
* Three or more years' experience working with practice management systems and/or clinical information systems required.
* Experience in claims, remits, contracts and denial management preferred. Strong technical background, including an understanding of ANSI 837 and 835 formats and the ability to create and customize logical rules to prevent incorrect claims from being submitted.
* Strong understanding of upstream and downstream data sources in order to investigate the root causes of claims errors.
* Demonstrated ability to exercise good judgment, prioritize multiple tasks, and problem solve under pressure of deadlines and resource constraints required.
* Strong analytical and problem solving skills are mandatory.
* Excellent oral and written communication skills, both technical and business focused, are required.

Education:

* Bachelor Degree in Computer Science, Information Systems, Business Administration, or Healthcare Administration or equivalent work experience is preferred.

Additional Information:

Hill Physicians is an Equal Opportunity Employer.

Employees must be eligible to work in the U.S. without sponsorship.