Hospital for Special Surgery

Analyst II Application Development

Hospital for Special Surgery$99K — $150K *
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • BA/BS in Information Technology, Computer Science, Healthcare Administration, or related field
  • Epic Resolute Hospital Billing/SBO certification
  • Epic Resolute Professional Billing certification
  • Epic Claims/Remittance certification
  • Strong interpersonal relationship skills
  • 2+ years of relevant IT implementation/support experience
  • Excellent oral and written communication skills

Responsibilities

  • Configure, support, and maintain EMR and billing applications
  • Design, build, test, and implement solutions in Epic Resolute Hospital Billing
  • Participate in on-call rotations and provide occasional evening/weekend support
  • Assist with the negotiation of managed care contracts
  • Resolve payment issues with insurance payors
  • Coordinate physician enrollment in managed care plans
  • Create and maintain tracking logs for insurance payor issues

Benefits

  • Participation in an on-call rotation
  • Opportunities for professional development
  • Access to onsite amenities and healthcare facilities
  • Flexible working conditions with potential remote options
  • Supportive team environment promoting collaboration
Full Job Description
Emp Status
Regular Full time

Work Shift

Compensation Range
The base pay scale for this position is $99,000.00 - $150,750.00. In addition, this position will be eligible for additional benefits consistent with the role. The salary of the finalist selected for this role will be determined based on various factors, including but not limited to: scope of role, level of experience, education, accomplishments, internal equity, budget, and subject to Fair Market Value evaluation. The hiring range listed is a good faith determination of potential compensation at the time of this job advertisement and may be modified in the future.

What you will be doing

JOB DESCRIPTION
The Epic Resolute Hospital Billing Analyst II is responsible for configuring, supporting, and maintaining the hospital's EMR and billing applications to ensure accurate and efficient claims processing, payment posting, and revenue cycle operations.

Key responsibilities include designing, building, testing, and implementing solutions within the Epic Resolute Hospital Billing application and its functionality such as Single Billing Office (SBO), Claims and Remittance, Charge Router, Patient Statements, and related modules.

This position requires strong analytical and problem-solving skills, attention to detail, and the ability to manage multiple priorities. Participation in an on-call rotation and occasional evening or weekend support may be required.

YEARS OF EXPERIENCE REQUIRED
Requires minimum of 2 years of relevant experience with 2+ years of IT implementation and/or support experience.

YEARS OF EXPERIENCE PREFERRED
At least one year of application experience. Healthcare experience desirable. 3+ Very good oral, written communication and follow-up skills. Very good interpersonal relationship skills. Very good desktop tool usage including Word, Excel, Visio, and PowerPoint. self-motivated, Detail oriented, problem solver. Self-sufficient; able to manage time effectively. Participation in at least one full implementation lifecycle. Good SharePoint usage.

PHYSICAL WORKING CONDITIONS
Sitting in a comfortable position with frequent opportunity to move about Sitting in a comfortable position with frequent opportunity to move about the department and traverse the hospital campus. Examples: executive, management, administrative and secretarial positions.

ENVIRONMENTAL WORKING CONDITIONS
Comfortable indoor area Located in a comfortable indoor area. Examples: executive, management and secretarial positions.

HAZARDS OSHA
Category 3 Tasks that involve no exposure to blood, body fluids, tissues, or other potentially infectious materials and Category 1 tasks are not a condition of employment.

POSITION & UNIT ACCOUNTABILITIES
  • Develops/Manages Processes & Systems - Assists with contracts Assists in the negotiation of physician managed care contracts, analytics, and financial modeling.
  • Upholds Standards/Expectations of HSS Staff - Coordinates enrollment Coordinates physician enrollment in managed care plans.
  • Upholds Standards/Expectations of HSS Staff - Ensures compliance Ensures compliance of managed care companies with negotiated contracts.
  • Upholds Standards/Expectations of HSS Staff - Resolves payor issues Followsup and resolving payment issues with Insurance Payors.
  • Upholds Standards/Expectations of HSS Staff - Acts as liaison Acts as a liaison between physician offices and Insurance Payors.
  • Upholds Standards/Expectations of HSS Staff - Assists with meetings Schedules, coordinates, and documents for all PHO related meetings.
  • Maintains Documentation & Manages Information - Maintains tracking logs Creates and maintains tracking logs for Insurance Payor issues and accountability for closing out items.
  • Upholds Standards/Expectations of HSS Staff - Oversees PHO line Oversees PHO phone line, answers and responds to inquires, and assist with urgent physician office issues.
  • Upholds Standards/Expectations of HSS Staff - Attendance Maintains satisfactory attendance record.
  • Upholds Standards/Expectations of HSS Staff - Maintains punctuality Reports for duty punctually.
  • Upholds Standards/Expectations of HSS Staff - Adjusts to change Adjusts to changing situations and work assignments.


EDUCATION REQUIRED
BA/BS required, preferably in Information Technology, Computer Science, Healthcare Administration, or a related field.

EDUCATION PREFERRED
Master's degree in information technology, Computer Science, Healthcare Administration, or a related field preferred.

CERTIFICATIONS/ACCREDIDATIONS/LICENSURE REQUIRED
Epic Resolute Hospital Billing/SBO
Epic Resolute Professional Billing
Epic Claims/Remittance

CERTIFICATIONS/ACCREDIDATIONS/LICENSURE PREFERRED
Must have experience with charge router, workqueue configuration, collection agency workflows, statement processing, benefit engine, and estimates.
  • Strong interpersonal relationship skills
  • Demonstrated ability in adherence to process standards around documentation and workflow design.
  • Project management skills including, but not limited to the ability to lead meetings, prioritize, resolve conflicts, maintain issues list, and manage project plans.
  • Driven to expand on current healthcare IT knowledge and expertise.
  • Self-motivated, detail-oriented and pragmatic; a great team player who is analytical and solution-focused.
  • Excellent oral and written communication skills; ability to forge and maintain strong professional relationships.
  • Proficiency with Microsoft Office including, but not limited to Word, Project, Excel, Visio and PowerPoint.


SKILLS REQUIRED
Participation in at least one full implementation lifecycle. Good SharePoint usage.

Build experience with charge router, workqueue configuration, collection agency workflows, statement processing, benefit engine, and estimates.Participation in at least one full implementation lifecycle. Good SharePoint usage.

SKILLS PREFERRED

Build experience with charge router, workqueue configuration, collection agency workflows, statement processing, benefit engine, and estimates.

About Hospital for Special Surgery

Hospital for Special Surgery (HSS) is a hospital in New York City that specializes in orthopedic surgery and the treatment of rheumatologic conditions. Founded in 1863 by James Knight, HSS is the oldest orthopedic hospital in the United States. The hospital has been ranked the top orthopedic hospital in the United States by U.S. News & World Report for 11 consecutive years. HSS has a staff of over 4000 employees, including more than 200 physicians and surgeons, and treats over 32,000 inpatients and 300,000 outpatients annually.
Learn more about Hospital for Special Surgery
Size
4,000 employees
Industry
Founded
1863

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