Job Summary
We are seeking an experienced Senior Epic Resolute Revenue Cycle Analyst/Administrator to support, optimize, and enhance Epic Hospital Billing (HB), Professional Billing (PB), and Single Billing Office (SBO) applications. The ideal candidate will possess extensive experience in Epic Revenue Cycle operations, system configuration, workflow optimization, claims management, and revenue integrity initiatives. This role will partner with revenue cycle leadership, finance teams, operational stakeholders, and technical teams to improve billing accuracy, reimbursement, denial management, and overall revenue cycle performance.
Key Responsibilities
- Design, build, configure, maintain, and optimize Epic Resolute HB, PB, and SBO applications.
- Support Charge Router, claims processing, remittance, reimbursement, and billing workflows.
- Analyze business requirements and translate them into scalable Epic solutions.
- Configure and maintain claim edits, workqueues, billing rules, and charge routing processes.
- Troubleshoot complex production issues and provide advanced application support.
- Lead system upgrades, enhancements, testing, deployments, and optimization initiatives.
- Manage Data Courier migrations and support change management activities.
- Collaborate with revenue cycle, finance, coding, clinical, and operational teams to improve workflow efficiency.
- Support denial management initiatives, revenue integrity projects, and reimbursement optimization efforts.
- Perform workflow assessments and recommend process improvements to enhance operational performance.
- Develop and execute test plans, integrated testing, and validation activities.
- Create and maintain application documentation, build specifications, and support materials.
- Participate in project planning, system implementations, and large-scale organizational initiatives.
- Mentor junior analysts and provide subject matter expertise on Epic Revenue Cycle applications.
Empowering the Future of Healthcare
The healthcare Industry is on the brink of a paradigm shift where patients are increasingly being viewed as empowered consumers, utilizing digital technologies to better understand and manage their own health. As a result, there is a growing demand for a range of patient-centric services, including personalized care that is tailored to each individual's unique needs, health equity that ensures access to care for all, price transparency to make healthcare more affordable, streamlined prior authorizations for medications, the availability of therapeutic alternatives, health literacy to promote informed decision-making, reduced costs, and many other initiatives designed to improve the patient experience.
ClinDCast is at the forefront of shaping the future of healthcare by partnering with globally recognized healthcare organizations and offering them innovative solutions and expert guidance. Our suite of services is designed to cater to a broad range of needs of healthcare organizations, including healthcare IT innovation, electronic health record (EHR) implementation & optimizations, data conversion, regulatory and quality reporting, enterprise data analytics, FHIR interoperability strategy, payer-to-payer data exchange, and application programming interface (API) strategy.