RCM EDI Services Analyst II

Overview

 

We have a RCM EDI Services Analyst Career opportunity for an experienced professional to join our team at Pediatrix Medical Group. We are a national organization, and one of the nation’s largest providers of prenatal, neonatal and pediatric services.

 

Talented business professionals from diverse backgrounds choose Pediatrix because we are an exciting and innovative company that focuses on a team approach to improve the lives of patients everywhere. We are confident that you'll love being a part of the Pediatrix team. 

Responsibilities

The RCM EDI Services Analyst II will provide ongoing support to RCM Operations, act as the Project Lead for all projects, system implementations and upgrades across all RCM platforms and environments, to include but not limited to Patient Access, EDI Services, Data Operations, Business Systems, Patient Financial Services, NextGen Technology team, Information Technology (IT), Platform Services, Integration, Provider Enrollment departments, and internal and external vendor services.

 

In the RCM Support role, the Analyst II works closely with all listed departments to ensure continuity across all systems, test and production environments alike.

 

The Analyst II will consult with RCM leaders and internal and external departments, facilitates activity required, provide recommendations, and solutions related to workflow, day to day operational activities, and support to all related system, data integrity and exchange.

 

The Analyst II participates in all RCM projects, facilitating or taking directions from project leader which may include but is not limited to solicitation of end user input, mapping the workflow, assisting with data analysis and documenting project specifications. The Analyst II must also serve as quality assurance, UAT representative, for all implementation/upgrade scripts, including creating test scripts and release notes associated with assigned projects. 

 

Essential Duties:

• Creates and maintains all project related documentation including UAT scripts, enhancement change logs, release notes, workflows, and publications for training and HUB.

• Coordinate and monitor all activities including on-time delivery, testing and production implementations.

• Contributes to project update both verbally or written.

• Project testing, implementation, and application upgrade roles:

• Serve as individual contributor for functional test plans and user acceptance test plans and scenarios.

• Will manage multiple projects simultaneously or at any given time, in addition to day to day operation tasks.  

• Work collaboratively with IT developers, QA associates and vendor resources in data design sessions as required

• Work as a technical support and liaison to designated IT resources to provide testing, support and feedback on project requests and regular updates/releases; adhere to release schedules that may impact EOM or EOY goals.
• Maintain strict confidentiality in accordance with HIPAA regulations and Company policy.
• Any patient private health information (PHI) must not be divulged on any account except to payers that need the information to process the claim for payment.
• Presents a positive, professional appearance and conveys a professional demeanor in the performance of assigned duties.
• Performs other job-related duties within the job scope as requested by Management of RCM.
• Always embodies the principles of the corporate Mission Statement and Philosophy.
• Represents the corporation in a positive fashion and makes all individuals feel as comfortable as possible.
• Conducts all business in a professional manner always maintaining respect for individuals.
• Complies with departmental and company-wide policies and procedures.
• Maintains constant awareness of potential safety hazards ensuring necessary safety precautions.
• Reads and complies with established policies and procedures.

• Provide support in cross-functional areas within the department to include but are not limited to:
• All RCM Systems, System Optimizations/Maintenance/ProjectsGPMS Production System balancing/integrity validation: Monitor, QA, perform validation of jobs and system financial totals
• Submit, fulfill and monitor delivery of requests submitted via Service Now, email, from meeting takeaways.
• Manage system job schedules and documentation of special programs.
• Manages all special programs, ini parameters.
• Ensure all vendor placement files are created. Perform a periodic review of special program output and settings, updating as business requires.
• Performs system