Job ID: NC-747009 (97690926)
Remote EHR PM (15+) with Revenue Cycle/Hospital/Professional Billing, Claims Processing, Health IT Interoperability, Experian/Change/Relay Health experience
Location: Raleigh, NC (NCDHHS)
Duration: 12 Months
Skills:
EHR Revenue Cycle Billing, Hospital Billing, Professional Billing,and Claims Processing Experience Required 8 Years
Health IT Interoperability experience Required 5 Years
Experian Health /Change Healthcare /Relay Health Required 5 Years
Description:
Experian Project Manager needed to oversee the implementation and integration of Experian Applications as part of Epic EHR program. They provide additional coordination and communication for their team. Reports to the EHR Program Management Office.
Role Description
The Project Manager oversees the implementation and integration of third-party applications as part of Epic NC DHHS EHR Program. They provide additional coordination and communication for their team. Reports to the EHR Program Management Office (PMO) Program Director and EHR PMO Manager.
Key Responsibilities
Management Responsibilities:
• Work closely with the EHR Program Director, EHR PMO Manager, Application Manager, and other project managers to coordinate activities.
• Takes direction from the Division of State Operated Healthcare Facilities (DSOHF) Revenue Operations Director, and Office of Controller Accounts Receivable (CBO), Accounting Manager, and configures Revenue Cycle systems according to their specified requirements.
• Ensure coordination and communication between NCDHHS and the Office of the State Chief Information Officer (CIO), Department of Information Technology, and the DIT/Enterprise Project Management Office (EPMO)
• Must have experience with implementing the full Experian Health Products Suite which includes:
o Claim Source (Dental, Electronic Remittance Advice, Institutional, Professional)
o Real Time Eligibility
o Real Time Authorization
o Notice of Admission
o OneSource
o Electronic Data Interchange (EDI)
• Knowledge of relevant privacy regulations such as The Privacy Act, Freedom of Information Act and HIPPA law
• Knowledge of relevant CMS Inpatient Psychiatric Facility (IPF) Prospective Payment System (PPS) regulations
• Knowledge of revenue cycle billing, hospital billing, professional billing, and claims processing operations and workflows in behavior health setting
• Demonstrate eight years of progressive revenue cycle billing, professional billing, and experience working with Clearinghouses
• Experience implementing Epic (Revenue Cycle Applications)
• Familiarity and past experience implementing other clearinghouses such as Change Healthcare and Relay Health .
• Experience with Health Information Technology (HIT) projects with an emphasis on revenue cycle systems and healthcare application interoperability.
• Develop and maintain integrated project plans according to State and NCDHHS IT project management methodology; must have experience with Microsoft Project and MS SharePoint
• Maintain the scope, schedule, and quality of the project in their specific application areas
• Must have In-depth knowledge of IT project management, IT project budgeting, costing, QA methodologies, processes, and standards.
• Familiarly with IT procurements and vendor/contract management
• Advise and coach team members on project issues, challenges, drive key deliverables, develop the critical success factors for the project, and lessons learned.
• Set clear expectations for team members.
• Organize resources within the organization
• Identify and manage issues and risks, assuring appropriate resolution/escalation and mitigation strategies are documented, and status tracked
Core responsibilities:
• Guide workflow design, system build and test, and analyze other technical issues associated with various vendor application
• Serve as a liaison between organizational needs, third-party vendor staff, and Epic implementation staff
• Work with Epic representatives, third-party vendor staff, organization, and end users to ensure the system meets the organization’s business needs regarding the project deliverables and timelines
• Develop an understanding of operational needs to help set the direction for the organization’s workflows with the vendor
• Develop project plans and project artifacts
• Develop and maintain MS Project Schedules and budgets
• Assist as a stakeholder support liaison for their applications areas assigned
• Identify issues and work with the team to troubleshoot
• Maintain regular communication with Epic and third-party vendor staff representatives, including participating in weekly project team meetings
• Participate in the coordinating of training for end users
• Support Epic and third-party vendors with coordination of system and end user testing.
• Review the status of projects and issues on an ongoing basis with leadership.
• Hold weekly communications with team members to discuss the status of deliverables, shared issues, end‐user concerns, budget, and upcoming milestones
• Develop reports for executive management review, and effectively communicate project status and deliverables to leadership
• Must have strong conflict resolution and management, excellent creative thinking and problem-solving skills, attention to detail, analytical thinking, and organization skills
Knowledge, Skills, and Abilities Amount of Experience
EHR Revenue Cycle Billing, Hospital Billing, Professional Billing , and Claims Processing Experience – 8 years required
Health IT Interoperability experience – 5 years required
Experian Health /Change Healthcare / Relay Health – 5 years required