South Shore Health · 3 hours ago

IS Application Analyst - Resolute Billing & Claims

Weymouth, MA

Full-time

Remote

Entry, Mid Level

2+ years exp

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Responsibilities

Develop workflows, system configurations, change documentation, and training staff on Epic Resolute and Claims applications functionality

Analyze procedures and problems within manual/automated health care systems; report findings and when applicable recommends options for resolutions

Formulate system scope and objectives

Act as a liaison with all areas of the hospital, utilizing the software application, conducting meetings to determine future enhancements, and preparing and maintaining related documentation

Provide ongoing support and participate in on-call coverage as assigned

Qualification

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Epic ResoluteClaims applicationsHealth care information systemsSystems development lifecycleSoftware quality assuranceSystems analysisMicrosoft OfficeProfessional billingCodingClinical documentationData conversion modelsBasic improvement methodologies

Required

2+ years of directly-related business applications experience

Knowledge and experience with health care information systems or knowledge of processes and workflows common in physician practices across varied specialties combined with advanced computer skills

Understanding of current business practices and computing systems, interfaces and hospital and medical group practice standard software including computer systems and methods utilized in structuring and preparing input data for computer applications

Analytical and technical skills necessary to apply computer technology to resolve clinical problems and/or increase operational efficiency of data processing systems

Proficiency in Microsoft Office including Word, Excel, and Power Point required

Preferred

Bachelors degree in Computer Science or related field preferred

IT or operational experience in one or more of the following areas is a plus: Professional/Hospital billing, coding and claims

Demonstrated knowledge of clinical documentation and orders databases, data conversion models, workflows, master files, category lists, synonyms and preference lists

Proficiency or certification in Epic applications: PB Resolute, HB Resolute and Claim/Remittenance