UofL Health

Provide clinical system support and development for Cerner EHR applications. | Requires extensive Cerner clinical applications experience and healthcare IT knowledge, which the candidate does not have. | Primary Location: Work from Home - KY Address: P.O. Box 909 Louisville, KY 40201-0909 Shift: Job Description Summary: Clinical Support Analyst II serves as an integral member of the IT Cerner Support team. Key responsibilities include direct involvement with the development, implementation, training and support of the electronic health record (EHR). This employee will use their detailed knowledge of the electronic health record and their ability to analyze processes/systems to impact the organizations’ strategic initiatives and patient experience. Job Description: • Assists in the development, maintenance and support of Cerner and other clinical systems for the area of responsibility • Provides input and guidance to build and design teams regarding build, optimization, training plans, goals, and implementation within their defined area • Coordinates discussions with hospital department leaders, end users and IT Teams providing expertise on workflows of the clinical applications • Establishes plans for supporting super-user groups • Supports and leads evaluations of IT updates and revisions; establishes priorities and plans for release schedules • Ensures that maintenance releases are properly tested and quality assured prior to production • Supports and leads incident management processes and escalates issues as appropriate • Provides mentoring and training to application analysts I in system analysis & design, specification development and documentation, and end-user training with ULH prescribed methodologies • Completes assigned tasks per defined project scope, timelines, and budgets for implementations; works to prescribed methodologies for all project implementations • May work on multiple implementations at any given time Additional Job Description: Education: • Bachelor’s Degree in Business, Information Science, Computer Science, Informatics or related field (required) Experience: • Seven years of prior Cerner Clinical applications experience or other EHR implementation and/or support experience (preferred) • Experience with healthcare IT applications and knowledge of healthcare environment and system configuration (preferred) Certifications: • Certification on any of the following Cerner modules (preferred): • CCL • ESH • Cerner Rules • PathNet

The specialist initiates the appeal process for insurance claims denials and coordinates with the HIM Appeals Specialist for clinical appeals. Responsibilities include reviewing unpaid claims, developing appeal letters, tracking denial outcomes, and ensuring accurate reimbursement from third-party payers. | A high school education or GED is required along with 1-3 years of experience in billing, collection, or appeals. Knowledge of medical terminology and clear written communication skills are essential. | Primary Location: Med Plaza II - UMC Address: 250 E Liberty Louisville, KY 40202 Shift: First Shift (United States of America) Job Description Summary: Job Description: The job summary for this position is not currently on file electronically. Please see your supervisorr or Human Resources Representative for a hard copy before you complete your acknowledgment. Additional Job Description: WE ARE HIRING! Location: 250 E. Liberty Street, Louisville, KY 40202 Shift: FT, First Shift About UofL Health: UofL Health is a fully integrated regional academic health system with nine hospitals, four medical centers, Brown Cancer Center, Eye Institute, nearly 200 physician practice locations, and more than 1,000 providers in Louisville and the surrounding counties, including southern Indiana. Additional access to UofL Health is provided through a partnership with Carroll County Memorial Hospital. Affiliated with the University of Louisville School of Medicine, UofL Health is committed to providing patients with access to the most advanced care available. This includes clinical trials, collaboration on research and the development of new technologies to both save and improve lives. With more than 13,000 team members – physicians, surgeons, nurses, pharmacists and other highly-skilled health care professionals, UofL Health is focused on one mission: to transform the health of communities we serve through compassionate, innovative, patient-centered care. For more information on UofL Health, go to www.uoflhealth.org. Job Summary: Initiates the appeal process, at the direction of Revenue Cycle management, until the case is overturned, appeal options are exhausted, or decision is made to discontinue process. This position assumes the responsibility for coordinating and appealing technical denials and working closely with the HIM Appeals Specialist responsible for clinical appeals. Ability to review and determine reason for insurance denial of claims Review and appeal unpaid claims daily and submit appeal timely. Develop appeal letters to substantiate overturning denial, i.e. coverage, authorization, non-covered services, contract issue, timely filing limit, etc. Develop and maintain detail denial inventory list Tracks and trends progress and outcomes of denial and appeal processes and compiles reports for Revenue Cycle leadership Completes follow-up work on appealed claims. Works with insurance carriers on appeal issues. Ensure clinical appeals are submitted to the HIM department Monitor the payments to assure reimbursement from third-party payers is accurate based on payer contract. Reviews denials for accuracy. Stays abreast of payer updates for authorizations, eligibility, etc and communicates to Revenue Cycle leadership Documents all activity in Revenue Cycle system. Attends continue education programs Other duties as assigned. MINIMUM EDUCATION & EXPERIENCE High School education or GED required. 1-3 years of prior billing, collection, or appeals KNOWLEDGE, SKILLS, & ABILITIES Knowledge of medical terminology. Clear and concise written communication skills and development of professional letters. Basic Microsoft Office knowledge. Ability to foresee projects from start to finish. UofL Health is a fully integrated regional academic health system with nine hospitals, four medical centers, Brown Cancer Center, Eye Institute, nearly 200 physician practice locations and more than 1,000 providers in Louisville and the surrounding counties, including southern Indiana. Additional access to UofL Health is provided through a partnership with Carroll County Memorial Hospital. With more than 14,000 team members – physicians, surgeons, nurses, pharmacists and other highly-skilled health care professionals, UofL Health is focused on one mission: to transform the health of communities we serve through compassionate, innovative, patient-centered care. Please login into Workday and search for Job Hub.