Application Analyst III – Epic Revenue Cycle (Professional Billing) - Hybrid (Remote Considered) - 26-108

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At Hill Physicians Medical Group, we’re shaping the healthcare of the future: actively managed care that prevents disease, supports those with chronic conditions and anticipates the needs of our members.

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At PriMed, your uniqueness is valued, celebrated, encouraged, supported, and embraced. Whatever your relationship with Hill Physicians, we welcome ALL that you are.

We value and respect your race, ethnicity, gender identity, sexual orientation, age, religion, disabilities, experiences, perspectives, and other attributes. Our celebration of diversity and foundation of inclusion allows us to leverage our differences and capitalize on our similarities to better serve our communities. We do it because it's right!

Job Description:

Under the leadership of the Applications Manager, the Application Analysts primary role is to have a complete working knowledge of assigned application, to include an understanding of the assigned department workflows for the associated system build/configure, upgrade and release process. The Application Analyst will act as the primary support contact for the application and coordinate issues that arise in their area of responsibility and must be very knowledgeable about the organization's policies, procedures, and business operations. They will perform workflow analysis, data collection and report issues associated with the software. The Application Analyst will serve as a liaison between team, end users, third parties and technical staff. They will work with end users by participating in training and troubleshooting issues and questions. Senior level technical professional. Completes complex work within a discipline or specialty area.  Helps others understand the why and articulates the importance to others they work with. Owns processes and continually incorporates feedback to improve them.  Proactively audits process to improve before an issue occurs. Caters to individual styles and abilities. Teaches new skills. Helps talk through situations with operational stakeholders. Makes recommendations for new functionality for issue avoidance or operation improvement.  Pushes back when operations or IT is steering down the wrong path.

Specialization

The Epic Revenue Cycle (Professional Billing) Application Analyst serves as the primary application specialist responsible for the design, configuration, support, optimization, and ongoing maintenance of Epic Resolute Professional Billing applications and workflows. This role provides technical expertise in professional billing, claims management, reimbursement, charge processing, and revenue cycle operations to support accurate billing, efficient claims processing, regulatory compliance, and organizational financial objectives.

The analyst configures and supports Epic Professional Billing functionality, including claims processing, electronic claims submission, electronic remittance advice (ERA), charge review, payer configuration, benefits integration, billing work queues, reimbursement workflows, and revenue cycle automation. The role ensures applications are designed and maintained in accordance with Epic best practices while supporting revenue integrity, operational efficiency, and compliance requirements.

Working closely with Revenue Cycle Operations, Patient Financial Services, Clinical Operations, Information Services, and operational leadership, the analyst gathers business requirements, translates operational needs into technical solutions, and implements workflow enhancements that improve billing accuracy, reimbursement performance, and overall revenue cycle effectiveness. The analyst also serves as a subject matter expert, providing technical consultation, production support, workflow optimization, integrated testing, system documentation, and end-user guidance.

The position is responsible for troubleshooting and resolving complex billing and claims issues by analyzing workflows, application configuration, interfaces, and downstream financial systems. The analyst supports system upgrades, new functionality implementations, testing activities, and continuous improvement initiatives to enhance automation, reduce claim denials, improve reimbursement outcomes, and strengthen overall system performance.

All work is performed in accordance with organizational policies, payer requirements, HIPAA regulations, information security standards, and applicable regulatory guidelines.

Job Responsibilities:

• Performs work that is complex and varied in nature

• Solves complex problems by defining and discerning key aspects of the problem

• Takes a new perspective on existing solutions.  Recommends new procedures and processes to achieve results.

• Understands the why behind the question.

• Communicates build/configure, or workflow improvements that solves the broader need.

• Acting as the primary support contact for the application's end‐users

• Provide software product function, design, and build/configure expertise needed for successful product implementation.

• Identifying issues that arise in their application area as well as issues that affect other application teams, and working to resolve them

• Guiding workflow design, build/configuring and testing the system, and analyzing other technical issues associated with software ensuring design and configuration meets patient care and business needs

• Works with the IS. Team members, vendors and customers to ensure that the application systems are properly maintained and necessary changes are reliably tested, implemented, and documentation is current. Serving as a liaison between end users' workflow needs and implementation staff

• Maintaining regular communication with software representatives, business community, and end users to ensure the system meets the organization's business needs in regards to the project deliverables and timeline

• Developing an understanding of operational needs to set the direction for the organization's workflows by attending site visits and other integrated sessions

• Expert in workflows identifies areas for system optimization and process improvement. Develops solutions and collaborates with the team and management to implement these solutions.

• Works to ensure that user problems and configuration requests are appropriately addressed, and system upgrades are successfully executed with minimal disruption to operations

• Develops and manages effective customer relationships with end-users and other team members to enhance the timeliness and effectiveness of technology solutions.

• Responds promptly to the needs of end-users, and meets Service Level Agreements as defined in conjunction with our customers following issues through to closure.

• Participates in team and leadership meetings to discuss team and ongoing project related activities, issues, change, communications, and updates.

• Typically provides training and guidance to colleagues with less experience, but no formal supervisory responsibility

• May be accountable for leading small projects with moderate risk

• Recognizes when the team needs to be given direction.  Proactively looks for feedback to share in their peers work and solicits feedback in return.

• Proactively teaches others on the team. Seeks out areas or issues to lead.

• Digs deeper to root out potential issues or opportunities.

Required Experience and Professional Skills

Experience

• 5-7 years of experience in Healthcare industry and previous experience in required application discipline

• Current Epic certification in Resolute Professional Billing Administration and Claims and Remittance Administration required

• Additional Epic certifications in Professional Billing Expected Reimbursement Contracts •Administration, other Revenue Cycle applications, various cross application like Hello World, Mychart, Cadence, and Prelude desirable

Professional Skills

• Complete application system knowledge

• Strong interpersonal skills

• Requires in-depth knowledge and experience.  Has developed deep conceptual and practical expertise in own discipline and basic knowledge of related disciplines

• Understands workflows, and makes thoughtful recommendations on the fly. Creates unique solutions based on experiences and knowledge of other's build/configure and workflows. Incorporates future software direction into recommendations.  Expert in a given area.

• Solves basic issues for integrated areas independently. Validates recommendations with other teams.

• Brings perspective from other organizations and tailors message based on operational needs.

• Ability to tailor communication to the audience. Communicates priority and urgency directly.

• Demonstrated ability to collaborate effectively with others, gain trust and build/configure strong relationships

• Ability to work independently and function as an integral part of the team

• Flexibility and adaptability with respect to changing end‐user business needs

• The ability and willingness to see things in an open‐minded way and examine an idea or concept from as many angles as possible

• The ability and willingness to take ownership of work activities and ensure that they are completed in an accurate, efficient, and timely manner

• The ability and willingness to recognize assignments or tasks that need to be completed, to seek out additional assignments or tasks, and to help others

• The ability to gain trust and establish effective relationships with system end users, business unit and vendor counterparts

• The ability and willingness to learn new software and systems

• Seeking, logically examining, and interpreting information from different sources to determine a problem's cause and developing a course of action to resolve the problem and to prevent its recurrence bring effective solutions to complex customer problems

• The ability to persevere in difficult situations, overcome obstacles, and reach high levels of performance when faced with stressful work situations and time pressures

• The willingness to put forth extra effort when required, including demonstrating persistence in the face of obstacles and adversity

• Strong analytical and problem solving skills.  Excellent oral and written communication skills both technical and business focused.

• The ability to communicate information clearly and concisely with leadership and subject matter experts

Required Education and Certifications

Education

• Master’s Degree preferred, minimum Bachelor Degree in Computer Science, Information Systems, Business Administration, or Healthcare Administration or equivalent work experience

Certifications

• Certified in multiple applications

Additional Information

Location: San Ramon / Sacramento / Stockton / Remote Considered

Salary: 109,900 - $144,550 Annual

PriMed is an Equal Opportunity Employer