Business Systems Specialist – Epic Hospital Billing / Claims

Full Time Fountain Valley, California Memorial Health Services

Business Systems Specialists provide specialized application/system expertise and assistance in the analysis, design, deployment, and support of critical business functions within MemorialCare’s information technology systems portfolio as part of the MHS Hospital Billing Team. Individuals work closely with both external and internal customers, department colleagues, system vendors, and other stakeholders to define user requirements and provide integrated solutions based upon MemorialCare’s standard, and occasionally customized, computer/systems architecture and applications, specializing in claims functionality and support. They apply their expertise to improve business processes and support critical business strategies, as they seek out opportunities to educate customers in the strategic use of MemorialCare’s information technology and applications portfolio. Incumbents in this position work under general supervision from senior IT specialists and management however are able to plan, conduct and may supervise assignments of entry/junior staff as well as train entry/junior level personnel in technical complexities of assigned work. Recommends changes in procedures. Operates with substantial latitude for un-reviewed action or decision. Reviews progress with management. Essential Functions and Responsibilities of the Job * Reviews and develops application build/design specifications related to Epic functionality. * Collaborate with other application support teams to ensure seamless integration. * Consults and advises users, management, vendors, and others concerning the purpose, features, functions and proper uses of new and existing applications, modules, systems. * Develops and maintains an ongoing awareness of MemorialCare’s healthcare information systems initiatives, emerging technologies, and relevant laws and regulations in providing ongoing and competent support for assigned areas of responsibility. * Maintain regular contact and serve as liaison for Information Services to ensure communication, collaboration, and teamwork between end users, departmental managers, IT and other service providers/partners. Experience * Working knowledge of Hospital Billing and Claims in an Epic environment. * Strong written and verbal communication skills. * Extensive working knowledge of the healthcare revenue cycle business, specifically related to claims processing. * Five to eight years experience as a senior systems analyst, applications specialist or equivalent business experience in a leadership role, preferred. * Good working knowledge and previous experience with business systems, PCs, collaborative computing tools, information management in healthcare, general information architectures, systems integration, laws, and regulations. * Successful experiences owning, designing, and implementing process improvements. * Experience leading successful projects using project management methodology. * Experience in presenting to groups and leading meetings, preferred. Education * Associate or Bachelor’s degree and/or licensed healthcare professional preferred. Advanced degree or equivalent work experience is desirable. * Epic Resolute Hospital Billing Administration certification required. * Epic Resolute Hospital Billing Claims Administration certification preferred.

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