IS Application Analyst - Resolute Billing & Claims

Job Description Summary

South Shore Hospital, Southeastern Massachusetts's leading provider of emergency, acute, and outpatient care, is seeking an experienced PB Resolute Applications Analyst to join our IS team. Reporting to the Access & Revenue IS Manager, the successful candidate will develop workflows, system configurations, change documentation, and train staff on Epic Resolute and Claims applications functionality. The location of this role is flexible, with work able to be conducted from our office in Weymouth, or hybrid in-person/remote, or fully remotely (must live in MA if fully remote).

Job Description

Responsibilities

• Develop workflows, system configurations, change documentation, and training staff on Epic Resolute and Claims applications functionality
• Analyze procedures and problems within manual/automated health care systems; report findings and when applicable recommends options for resolutions
• Formulate system scope and objectives
• Act as a liaison with all areas of the hospital, utilizing the software application, conducting meetings to determine future enhancements, and preparing and maintaining related documentation 
• Provide ongoing support and participate in on-call coverage as assigned

Skills & Abilities

• Excellent written, verbal, and interpersonal communication skills
• Ability to use stand flowcharting tools and techniques to create and maintain business process and functional flow charts
• Proficient knowledge of web-based technologies, processes, and analytics
• Ability to deliver IT solutions through the entire systems development lifecycle (requirements, design, build, test, deploy, and support)
• Ability to employ software quality assurance and testing concepts, techniques, industry best practices, tools and standards
• Ability to employ systems analysis concepts, techniques, industry best practices, tools and standards
• Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists
• Excellent skills in dealing with unstructured problems that affect efficiency and effectiveness of customers
• Basic knowledge of standardized improvement methodologies
• Proficiency in Microsoft Office including Word, Excel, and Power Point required

Qualifications

• Bachelors degree in Computer Science or related field preferred
• 2+ years of directly-related business applications experience
• Knowledge and experience with health care information systems or knowledge of processes and workflows common in physician practices across varied specialties combined with advanced computer skills
• Understanding of current business practices and computing systems, interfaces and hospital and medical group practice standard software including computer systems and methods utilized in structuring and preparing input data for computer applications
• Analytical and technical skills necessary to apply computer technology to resolve clinical problems and/or increase operational efficiency of data processing systems
• IT or operational experience in one or more of the following areas is a plus: Professional/Hospital billing, coding and claims
• Demonstrated knowledge of clinical documentation and orders databases, data conversion models, workflows, master files, category lists, synonyms and preference lists
• Proficiency or certification in Epic applications: PB Resolute, HB Resolute and Claim/Remittenance