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Skills
Acceptance Testingunmatched
Accounts Receivableunmatched
Analysis Skillsunmatched
Billingunmatched
Business Analysisunmatched
Charge Captureunmatched
Claims Processingunmatched
Communication Skillsunmatched
Cross-Functionalunmatched
Data Modelingunmatched
Documentationunmatched
Epic Certificationunmatched
Epic Resolute (Patient Accounting)unmatched
Epic Systemsunmatched
Financial Analysisunmatched
Financial Metricsunmatched
Financial Servicesunmatched
Healthcareunmatched
Identify Issuesunmatched
Integration Testingunmatched
Leadershipunmatched
Maintain Complianceunmatched
Medicaidunmatched
Medical Billingunmatched
Medicareunmatched
Network Routersunmatched
Operational Auditunmatched
Operational Improvementunmatched
Payment Postingunmatched
Payment Processingunmatched
Performance Metricsunmatched
Process Improvementunmatched
Production Supportunmatched
Regulationsunmatched
Regulatory Complianceunmatched
Reimbursementunmatched
Requirements Managementunmatched
Revenue Analysisunmatched
Software Administrationunmatched
Systems Administration/Managementunmatched
Test Plan/Scheduleunmatched
Testingunmatched
Workflow Analysisunmatched
Description
We are seeking an experienced Epic Resolute Hospital Billing (HB) Analyst with strong Revenue Cycle expertise to support the design, build, optimization, implementation, and maintenance of Epic HB applications. The ideal candidate will collaborate with Revenue Cycle, Patient Financial Services, IT, and operational stakeholders to improve billing workflows, claims processing, reimbursement, and revenue integrity initiatives.
Key Responsibilities
Analyze business requirements and translate them into Epic Resolute HB system configurations and workflow solutions.
Design, build, test, implement, and support Epic Hospital Billing functionality.
Collaborate with Revenue Cycle leadership, Patient Financial Services (PFS), HIM, and clinical teams to optimize billing and reimbursement processes.
Configure and maintain charge capture, claim edits, workqueues, billing rules, reimbursement contracts, and payment posting workflows.
Support denial management, claim resolution, revenue recovery, and accounts receivable optimization initiatives.
Develop and execute test plans, integration testing, and user acceptance testing (UAT).
Troubleshoot system issues and provide ongoing production support.
Analyze operational and financial performance metrics and recommend process improvements.
Participate in system upgrades, enhancements, and Epic special updates.
Create and maintain documentation, workflow diagrams, and training materials.
Ensure compliance with healthcare billing regulations, payer requirements, and organizational policies.
Work closely with cross-functional teams to support Revenue Cycle transformation projects.