Senior Epic Analyst Resume Example BJC Healthcare

SENIOR EPIC ANALYST

Professional Summary

Motivated Leader with more than 10 years in project management and application support with Hospital and Physician Revenue Cycle Management systems.

Dedicated and skilled business professional with a versatile technical support skill set developed through experience and education including EPIC certifications. Excellent in resolving employer challenges with innovative solutions, systems and process improvements proven to increase efficiency, customer satisfaction and revenue.

I have worked with several different EHR/EMR, Real time Eligibility, and Revenue Management Systems to include EPIC, Nextgen, eClinicalWorks, GE Centricity, ECLIPSE, EPIC, Kareo, Nextech, Cerner/Siemens, and many more.

Skills

Hospital and Physician Billing
Charge Description Master
Payor Contracts/Fee Schedules
Knowledge of CPT/HCPCS
Claims/Billing
Real-time Eligibility
HL7 Messages
Exceptional interpersonal communication

Effective Leader
Planning and development
Knowledge of Medicare/Medicaid statutes and regulations
Quality improvement competency
Dependable
Team building
Deadline-oriented

Work History

Charging Lead (EPIC) 10/2015 to Current
BJC Healthcare – Saint Louis, MO

EPIC Certified in Resolute Billing -Charge Description Master, EpicCare Inpatient Procedures Orders
Charge lead for a hospital group with 11 different facilities as they transition to EPIC clinical system.
Charge/build lead for inpatient professional billing
Analyzed, configured, and build eleven legacy charge masters, consolidated them, and completed charge master description build in EPIC.
Analyzed, configured, and build eleven hospital's revenue locations and completed department and cost center assignment table build of over 600 cost centers in EPIC.
Evaluated each application team's workflow for charge build in EPIC. Updated charge triggering methods, assisted with record build, and validation of charges based on revenue risks/growth.
Provide subject matter expertise to billing and charge related build for both Hospital, Professional, and Hospice billing needs
Analyzed and built preference list for Inpatient/Outpatient charge capture in EPIC.
Facilitated bi-weekly meetings for integrated charge areas to include Hospital outpatient departments and professional billing workflows.
Investigated and reported issues relating to charge discrepancies.
Produced spreadsheets, power-points, visios and other documentation for charge testing and go-live readiness.
Partnered with legacy billing teams for functional testing, application testing, and charge testing.
Closely collaborated with management team to make necessary improvements and satisfy Physician's inpatient charging requirements for academic and community billing structures.
Collaborate with charge router and PB billing leads for EPIC analysis and build for charging.

Application Support Manager 10/2012 to 10/2015
BJC Healthcare – Saint Louis, MO

Managed and supported Patient Accounting/billing and Patient Access/registration Applications for the academic hospitals. I managed a staff of seven analyst and coordinators that included training, coaching, and mentoring staff.
Project Manager for the Windows upgrade from XP Operating system for approximately 400 employees. Monitored timelines and flagged potential issues of concern specific to vendor readiness. Educated management and staff of timelines and changes to operating systems.
Project Manager for the ICD-10 Go-live for the two Academic facilities at BJC Healthcare. Coordinated testing efforts with registration, billing, and coding for testing purposes. Applied ICD-10 coding to multiple billing systems. Coordinated testing efforts with Insurance payers and communicated testing strategies, efforts, and statistics to upper management.
Managed the Go-live efforts for vendor upgrades for the academic hospitals that included the MyAbility vendor for eligibility and Medicare access platforms, the Powerflow vendor for documentation storage, and The SSI Group vendor for electronic claims and ERA submissions.
Managed system testing for the academic hospitals to include system upgrades, downstream testing, Charge Description Master testing, ICD10 testing, Room/Bed, building new clinics, units, etc…
Managed the charge interface for errors, late charges process and complicated charge corrections. Including Physician charge errors.
Responsible for building and maintaining Children's insurance master, contractual adjustment calculations, and fee schedule
Managed the security and access profiles for the billing application systems related to Patient Access/Registration and Patient Accounting billing environments.
Managed staff responsible for developing system adhoc reports/reporting for the Revenue Management and Finance areas
Coordinated GAP Assessments for billing system transitions for the academic hospitals.
Implemented innovative programs such as a recognition team to increase employee loyalty and reduce turnover.

Supervisor 01/2005 to 10/2012
Trizetto, formerly Gateway EDI – Saint Louis, MO

Supervise various teams/aspects within the company from New Accounts, Web Training, Specialized Teams, Customer Service call center and Provider Enrollment

Complete the hiring, scheduling, and training of all new employees to my teams/departments.

Complete team budget and expense reports monthly

Conduct monthly/weekly staff meetings to include budget and various departmental statistics

Document and evaluate business process and procedures for process improvements

Develop and Design workflow and process improvements, including various types of measurements and workflow goals

Complete phone audits and measurements for statistical reporting and process improvements

Provide desktop support to our internal customer service associates

Lead various Projects and Initiatives as assigned. Examples include the Redesign of our internal logging system and develop workflows for new teams

Provide Level 111 Customer Service support for more complex, technical healthcare information management and revenue tasks

Train office billers, schedulers, and managers on how to utilize the combine services of EHR/EMR and Clearinghouse reports

Teach internal training classes as well as speaking at various healthcare conferences relating to a variety of healthcare topics
Specialty in insurance payers such as Medicare/Medicaid claims processing, denials/rejections and electronic claims processing, procedures and guidelines
Proficiency in Medical Claims both Professional and Institutional, ICD9/10, CPT, HCPCS, ANSI 837P/I, and Revenue Cycle Management denials/rejections

Practice Management Operations Anaylst 10/2001 to 12/2004
SluCare Physicians – Saint Louis, MO

Ran reports daily for staff to verify patient demographics and insurance policy

Contact patients and Insurance Payers (specialty was Medicare and Medicaid) via phone to verify accurate patient information

Front desk registration and scheduling at OB/GYN offices at various SSM Hospitals

Update paperwork and reports for claims billing (lots of provider contact)• Completed payroll for staff of 10

Completed various reports for managers

Other front desk duties, such as answering phones, verifying patient signatures and appropriate paperwork for HIPPA

‘Go to' person for staff questions

Education

MBA: Business 2011 Fontbonne University - Saint Louis, MO

Bachelor of Arts: Organizational Studies 2005 Saint Louis University - Saint Louis, MO

Certifications

EPIC - EpicCare Inpatient Procedure Orders Certification

EPIC - Charge Description Master Management Certification

AAIM Supervisor Certification

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Senior Epic Analyst Resume Example

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