System Analyst - Claims
Catholic Health is one of Long Island’s finest health and human services agencies. Our health system has over 16,000 employees, six acute care hospitals, three nursing homes, a home health service, hospice and a network of physician practices across the island.
Overview
Under minimal supervision, formulates and defines Resolute Hospital Billing/Claims scope and objectives through research and fact-finding to develop or modify moderately complex information systems. Prepares detailed specifications from which the patient accounting department system will be implemented. Builds, tests, documents and maintains the EPIC Resolute Hospital Billing/Claims program. Is competent to work on all phases of Epic Resolute Hospital Billing/Claims analysis and implementation activities and able to assist the patient accounting operations champion.
Responsibilities:
- Participates in all aspects of information systems lifecycles (business requirements definition, selection/planning, build, test, train, implement, production support).
- Ability to communicate and manage project scope; Assist in work plan development and management.
- Experience in redefining processes to fit with chosen packaged systems in the Registration area
- Ability to assist client in definition of functional requirements and configure systems to support operational needs
- Guarantees efficient and effective completion of project assignments in accordance with standard procedures
- Helps to ensure all user requests are received in writing, properly evaluated and responded to in a timely manner
- Conducts review meetings with user committee(s) to assist in establishing Project priorities
- Identifies issues that impact deadlines and quality of the project and escalates to the team manager. Works with the Patient Financial Systems Manager to actively resolve issues and apply risk mitigation strategies
- Ability to develop work plans and estimate tasks
- Ability to break down complex problems into manageable tasks
- Experience in working with multiple vendors
- Works with minimal direction
- Conducts training when applicable
- Plans own work effort based on one’s own work tasks and gives guidance to work efforts to Application Analysts
- Assists in the resolution of issues regarding projects being worked on and develops recommendations for those issues
- Accurate and timely recording of time against tasks assigned.
Essential Functions:
- Willingness to travel from entity to entity.
- Must attend training in Madison Wisconsin.
- Must attain Epic certification within 6 months of hire.
- Able to work in stressful situations.
- Environment is subject to high-level visibility through verbal and written communications with senior hospital management, associated project deadlines.
- Must be available for on-call support on a regular basis. Due to project requirements, overtime will be required as needed.
- Demonstrate knowledge of and conduct himself/herself in conformity with the CHS Compliance Assurance Program and Standards of Conduct. Employee shall receive a copy of the CHS Compliance Program Handbook and be aware of the CHS Helpline. Employee will perform all work activities according to the highest ethical and legal standards.
- Conduct himself/herself in conformity with the HIPAA Compliance Program and applicable institutional policies and procedures for patient privacy.
- Play an active role in the CHS Information Security Awareness Program by following and supporting all CHS information security policies and procedures to the best of their ability. This will include reporting any suspected fraud, abuse, or violation of policy to the appropriate management or reporting mechanism.
- Is competent to work on all phases of business and applications system analysis and implementation activities. Able to act as a Patient Accounting champion collaborating with entity department management about information system requirements and serving as a knowledge resource to non-financial IT employees. Serves as a liaison between IT and facility staff.
- Knowledge of how the Patient Accounting department functions and the associated tools involved in that department, including scheduling, registration, insurance eligibility, bed management, point of service collection and regulatory compliance.
- Support the organization’s mission, vision, and values by exhibiting the following behaviors: excellence and competence, collaboration, innovation, respect personalization, commitment to our community, and accountability and ownership
Education, Training, and Experience:
- Bachelor’s Degree in Computer Science or equivalent
- Must have at least 1year in a progressive information technology role
Salary Range
USD $130,000.00 - USD $135,000.00 /Yr.
This range serves as a good faith estimate and actual pay will encompass a number of factors, including a candidate’s qualifications, skills, competencies and experience. The salary range or rate listed does not include any bonuses/incentive, or other forms of compensation that may be applicable to this job and it does not include the value of benefits.
At Catholic Health, we believe in a people-first approach. In addition to the estimated base pay provided, Catholic Health offers generous benefits packages, generous tuition assistance, a defined benefit pension plan, and a culture that supports professional and educational growth.
