ECW/ RCM Specialist

Position Summary

We are seeking a highly skilled EHR Application specialist with in-depth experience in E-Clinical Works to join us as Revenue Cycle (RCM) Applications Specialist. The ideal candidate should have a strong understanding of eClinicalWorks (eCW) and be an expert in eCW billing functionalities. The position is actively engaged in end user interaction, workflow analysis, design, build, training, on-site support, adoption measurement and assistance to implement the eClinicalWorks EHR and practice management solution. The ideal candidate is professional and organized with excellent interpersonal skills and the ability to transform complex information into simple formats. This is a wonderful opportunity for someone who is detail-oriented, organized, and can work independently.

Essential Job Functions

• The primary function of this position is to provide service and support to the Revenue Cycle (RCM), Billing, and Front End Operations team users by identifying, troubleshooting, and providing support for integrated EMR-PM/ RCM solutions.
• Collaborate with the Clinical Applications and RCM team members to ensure proper system build and billing set up.
• Responsible for content build in the EMR to ensure good RCM workflows.
• Responsible for setting up the billing system and training end-users on using eClinicalWorks software based on their workflows using best practices for billing.
• Establish and maintain a working relationship with provider offices and make workflow recommendations to improve back-office operations.
• Train end-users remotely and in person on how to use the software to conduct RCM processes.
• Understand month-end reporting and processes and proactively evaluate the organizational financial health periodically to analyze reimbursement trends and patterns of denials to formulate a strategic plan to rectify and improve organizational financial performance.
• Maintenance of Charge Masters and Payers Fee Schedules in conjunction with the Revenue Cycle Manager and Clinical Applications Team.
• Build and maintain work queues and workflow rules.
• Respond to eCW billing questions from RCM and end-users.
• Troubleshoot any and all issues related to eCW Billing modules.
• Identify, analyze and troubleshoot EMR clinical system issues such as system down, slowness, and mapping issues.
• Provides configuration when setting up new providers and requesting licenses.
• Assist in developing training materials, polices, and procedures for the healthcare information system (EHR) for all levels of the organization.
• Will assist in project tasks for implementations.
• Work tickets within the service manager and document actions taken to resolve and address the issues.
• Provide education and support for new feature deployments and major onboardings.
• Collaborates with Data Analysts and QI staff in quality assurance activities, documentation of work flows and adherence to data governance.
•  Monitor data integrity in healthcare information systems (EPM/EHR)
• Research and collect errors through troubleshooting and testing. POSITION SUMMARY: CORE JOB RESPONSIBILITIES: SCCHC All Rights Reserved 06/2018
• Attend training-related conferences, webinars, and workshops

Required Education and Experience

• Bachelor Degree in Computer, Health Science or related field and/or 5 years of work experience in end-user training and/or implementation training support
•  A minimum of 2 years of experience in providing end-user application training or training support to adult learners
• At least 2 years of experience with eClinicalWorks or other EHR systems
•  Demonstrated ability to troubleshoot and resolve end-user application related-issues
• Expert-level computer skills including proficiency in Microsoft Office Suite (Word, Excel, PowerPoint, Access, Outlook, etc.) required. Knowledge of SharePoint.
• Experience with billing workflow knowledge (claim life cycle) with systematic understanding of ERA/EOBS, denial reason codes, Medicare and Commercial payor guidelines, and Coding processes, eligibility verification etc.
• Experience with Medicare, Medicaid, commercial paper, and electronic claims processing.
• Thorough knowledge of ICD, CPT, HCPC, HCC coding, ability to read EOB/ERAs, HCFA, Dental, UB claim submission, post payments and refunds.
• Experience working with eClinicalWorks modules such as (EMR, PM, EBO, KIOSK, HEALOW, etc.) and other EMR and Population Health Systems.
• Expertise in eClinicalWorks Billing and RCM modules directly related to job duties, e.g. Creating claims, posting charges, payments adjustments, generating and creating custom eBO reports, using electronic clearinghouse, claims resubmission etc.
• Knowledge of compliance, cost reimbursement, and insurance negotiation procedures in Value Based and Capitation environments.
• Be familiar with payer dispute process and timely filing guidelines.
• Experience with Payer and Clearinghouse portals.
• Ability to recognize, evaluate, solve problems, and correct errors.
• Demonstrated experience in training staff.
• Bi-lingual fluency in English and Spanish is preferred.
• Basic Skills and Knowledge in basic computer literacy including Excel, Word, and PDF etc.
• Understanding basic healthcare billing terminology and processes.

Knowledge, Skills and Abilities:

• Possesses both written and verbal communication skills.
• Ability to maintain confidentiality within HIPAA and compliance guidelines.
• Detail-oriented, well-organized, and critical thinking with analytical skills.
• Strong consultative relationship and interpersonal skills.
• Great Customer Services. Bottom of Form