Epic Resolute Professional Billing Senior Analyst

Department
 

BSD UCP - Information Services

About the Department
 

The Biological Sciences Division (BSD) and the University of Chicago Medical Center (UCMC) are managed by a single Dean/Executive Vice President and comprises the largest unit of the University, accounting for 60% of its annual budget. All physician, hospital, and clinic services are managed through the Medical Center, which is a $1.3 billion enterprise. The BSD includes the Pritzker School of Medicine, approximately 20 academic units, degree granting committees, and research centers and institutes. The BSD is located on the University's main campus in Hyde Park, ten minutes south of downtown Chicago. BSD's patient care operations are conducted primarily at the University of Chicago Hospital and clinics, which share the same campus. The University of Chicago Practice Plan (UCPP) is the central organization that supports the clinical activity of nearly 850 clinically active faculty practicing at the University of Chicago. These clinically active faculty collectively form the University of Chicago Physicians Group (UCPG). The University of Chicago Physicians' Group (UCPG) is a component of the physician practice plan for the University of Chicago. The UCPG department provides billing services for medical services provided by University physicians and manages the accounts receivable collection and reporting processes for the Biological Sciences Division (BSD) departments. Each physician is a faculty member and is based in a specified department in the BSD.

Job Summary
 

The job uses best practices and knowledge to develop new and existing systems. Solves problems and anticipates evolving business requirements to identify, design, and implement appropriate process improvements, systems alternatives, and/or enhancements to current systems.

Responsibilities

• Responsible for maintaining, building, analyzing, and documenting key components of the Epic Resolute Professional Billing software application. 
• Primary area of focus is to provide professional claim form and remittance development and maintenance to support shifting payer and industry guidelines in a compliant manner.
• This team member will be involved in all aspects of revenue cycle support including implementing new functionality as well as optimizing and automating workflows where appropriate.
• Analyst will create, test, maintain and document professional claim form and remittance build to ensure accurate and compliant billing.
• Create, maintain and document claim edit work queues to route work effectively and accurately; as well as work on identifying areas for process automation.
• Manage project implementations for new and existing departments and product lines.
• Maintain Epic Master Files and documentation related to claims and reimbursement contracts and procedures for updating.
• Follow ITIL processes regarding change control, version control and environment control through the enforcement of UCPG and UCM change control policy.

• Has a deep understanding of business process analyses, needs assessments, and preliminary cost/benefit analyses. Solves complex problems relating to computer equipment capacity, limitations, and operation time.

• Utilizes thorough understanding of business systems and industry requirements to translate business and user needs into system requirement specifications.

• Recommends process improvements in existing applications and revises existing system logic difficulties as necessary. Designs, develops, and implements new applications, systems architecture, network systems, and applications infrastructures.

• Communicates and presents on system enhancements and/or alternatives to colleagues in IT management.

• Performs other related work as needed.

Minimum Qualifications
 

Education:

Minimum requirements include a college or university degree in related field.

---
Work Experience:

Minimum requirements include knowledge and skills developed through 5-7 years of work experience in a related job discipline.

---
Certifications:

---

Preferred Qualifications

Education:

• A college or university degree in related field such as Information Technology, Computer Science, Network/Systems Administration, etc.

Experience:

• Five years of experience in Epic application support in healthcare/
• SQL query experience.

Licenses and Certifications:

• Epic Resolute Professional or Hospital Billing Claims Certification.
• Epic Resolute Professional or Hospital Remittance Certification.

Preferred Competencies

• Microsoft Office Application Suite knowledge.
• Knowledge of commonly used healthcare data standards and code sets.
• Excellent verbal and written communications.
• Excellent organizational skills.
• Ability to create procedural, technical and training documentation.
• Ability to manage and prioritize tasks and small projects meeting deadlines and project timelines.
• Ability to analyze solutions for process improvement.
• Ability to lead small workgroup discussions required.
• Ability to resolve minor conflicts and escalate if necessary.
• Ability to work in a team environment and partner with vendor, business and technical team members.
• Ability to work independently, multi-task and partner with staff and management.
• Ability to work with vendor support to identify and resolve issues related to UCPG applications.
• Ability to comply with HIPAA standards re: confidentiality and security of PHI.

Application Documents

• Resume (required)
• Cover Letter ( required)

When applying, the document(s) MUST  be uploaded via the My Experience page, in the section titled Resume/CV of the application.

Job Family
 

Information Technology

Role Impact
 

Individual Contributor

FLSA Status
 

Exempt

Pay Frequency
 

Monthly

Scheduled Weekly Hours
 

40

Benefits Eligible
 

Yes

Drug Test Required
 

No

Health Screen Required
 

No

Motor Vehicle Record Inquiry Required
 

No

Posting Statement
 

The University of Chicago is an Affirmative Action/ Equal Opportunity /Disabled/Veterans Employer and does not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national or ethnic origin, age, status as an individual with a disability, protected veteran status, genetic information, or other protected classes under the law. For additional information please see the University's Notice of Nondiscrimination.

 

Staff Job seekers in need of a reasonable accommodation to complete the application process should call 773-702-5800 or submit a request via Applicant Inquiry Form .

 

We seek a diverse pool of applicants who wish to join an academic community that places the highest value on rigorous inquiry and encourages a diversity of perspectives, experiences, groups of individuals, and ideas to inform and stimulate intellectual challenge, engagement, and exchange.

 

All offers of employment are contingent upon a background check that includes a review of conviction history.  A conviction does not automatically preclude University employment.  Rather, the University considers conviction information on a case-by-case basis and assesses the nature of the offense, the circumstances surrounding it, the proximity in time of the conviction, and its relevance to the position.

 

The University of Chicago's Annual Security & Fire Safety Report (Report) provides information about University offices and programs that provide safety support, crime and fire statistics, emergency response and communications plans, and other policies and information. The Report can be accessed online at: http://securityreport.uchicago.edu . Paper copies of the Report are available, upon request, from the University of Chicago Police Department, 850 E. 61st Street, Chicago, IL 60637.

Department
 

BSD UCP - Information Services

About the Department
 

The Biological Sciences Division (BSD) and the University of Chicago Medical Center (UCMC) are managed by a single Dean/Executive Vice President and comprises the largest unit of the University, accounting for 60% of its annual budget. All physician, hospital, and clinic services are managed through the Medical Center, which is a $1.3 billion enterprise. The BSD includes the Pritzker School of Medicine, approximately 20 academic units, degree granting committees, and research centers and institutes. The BSD is located on the University's main campus in Hyde Park, ten minutes south of downtown Chicago. BSD's patient care operations are conducted primarily at the University of Chicago Hospital and clinics, which share the same campus. The University of Chicago Practice Plan (UCPP) is the central organization that supports the clinical activity of nearly 850 clinically active faculty practicing at the University of Chicago. These clinically active faculty collectively form the University of Chicago Physicians Group (UCPG). The University of Chicago Physicians' Group (UCPG) is a component of the physician practice plan for the University of Chicago. The UCPG department provides billing services for medical services provided by University physicians and manages the accounts receivable collection and reporting processes for the Biological Sciences Division (BSD) departments. Each physician is a faculty member and is based in a specified department in the BSD.

Job Summary
 

The job uses best practices and knowledge to develop new and existing systems. Solves problems and anticipates evolving business requirements to identify, design, and implement appropriate process improvements, systems alternatives, and/or enhancements to current systems.

Responsibilities

• Responsible for maintaining, building, analyzing, and documenting key components of the Epic Resolute Professional Billing software application. 
• Primary area of focus is to provide professional claim form and remittance development and maintenance to support shifting payer and industry guidelines in a compliant manner.
• This team member will be involved in all aspects of revenue cycle support including implementing new functionality as well as optimizing and automating workflows where appropriate.
• Analyst will create, test, maintain and document professional claim form and remittance build to ensure accurate and compliant billing.
• Create, maintain and document claim edit work queues to route work effectively and accurately; as well as work on identifying areas for process automation.
• Manage project implementations for new and existing departments and product lines.
• Maintain Epic Master Files and documentation related to claims and reimbursement contracts and procedures for updating.
• Follow ITIL processes regarding change control, version control and environment control through the enforcement of UCPG and UCM change control policy.

• Has a deep understanding of business process analyses, needs assessments, and preliminary cost/benefit analyses. Solves complex problems relating to computer equipment capacity, limitations, and operation time.

• Utilizes thorough understanding of business systems and industry requirements to translate business and user needs into system requirement specifications.

• Recommends process improvements in existing applications and revises existing system logic difficulties as necessary. Designs, develops, and implements new applications, systems architecture, network systems, and applications infrastructures.

• Communicates and presents on system enhancements and/or alternatives to colleagues in IT management.

• Performs other related work as needed.

Minimum Qualifications
 

Education:

Minimum requirements include a college or university degree in related field.

---
Work Experience:

Minimum requirements include knowledge and skills developed through 5-7 years of work experience in a related job discipline.

---
Certifications:

---

Preferred Qualifications

Education:

• A college or university degree in related field such as Information Technology, Computer Science, Network/Systems Administration, etc.

Experience:

• Five years of experience in Epic application support in healthcare/
• SQL query experience.

Licenses and Certifications:

• Epic Resolute Professional or Hospital Billing Claims Certification.
• Epic Resolute Professional or Hospital Remittance Certification.

Preferred Competencies

• Microsoft Office Application Suite knowledge.
• Knowledge of commonly used healthcare data standards and code sets.
• Excellent verbal and written communications.
• Excellent organizational skills.
• Ability to create procedural, technical and training documentation.
• Ability to manage and prioritize tasks and small projects meeting deadlines and project timelines.
• Ability to analyze solutions for process improvement.
• Ability to lead small workgroup discussions required.
• Ability to resolve minor conflicts and escalate if necessary.
• Ability to work in a team environment and partner with vendor, business and technical team members.
• Ability to work independently, multi-task and partner with staff and management.
• Ability to work with vendor support to identify and resolve issues related to UCPG applications.
• Ability to comply with HIPAA standards re: confidentiality and security of PHI.

Application Documents

• Resume (required)
• Cover Letter ( required)

When applying, the document(s) MUST  be uploaded via the My Experience page, in the section titled Resume/CV of the application.

Job Family
 

Information Technology

Role Impact
 

Individual Contributor

FLSA Status
 

Exempt

Pay Frequency
 

Monthly

Scheduled Weekly Hours
 

40

Benefits Eligible
 

Yes

Drug Test Required
 

No

Health Screen Required
 

No

Motor Vehicle Record Inquiry Required
 

No

Posting Statement
 

The University of Chicago is an Affirmative Action/ Equal Opportunity /Disabled/Veterans Employer and does not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national or ethnic origin, age, status as an individual with a disability, protected veteran status, genetic information, or other protected classes under the law. For additional information please see the University's Notice of Nondiscrimination.

 

Staff Job seekers in need of a reasonable accommodation to complete the application process should call 773-702-5800 or submit a request via Applicant Inquiry Form .

 

We seek a diverse pool of applicants who wish to join an academic community that places the highest value on rigorous inquiry and encourages a diversity of perspectives, experiences, groups of individuals, and ideas to inform and stimulate intellectual challenge, engagement, and exchange.

 

All offers of employment are contingent upon a background check that includes a review of conviction history.  A conviction does not automatically preclude University employment.  Rather, the University considers conviction information on a case-by-case basis and assesses the nature of the offense, the circumstances surrounding it, the proximity in time of the conviction, and its relevance to the position.

 

The University of Chicago's Annual Security & Fire Safety Report (Report) provides information about University offices and programs that provide safety support, crime and fire statistics, emergency response and communications plans, and other policies and information. The Report can be accessed online at: http://securityreport.uchicago.edu . Paper copies of the Report are available, upon request, from the University of Chicago Police Department, 850 E. 61st Street, Chicago, IL 60637.