EPIC PROFESSIONAL BILLING TECHNICAL LEAD - Technology Expert (9976)

Job Description

The San Francisco Department of Public Health (DPH)utilizes the Epic Electronic Health Record [EHR]. Under the direction of the Epic Access & Revenue Cycle Manager, the Epic Professional Billing Applications Technical Lead supports all of the various parts of the systems development cycle, including systems analysis, design and build. The Technical Lead effectively collaborates with application analysts assigned to the Professional Billing team, understands Epic's Professional Billing application and integration payment processing systems, and is a proficient builder. The Technical Lead will guide DPH to best leverage the Epic Professional Billing system through metric-based measures and to increase utilization of Epic’s Professional Billing Application(s) including Professional Billing, Claims, and Remittance. The Technical lead will balance a commitment to support in addition to implementing new projects in accordance with the DPH Epic plan.

The Epic Application Teams are responsible for designing, implementing, testing, and supporting the clinical and financial aspects of the San Francisco Department of Public Health Electronic Health Record. This includes integration and interoperability with other third party clinical and financial systems and devices. The ideal candidate will have an understanding of the workflows of Electronic Health Records in the outpatient areas and the impact to revenue workflows. This position will manage the Resolute Professional Billing, Claims, and Remittance modules of Epic Electronic Health Record and associated integration with various other Epic modules and third-party payment processing applications. The ideal candidate(s) must have working knowledge in the following:

• Knowledge of billing office related workflows, front desk registration/coverage workflows, and clinical charge capture workflows.
• Understanding of a wide array of integration points, utilizing standards such as HL7 and Health Care Claims 276/277 and 837.
• Understanding of a wide array of integration points including but not limited to utilizing standards such as HL7, C-CDA, & FHIR APIs.
• Knowledge of revenue cycle metrics, KPIs, and process improvement techniques relative to these areas.
• Information Technology change control policies & procedures.
• Knowledge of flow diagramming applications: Visio.
• Knowledge of collaboration platforms: Microsoft Teams & SharePoint.

• Provides direct ongoing guidance and/or supervision to other IS Business Analysts or serves as the top application authority for one or more related application modules or systems.
• Supportsthe design, build, implementation and optimization of the Epic enterprise Electronic Health Record (EHR) for the San Francisco Department of Public Health.
• Collects information from departments, clinicians, health workers, vendors, and internal and external customers regarding electronic system development, implementation, issues, recommendations, and utilization of best practices.
• As a member of a multi-disciplinary team, translates functional requirements into application builds.
• Communicates effectively both orally and in writing with a diverse set of clients; establish and maintain good working relations with department personnel, staff, vendors, peers, and management.
• Maintains all system configuration and build parameters for application modules.
• Uses logic and analysis to solve computer and application module problems.
• Exercises judgment, decisiveness, and creativity in an environment subject to frequent change.
• Prepares test plans, documentation, and training materials; work with venders to prepare technical specifications and scopes of work.
• Prioritizes competing requests for services.
• Application module optimization in conjunction with stakeholders.
• Manages critical timelines effectively.
• Manages communication between applications.
• Application/module implementation and testing.
• Clearly documents work and adheres to change control procedures.
• Maintains and updates Service Now, Orion, Sherlock, Nova, and/or other Epic build trackers or Epic project plans.
• Collaborates with application analysts assigned to the Professional Billing team.
• Guides DPH to best leverage the Epic Professional Billing system through metric-based measures and to increase utilization of Epic’s Professional Billing Application(s) including Professional Billing, Claims, and Remittance.
• Balances a commitment to support in addition to implementing new projects in accordance with the DPH Epic plan.
• The Epic Application Teams are responsible for designing, implementing, testing, and supporting the clinical and financial aspects of the SFDPH Electronic Health Record. This includes integration and interoperability with other third party clinical and financial systems and devices.
• Manages the Resolute Professional Billing, Claims, and Remittance modules of Epic electronic Health record and associated integration with various other Epic modules and third-party payment processing applications.
• Performs other related duties as assigned or required.

Qualifications

One year of full-time employment is equivalent to 2,000 hours of work experience (2,000 hours of qualifying work experience is based on a 40 hour work week). Any overtime hours that you work above 40 hours a week are not included in the calculation to determine full-time employment.

• Experience with full lifecycle of Epic implementation and/or Epic upgrade.
• Epic Certification OR Proficiency in Professional Billing AND Claims.
• Knowledge of Lean fundamentals including, but not limited to, A3 thinking, Value Stream Mapping and Kaizen events.
• Background and knowledge of clinical workflows, including charging.
• Understanding of the core functions and processes of the billing office.
• Understanding of the billing office's integration with other departments in the organization.
• Good comprehension of revenue cycle management.
• Proficiency with basic word processing and presentation applications (i.e. MS Office: Word, Excel, PowerPoint).
• Knowledge of flow diagramming applications and collaboration platforms, SharePoint.

Additional Information

All your information will be kept confidential according to EEO guidelines.

If you have any questions regarding this recruitment or application process, please contact Margarita Gonzalez Diaz