Position Summary: 

For Hospital Billing Department oversees the development and maintenance of various vendor‐based Information Systems, including their interface with various other computer applications, department processes and systems.  Primarily responsible for the functionality of the assigned computer applications and troubleshooting the same.  Works closely with the departmental assignments to assist in meeting the needs of both hospital information systems and departmental systems.  The position includes investigation of various system options evaluating these options with respect to cost and functionality, testing in appropriate environment, verifying proper system operations prior to live operations. 

Education, License & Cert: 

Two Year Degree Non‐Nursing 

Experience: 

Minimum of five (5) years proven practical experience in the field of application analyst. Strong organizational and customer service skills a must.  Experience with office software such as Word and Excel required.  Previous experience performing in a high volume and fast paced environment. 

Essential Functions:

1. Operational Expert to assist with Epic Claim Build of CMS1500 (837P) and UB(837I) claim forms and help with setting up processes for the Billing Office.

 2. Collaborates with and guides functional area in identifying opportunities for eliminating work, increasing overall efficiency, and improving quality via the use of automation. 

3. Develops and maintains vendor system within area of responsibility; keeps system current with user needs and vendor capability. 

4. Documents needs of system users and prioritizes responses appropriately. 

5. Effectively and efficiently works with internal and external customers concerning scheduling of reports, updates, and other needs to optimize the use of system resources for maximum productivity and efficiency.

6. Functions as central point of contact for user with questions or problems with specific applications.

7. Review all external claim edits within the clearinghouse to find and resolve claim errors for electronic billing. 

8. All payor enrollments with our banking system for ERA/EFTS for all Guthrie Hospitals. 

9. Maintain all payor enrollments through the clearing house for Electronic Claim Billing (837I and 837P), Electronic Remittances (835) and EFTS (Electronic Fund Transfers) for all Guthrie Hospital facilities. 

10. Maintains website security by performing activities such as adding/deleting users and restricting access to the application function to users as appropriate.

 Other Duties:

1. Provides feedback related to workflow processes in order to promote efficiency. 

2. Answers phone calls and correspondence providing request information. Documents action taken and provides appropriate follow up. 

3. Acquires and maintains knowledge of and performs within the compliance of the Guthrie Clinic’s Corporate Revenue Cycle policies and insurance payer regulations and guidelines. 

4. Demonstrates excellent customer service skills for both internal and external customers. 

5. Maintains strict confidentiality related to patient health information in accordance with HIPAA regulations.

 6. Assists with and completes projects and other duties as assigned.