Epic Professional Billing & Claims Builder

JOB SUMMARY: Epic Application team members are responsible for in-depth knowledge of the Epic System software and are the primary liaison between user community and the Epic application. They conduct regular day-to-day communications, review the software, and exhibit a deep understanding of the business operations and works with Epic, the Epic Application Team(s), Group Operations, and end users to tailor the application to the organizations’ requirements. 

The Epic Professional Billing and Claims Builder routinely preforms in-depth analysis of workflows, data collections, report details, and other technical issues associated with the use of the Epic software; prepare detailed requirements, specifications and provides technical expertise in identifying, evaluating and configuring systems and procedures that meet user requirements. He/she is responsible for the developing and documenting the internal procedures that will be used in conjunction with the Epic applications. 

Epic Builders gain in-depth knowledge of the software by attending training at Epic and completing application certification, certified projects and examinations.

DUTIES & RESPONSIBILITIES:

• Designs and documents the general functional requirements and detailed technical specifications for a Professional Billing and Claims workflows.
• Receives and documents formal requests from customer including specifications (layout, calculations, data source, etc.) Evaluates requests for completeness and if needed works with customer to finalize request. 
• Recommends changes to established guidelines, standards, methodologies and conventions as appropriate.
• Assists customers with quality assurance (testing) and documentation of testing results through standard procedures and processes.
• Ability to translate user requirements into functional & design specifications, communicate with report consumers to gather specifications, review designs, present drafts, and validate results.
• Provides support to end users and participates in training, process improvement and quality assurance initiatives; provides new and ongoing application training.
• Configures, modifies, tests, implements, maintains and supports applications software. 
• Develops thorough application knowledge within specific areas of focus. 
• Write and maintain system documentation.
• Understands the workflow and business requirements and has the ability to build/modify the system to meet business specifications.
• Analyze and document business requirements and processes; communicate requirements to technical personnel through the construction of basic conceptual data, process models and flowcharts, and technical specifications.
• Document changes to baseline requirements through standard change control process. 
• Document software test plans, technical requirements, release notes, user and training guidelines and other materials.
• Plan, coordinate, and support unit acceptance testing and subsequent deployments in coordination with other team leaders.
• Perform end user and application support functions including problem solving and resolution of application function defects. Provide systems and application training.
• Identify opportunities for process improvements and provide analysis and propose change and communicate strategies.
• Responsible for running and assuring all daily jobs are processed on current and legacy practice management systems.
• Responsible for maintaining legacy practice management systems.
• Due to the responsibilities of your position, you may be required to work beyond your regularly scheduled hours.
• On-Call responsibilities.
• Occasional travel required.
• Other duties as assigned.
• May be exposed to hazardous drugs.
• Attends OSHA training upon initial employee orientation and annually completes an OSHA competency.

RELATIONSHIP WITH OTHERS: Demonstrates the ability to build relationships and effectively communicate with the project team, and key clinical stakeholders, including business services, nurses and physicians.

EDUCATION/EXPERIENCE/KNOWLEDGE:   

• Bachelor (4-year) degree, with a technical major, such as Engineering or Computer Science or Associates degree with 2 years of additional work experience in a related field or High school with an additional 4 years of work experience in a related field is required.
• 3+ years Epic building/reporting experience preferred.
• Strong background in programming, systems analysis, design and problem solving preferred.
• Experience with business or clinical computer systems in the areas of data/information warehousing data and reporting of such data required.
• Solid understanding of computer systems, interfaces, software, and IT functions. 
• Experience organizing and running multiple projects preferred.
• Experience with charge router and adjustment/denial experience huge plus!

EPIC CERTIFICATION REQUIREMENTS

Certified in Epic Professional Billing and/or Claims within 6 months of hire or 90 days after last class.

PHYSICAL REQUIREMENTS

• Requires sitting, standing, bending, and reaching.
• Basic dexterity skills, may be required lift and/or move up to 25lbs.