CFS Business Analyst Clinical Financial Services

Clinical Finance and Business Support Services/ ECU Health/ ECU Physicians is responsible for all aspects of Revenue Cycle Management for the physician Practice. The practice employs approximately 500 billing providers, and a group of 1,200 clinical support staff. About 350 of this support staff are working within centralized and decentralized revenue cycle operations. The practice provides roughly 550,000 outpatient, 155,000 emergency room and 126,000 inpatient services annually to nearly 160,000 patients. Clinical Finance and Business Support Services reports Jason Foltz, DO, chief medical officer, ECU Health Physicians, with a dotted line to Joel B. Stocks, CPA, Interim Executive Associate Vice Chancellor for Health Sciences Administration & Finance to support key fiscal and operational components of the clinical practice and revenue cycle operations. These include direct management responsibility for staffing and operations in the centralized functions of the Central Billing Office ( CBO) and oversight for decentralized activities. Centralized functions include Payor Contracting and Evaluation, Regulatory Compliance and Credentialing; Computer System and Procedure Training; Insurance and Patient Billing, Follow-up and Collections; Cash Management of Professional Fee Revenue; Business Intelligence Services such as Reporting and Analytics; Coordinated Patient Access Support; and Contact Center. Decentralized functions include Registration, Referral Management, Pre-Service Financial Preparation; Service Identification and Reconciliation; Coding and Charge Entry; and Project Management and Process Improvement.

Directly reporting to the Assistant Director of CFS Core Service Operations, with a dotted line to the Assistant Director of PAS this position supports and works closely with the CFS Application Manager who is responsible for providing system and operational support for multiple systems including, but not limited to, Epic EHR, Claims Manager, ECU GL Banner, Experian, and Availity to improve user workflow efficiency through quick response to system issues and high utilization of automation; accuracy through system edits and also through automation which promotes cleaner, expedited claims thereby yielding fewer claim denials and faster payments. The IT Business Analyst stays abreast of open or ongoing work the CFS Application Manager is involved in and is able continue with high priority items for the Application Manager.

Job Duties Percentage of Total Time: 70

System and Operational Support Services.

This position works closely with ECUP's Central Billing Office staff and the CFS Application Manager to continually improve upon systems and applications used by CFS. The individual assists in developing Epic and operational workflow change recommendations to meet the demands of changing regulatory or operational environments. The incumbent will assist in facilitating improvements and enhancements to the Epic system by co-leading, supporting the CFS Application Manager or independently facilitating meetings with CFS leadership and staff to learn about their needs and assist in coordinating enhancement requests on their behalf.

This position supports the CFS Application Manager and leadership in monitoring the effectiveness and the updating of Epic rules, work queues, claims, and remittance to continually improve the system's performance and identify new business opportunities.

This position provides support for Epic performance issues by working closely with the CFS Application Manager and ECU Health IT to report, troubleshoot, and resolve performance and communication issues. The incumbent under the direction of the IT Application Managers or independently Business identifies the root causes of such system issues to develop countermeasures to prevent such issues from reoccurring.

The incumbent uses their system knowledge of EPIC, and analytical expertise to develop analytical processes evaluating the best technical options and feasibility. Developing such solutions will require the consideration and integration of work performed by other staff to produce a final project.

This position assist in providing support for the Claims Manager system by maintaining user access and updating rules as needed. The position provides technical support for claims manager to troubleshoot performance and communication issues by working closely with the Application Manager, ECU Health, and ECU IT.

This position has gained knowledge about the University Banner system [GL] and uses their analytical skills troubleshooting issues data interface issues, or changes to the interface. The incumbent will need extensive knowledge of ECUP's business operations and SharePoint efficiency to provide technical support for the ECU Health Physicians SharePoint website.

Description of job responsibility/duty:

Business Continuity and Disaster Preparedness

As directed by CFS Senior Leaders and/or the Application Manager, this position maintains an established Business Continuity Plan such that, in the event of a disaster, CFS critical staff can connect to the university and Epic as required to provide critical billing services for ECUP. This position will regularly update the roster of staff that are identified as business critical as well as update the established communication paths such that staff can quickly connect with each other. This position ensures that identified critical staff are mobile enabled and have adequate hardware to perform their job functions remotely and provides regular training for staff and testing of remote capability semi-annually to ensure business continuity in case of a disaster.

Description of job responsibility/duty:

Project Management

The incumbent either manages or assists in managing projects associated with ECU Health EHR software. This individual participates in meetings to track project statuses and timelines and report to CFS Director and leadership in order to prioritize projects based on urgency.

Description of job responsibility/duty:

Assists in Overseeing the Ticketing System

This position assists in managing the ECUP ticketing system using a standardized ticket submission process and requiring a standard set of info to submit a ticket. This position meets with CFS functional leadership to determine the validity and priority of tickets.

Description of job responsibility/duty:

HIPAA Compliance (Experian, Claims Manager, Availity, CFS Shared Drives)

In the absents of the CFS Application Managers or as directed ensures regulatory compliance by completing HIPAA assessment annually for Experian system, Claims Manager system, the Availity system, and the CFS Shared Drives which are reported to the ECU HIPAA Security Office.

Description of job responsibility/duty:

Testing

This position will assist the Director of Core Services and her staff in the testing of changes related the Epic Billing applications.

Bachelor's degree or equivalent combination of education and experience. For management roles, a minimum of 1 year of supervisory experience is required.

none

Degree in Computer Information Technology, Computer Technology Integration, Networking Technology or related area from an appropriately accredited institution, experience with 3 years in an Epic EHR environment. Excellent analytical skills. Preferred education and experience Resolute Professional Billing Claims Administration certification; Resolute Professional Billing Administration proficiency or certification.

Candidates should submit a candidate profile, resume, letter of interest, and a list of three references including contact information online.

Candidates must be currently authorized to work in the United States on a full time basis.

In order to be considered for this position, applicants must complete a candidate profile online via the PeopleAdmin system and submit any requested documents. Additionally, applicants that possess the preferred education and experience must also possess the minimum education/experience, if applicable.

East Carolina University is an equal opportunity and affirmative action employer who is committed to workforce success and cultivating a culture of care, belonging and opportunity for our faculty, staff and learners and all stakeholders. All qualified applicants will receive consideration for employment without regard to their race/ethnicity, color, genetic information, national origin, religion, sex, sexual orientation, gender identity, age, disability, political affiliation, or veteran status.

Individuals requesting accommodation under the Americans with Disabilities Act Amendments Act ( ADAAA) should contact the ADA Coordinator at (252) 737-1018 (Voice/ TTY) or ADA-Coordinator@ecu.edu.

Final candidates are subject to criminal & sex offender background checks. Some vacancies also require credit or motor vehicle checks. ECU participates in E-Verify. Federal law requires all employers to verify the identity and employment eligibility of all persons hired to work in the United States.