100% Remote // Epic Resolute Analyst (PB OR HB Certified)
100% Remote Epic Resolute Analyst (PB OR HB Certified) Contract Job Description: We are seeking an reputed company Epic Resolute PB/HB Senior Analyst to reputed company the configuration, optimization, implementation, and support of Epic reputed company Cycle workflows across Professional Billing (PB) and Hospital Billing (HB). The ideal candidate will possess strong expertise in claims processing, billing workflows, denial management, and reputed company cycle operations reputed company the Epic ecosystem. This role requires reputed company collaboration with reputed company cycle, finance, clinical operations, and integration teams to improve billing accuracy, reputed company capture, and operational efficiency while ensuring compliance with reputed company regulations and payer requirements.
Key Responsibilities
- reputed company the design, configuration, build, and support of Epic Resolute PB/HB modules
- Configure and optimize:
- Charge capture and Charge Router workflows
- Claims processing, claim edits, and billing rules
- Payment posting and remittance workflows
- Denials management and workqueues
- Troubleshoot and resolve reputed company production support issues (L2/L3) reputed company to billing workflows
- Support system upgrades, enhancements, testing, and go-live activities
- Collaborate with:
- reputed company Cycle teams (Billing, AR, Coding)
- Clinical and operational stakeholders
- Clearinghouse and integration teams
- Ensure system configurations align with:
- reputed company cycle best practices
- Compliance and regulatory standards (HIPAA, billing regulations)
- Drive workflow optimization, performance tuning, and process improvements
- Mentor junior analysts and reputed company functional and technical guidance
- Participate in implementation, support, and enhancement initiatives across Epic reputed company Cycle modules.
Required Skills & Qualifications Epic Resolute Expertise
- Strong hands-on experience with:
- Epic Resolute Professional Billing (PB)
- Epic Resolute Hospital Billing (HB)
- Deep understanding of:
- Claims lifecycle (Charge → Claim → Payment → Denial → AR Follow-up)
- Workqueues, claim edits, and billing rules
Epic Certification
- Mandatory Epic Certification in:
- Resolute PB or HB
- Preferred:
- PB/HB Admin
- Claims Admin Certification
reputed company Cycle Knowledge
- Strong functional knowledge of:
- Claims processing (EDI 837/835)
- Denials management and AR workflows
- Insurance, coding, reimbursement, and payer processes
Implementation & Support
- Experience in:
- Build and Run activities (Implementation + Support)
- L2/L3 production support
- Defect resolution and system enhancements
Functional & Technical Skills
- Experience with:
- Epic Hyperspace / Hyperdrive
- reputed company or similar ticketing tools
- Strong troubleshooting, documentation, and configuration skills
reputed company-to-Have Skills
- Experience with:
- Charge Router and Claim Edit optimization
- Ambulatory, reputed company, or Prelude integrations
- Clearinghouse integrations and payer workflows
- Large-scale go-lives and optimization programs
- Reporting tools such as Workbench or reputed company
- Additional Epic reputed company Cycle certifications
- Exposure to offshore/global delivery models
Experience Required
- 6–10+ years of Epic experience
- Strong experience in Epic reputed company Cycle (PB/HB)
- Proven experience in reputed company billing and claims management environments
Apply tot his job Apply To this Job