26 Oct
NextGen EPM - Remote - Part time
Florida, Miramar , 33023 Miramar USA

Vacancy expired!

Miramar, FL This role is responsible for setting up and maintaining NextGen EPM File Maintenance to utilize the system most effectively. The selected candidate will set up codes and groups, update fee schedules, claim edits, payers practice preferences, form templates, reporting, etc. In addition, responsibilities include testing, validating and assisting with implementation of new processes, workflows and upgrades. This position will support billing, coding and finance. The role will create analytical reports and alerts identifying when a systems issue is arising.

ESSENTIAL DUTIES AND RESPONSIBILITIES:
  • Maintain and update payer profiles, provider profiles and contract profiles
  • Establish and maintain standardized documentation of system change history
  • Maintain charge and fee schedule updates
  • Maintain provider contract linkage
  • Maintain new or updated facility, payer, providers data in the NextGen System.
  • Escalate NextGen issues and manage tickets.
  • Facilitate regular calls to discuss updates, upgrades, system issues, etc.
  • Sampling and documenting discrepancies in system functionality
  • Preparing recommendations for process improvement opportunities
  • Review Background Business Processor (BBP) functions such as auto adjustments quarterly
  • Analyzes task creation & completion and presents results to department Director and other appropriate stakeholders
  • Facilitate the identification and communication of new functionality in future versions of NextGen
  • Collaborates with operations leaders to identify processes for obtaining authorization, gaining portal access, requesting electronic claim submissions and electronic remittances and EFT
  • Works collaboratively with peers and senior management to ensure business needs are being met
  • Maintains confidentiality of all information; adheres to all HIPAA guidelines/regulations
  • Creates new users/ resets passwords.
  • Establish and maintain online payor portal access for all users.
  • Additional duties to be assigned from time to time

Vacancy expired!


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