Address
Form of workTitle: Epic Professional Billing Claims Analyst
Reports to: Director of Revenue and Patient Access
Organization Summary:
Community Care Cooperative (C3) is a 501(c)(3) non-profit, Accountable Care Organization (ACO) governed by Federally Qualified Health Centers (FQHCs). Our mission is to leverage the collective strengths of FQHCs to improve the health and wellness of the people we serve. We are a fast-growing organization founded in 2016 with 9 health centers and now serving hundreds of thousands of beneficiaries who receive primary care at health centers and independent practices across Massachusetts. We are an innovative organization developing new partnerships and programs to improve the health of members and communities and to strengthen our health center partners.
Job Summary:
The Claims Analyst position will be housed under a subsidiary organization of C3, Community Technology Cooperative, LLC (CTC). The role of the analyst will be to implement, maintain, support, and maximize the use of clinical, financial, and administrative portions of the Epic software applications utilized by CTC in conducting daily operations under the direction of the Director of Revenue and Patient Access.
Responsibilities:
- Maintain current clinical, financial, and administrative applications, implementing new clinical, financial, and administrative Epic applications
- Assist in the assessment of workflow processes and assisting in process re-engineering to achieve efficiencies in departmental operations
- Assist users in developing reports and analyses, troubleshooting, and resolution of application issues
- Work with the IT Education staff to assist in training users and in the development of documentation
- Maintain a level of knowledge about IT operations and network issues and maintaining current industry knowledge
Required Skills
- Ability and commitment to provide outstanding customer service
- Ability to actively listen, demonstrate patience and empathy, and authentically engage with individuals in a caring and helpful manner
- Ability to communicate clearly and professionally, both orally and in writing
- Ability to identify and resolve problems and maintain composure and sound judgment in difficult or stressful situations
- Ability to manage multiple priorities in an effective and organized manner
- Strong attention to detail
- Must have highly developed sense of integrity and be a team player
- Must be able to remain in a stationary position 50-75% of the time
Desired Other Skills
- Familiarity with the MassHealth ACO program
- Familiarity with Federally Qualified Health Centers
- Experience working in a provider organization
- Experience working in a managed care environment
- Experience with anti-racism activities, and/or lived experience with racism is highly preferred
Qualifications
- Required certifications: Epic Resolute Professional Billing SBO Certification; Resolute Professional Billing Claims Administration; Resolute Professional Billing Electronic Remittance
- Minimum of 5 year’s experience as a certified Epic analyst
- Must have participated in at least one Epic implementation
C3 is an Equal Opportunity Employer
Community Care Cooperative is an equal opportunity employer and does not discriminate against candidates on the basis of race, ethnicity, religion, sex, gender, sexual orientation, gender identity, disability status, or veteran status. C3 is an open and welcoming community that celebrates diversity. We are committed to building a team that represents a variety of backgrounds, perspectives, and skills. Women, Blacks, Indigenous, Other People of Color, LGBTQIA2S+ individuals, and members of other diverse groups are strongly encouraged to apply.
