Job Type: Regular

Time Type: Full time

Work Shift: Day (United States of America)

FLSA Status: Exempt

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives.

Reporting to the Executive Director of Epic Patient Financial Services – PB, the Senior Epic Operations Analyst serves as the preeminent
Epic analytical resource tasked with improving revenue results and operational efficiencies for all One BILH Epic Professional Billing
Revenue Cycle entities. Due to its unique involvement across a wide scope of professional entities, interdependent departments and
responsibilities including but not limited to Epic and end user front to back-end billing functions and workflows, charge generation and
capture, claims generation and reconciliation, remittance posting processes, retro adjudication and router actions, this position requires an
advanced-level knowledge of professional business office operational workflows, policies and procedures and expertise in industry
standards as well as expertise in Epic software usage, build and performance enhancement. Performs analysis and audits on current Epic
build and functionality, end user Epic workflows, and payer regulatory trends compared to current Epic build with a focus on revenue cycle
integrity. Due to its service focus and project management emphasis, this position requires strong interpersonal and communication skills,
well-developed analytic and organizational skills. This position is a resource to administrative staff of all levels, interfacing with other
departments such as Information Systems, Ambulatory Administration, and all Ambulatory Departments and Divisions. Provides quality
customer service and serves as an exemplary representative of the Patient Financial Services team

Job Description:

Essential Duties & Responsibilities including but not limited to: 

• Analyzes, evaluates, and implements changes in support of all Epic Resolute Professional Billing, Claims, Remittance, and Router applications including ongoing production maintenance, upgrades, and troubleshooting.
• Responsible to provide initial recommendations on decisions for planning, design, development, build, and/or configuration of all Resolute Professional Billing applications and presenting to the Senior Epic Operations Analyst (SEOA) for approval before presenting to leadership.
• Uses internal and external resources to make recommendations to guide PFS management and end-users on system requirements which include identifying and mitigating potential impacts. 
• Serves as the Epic liaison to the IT Epic support team, vendor management, and operational departments to determine requirements and to design solutions that are scalable, sustainable, and ensure data integrity.
• Responsible for assigned Professional Billing Epic Remedy tickets to completion.
• Manages the ticket priority for assigned Service Now tickets submitted to PB IT. Reports priorities weekly to IT management and manages all Epic remedy ticket tracking, ticket lag, and follow-up.
• Validates and approves all testing and build changes after completion before moves to Epic production for all tickets assigned.
• Participates and assists in the Design, development, and implementation of training related to Epic Resolute Professional Billing and end-user workflows.
• Assist in the review of Epic upgrade features with IT. Reviews new software releases and participates in the full review of upgrade opportunities, and system enhancements, and makes recommendations on which features should be utilized.
• Provides go-live support during Epic implementation, upgrades, and new build enhancements.
• Responsible for projects assigned by the SEOA to perform root-cause analysis of denials to reduce denials and manual rework while implementing best Epic practices. Provides findings and reports results and recommendations for Epic and operational improvements to the SEOA and leadership.
• Assists in the oversight and management of external system charge applications and tools.
• Evaluates the adequacy of internal controls and compliance with organizational policies and procedures

Organizational Requirements: 
•    Maintain strict adherence to the Lahey Health Confidentiality policy.
•    Incorporate Lahey Health Standards of Behavior and Guiding Principles into daily activities.
•    Comply with all Lahey Health Policies.
•    Comply with the behavioral expectations of the department and Lahey Health.
•    Maintain courteous and effective interactions with colleagues and patients.
•    Demonstrate an understanding of the job description, performance expectations, and competency assessment.
•    Demonstrate a commitment toward meeting and exceeding the needs of our customers and consistently adheres to Customer Service
standards.
•    Participate in departmental and/or interdepartmental quality improvement activities.  
•    Participate in and completes Mandatory Education. 
•    Perform all other duties as needed or directed to meet the needs of the department.

Minimum Qualifications: 
Education: Bachelor’s Degree or Equivalent Experience Required
Licensure, Certification & Registration: Epic Revenue Cycle Proficiency: Professional Billing Application, PB CDM, PB Charge Capture, PB
Charge Router, claims and remittance preferred
Experience: 5+ years of clinical, healthcare operations, and healthcare information technology experience. 
Experience in a healthcare setting, ability to understand and document business processes, ability to multi-task, and experience managing
large projects with defined duration and scope.
Skills, Knowledge & Abilities: The ability to work independently, the ability to prioritize, and organizational skills are a must.  Excellent
communication skills.

As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) and COVID-19 as a condition of employment. Learn more about this requirement.

More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger.

Equal Opportunity Employer/Veterans/Disabled