Revenue Cycle Systems Analyst - PB Claims

Overview

The Revenue Cycle Systems Analyst position implements, modifies, tests and administers modules and systems related to revenue cycle system applications. Serves as a liaison between vendors, I.T. personnel, other application analysts, management and end users to resolve questions related to system functionality and design. Assesses end user needs and recommends modifications. Recommends and documents procedural changes. Develops standard and customized application reports. Performs all analytical tasks as assigned in the development of each program and secures the documentation, testing, and final analysis to ensure job and system efficiency. Performs team and integrated testing for all functionality of billing systems and their interfaces. Functions as resource for users in the development of time saving processes or new features.
Qualifications

Certifications: Epic Certification within 2 months - EPIC, Education: Associate's Degree: Related Field; Associate's Degree: Computer Science; Associate's Degree: Finance; Associate's Degree: Accounting, Work Experience: Revenue cycle
Responsibilities

Responsible for the development, testing, and maintenance of the Epic modules and applications related to Revenue Cycle, the Claims Manager System, and other systems, interfaces, and processes related to billing. Identifies system requirements in base revenue cycle areas. Demonstrates comprehensive knowledge or resource regarding the functionality of all modules in the billing systems. Possesses a thorough understanding of project planning. Develops plans for small projects. Performs comparative analysis of system design to requirements identified by users within the revenue cycle area. Acts as a team member to maintain various system parameter tables including reference tables (ICD codes, payor plans, provider, procedures etc.) issue enhancement logs, etc. Serves as first point of contact for systems end-users for issues related to information system performance across revenue cycle areas. Researches, documents, and facilitates resolution to issues reported by end-users. Accepting shared responsibility for on-going support of revenue software applications. Creates ad hoc reports and application report templates for multiple purposes. Reviews, researches, tests and facilitates system updates and responsible for user maintenance for multiple systems including coordinating and engaging in unit and integrated application testing. Assists with the development and testing of 3rd party systems housed outside of the revenue cycle with regards to billing charge files and master files. Researches and utilizes 3rd party software to create programming logic to aid operational processes. Maintains general knowledge of CPT, ICD codes and HCPCS and HIPAA Transaction Code Sets. Drafts reference materials and assists with documentation for training courses to prepare staff for effective system use. Provides support for 24 x 7 environments. Participates in on-call responsibilities including early morning and evening hours to support customer needs. Adheres to and enforces Carle Foundation Administrative and Departmental policies and procedures.
About Us

Find it here.

Discover the job, the career, the purpose you were meant for. At Carle Health, we're committed to fostering a workplace where every team member feels valued, respected and empowered, where passion and purpose come together to positively impact the lives of our patients and our communities. Find it all at Carle Health.

 

Our more than 17,000 team members and providers work together to support patient care across central and southeastern Illinois.  We’ve grown to include seven, award-winning hospitals across eight hospital campuses and a multispecialty provider group with more than 1,500 doctors and advanced practice providers. We’re developing the next generation of providers and healthcare professionals through Carle Illinois College of Medicine, the world’s first engineering-based medical school, and Methodist College. Carle Foundation Hospital, Carle Physicians Group, Carle Hoopeston Regional Health Center, Carle BroMenn Medical Center including Carle Eureka Hospital and associated Carle Health Medical Group clinics all hold Magnet® with Distinction designation, the nation’s highest honor for nursing care granted by the American Nurses Credentialing Center (ANCC). Carle Health Methodist Hospital, Carle Health Proctor Hospital and Carle Health Pekin Hospital all hold the exclusive Magnet® designation.

 

We offer opportunities in several communities throughout central Illinois with potential for growth and life-long careers at Carle Health.

 

 

 

We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. Carle Health participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization. | For more information: human.resources@carle.com.

Compensation and Benefits

The compensation range for this position is $30.39per hour - $52.27per hour. This represents a good faith minimum and maximum range for the role at the time of posting by Carle Health. The actual compensation offered a candidate will be dependent on a variety of factors including, but not limited to, the candidate’s experience, qualifications, location, training, licenses, shifts worked and compensation model. Carle Health offers a comprehensive benefits package for team members and providers. To learn more visit careers.carlehealth.org/benefits.