Epic Resolute Professional Billing (PB) Analyst

Identified Talent Solutions
  • Tampa, Florida
    19 days ago

    Job Description

    Contract | Remote | Up to 15% Travel Required


    Role Overview

    The Epic Professional Billing (PB) Analyst is responsible for the configuration, build,

    implementation, and optimization of Epic Resolute Professional Billing. This role partners with

    revenue cycle, finance, clinical operations, and technical teams to develop efficient

    professional billing workflows and ensure accurate charge capture, claims processing,

    reimbursement, and accounts receivable operations.


    Key Responsibilities


    Epic Professional Billing

    • Configure, build, and optimize Epic Resolute Professional Billing functionality

    • Develop professional billing workflows, billing rules, workqueues, and system

    configuration

    • Configure charge capture, claim generation, payment posting, and denial management

    workflows

    • Troubleshoot complex billing and revenue cycle issues


    Revenue Cycle Collaboration

    • Partner with revenue cycle, coding, finance, and operational stakeholders

    • Translate business requirements into Epic configuration and workflow solutions

    • Develop solutions supporting payer requirements, reimbursement, and professional

    billing operations

    • Identify opportunities to improve revenue cycle performance and workflow efficiency


    Implementation and Optimization

    • Perform Epic build for implementations, upgrades, enhancements, and optimization

    initiatives

    • Participate in workflow design and configuration sessions

    • Coordinate with other Epic application teams to ensure integrated revenue cycle

    workflows

    • Develop system enhancements based on operational and business requirements

    Testing and Go-Live

    • Develop and execute unit, integrated, and user acceptance testing

    • Validate professional billing workflows from charge capture through claim and payment

    processing

    • Participate in go-live planning, cutover, and onsite activities

    • Resolve issues and perform configuration changes during post-go-live stabilization


    Documentation and Governance

    • Maintain build documentation, specifications, and workflow materials

    • Follow Epic and organizational build, change control, security, and compliance

    standards

    • Provide knowledge transfer and technical guidance to team members and operational

    stakeholders


    Qualifications

    • 5+ years of Epic Professional Billing experience

    • Epic Resolute Professional Billing certification required

    • Strong understanding of professional billing and physician revenue cycle workflows

    • Experience with charge capture, claims, workqueues, payment posting, and denial

    management

    • Experience performing Epic build for implementations, upgrades, or optimization

    projects

    • Strong analytical, troubleshooting, and problem-solving skills

    • Excellent communication and stakeholder management skills

    • Ability to work independently in a remote contract environment


    Preferred Qualifications

    • Experience with Epic Hospital Billing, Claims, or other Revenue Cycle applications

    • Experience with payer-specific billing and reimbursement requirements

    • Experience in large, multi-facility or multi-specialty healthcare organizations


    Travel Requirements

    • Up to 15% travel is required for design sessions, stakeholder meetings, testing, go-live

    activities, and other project milestones


    Numbers & Facts

    LocationTampa, Florida

    Skills

    • Acceptance Testingunmatched
    • Accounts Receivableunmatched
    • Analysis Skillsunmatched
    • Billingunmatched
    • Charge Captureunmatched
    • Claims Processingunmatched
    • Communication Skillsunmatched
    • Configuration Managementunmatched
    • Epic Resolute (Patient Accounting)unmatched
    • Epic Systemsunmatched
    • Financial Operationsunmatched
    • Healthcareunmatched
    • Identify Issuesunmatched
    • Knowledge Transferunmatched
    • Payment Postingunmatched
    • Performance Managementunmatched
    • Problem Solving Skillsunmatched
    • Reimbursementunmatched
    • Requirements Managementunmatched
    • Rural Contractsunmatched
    • Technical Leadershipunmatched
    • Technical Operationsunmatched
    • Testingunmatched
    • Willing to Travelunmatched

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