Epic Resolute PB Analyst

This is a remote position.

Responsibilities

• Design, configure, build, test, and maintain Epic Resolute Professional Billing (PB) applications.
  
• Serve as the primary application resource for Claims and Remittance functionality within Epic Resolute PB.
  
• Configure and support claims processing, claim edits, remittance posting, reimbursement workflows, workqueues, and charge entry.
  
• Collaborate with Revenue Cycle, Patient Financial Services, and IT stakeholders to gather requirements and optimize Professional Billing workflows.
  
• Support ongoing Revenue Cycle stabilization initiatives by identifying opportunities to improve billing accuracy, reimbursement, and operational efficiency.
  
• Troubleshoot production issues, perform root cause analysis, and deliver timely resolution to application support requests.
  
• Participate in system upgrades, integrated testing, go-lives, optimization initiatives, and ongoing maintenance.
  
• Develop and maintain build documentation, workflow diagrams, and application support documentation.
  
• Ensure Epic build aligns with organizational standards, payer requirements, and regulatory compliance.
  
• Partner with operational leaders to recommend workflow enhancements and long-term improvements to the Professional Billing application.
  

Qualifications

• Active Epic Resolute Professional Billing (PB) Certification or Accreditation required.
  
• Epic certification or significant experience with Claims, Remittance, Charge Router, and Benefits Engine strongly preferred.
  
• Bachelor's degree in Healthcare Administration, Information Systems, Business, or a related field.
  
  • Four (4) years of relevant healthcare IT or revenue cycle experience may be considered in lieu of a degree.
    
• 4+ years of Epic Resolute PB build, implementation, and application support experience in a healthcare environment.
  
• Demonstrated experience supporting Claims processing, Remittance, reimbursement workflows, and Professional Billing operations.
  
• Strong understanding of professional billing workflows, payer regulations, revenue cycle operations, and reimbursement methodologies.
  
• Experience supporting complex health systems, academic medical centers, or multi-specialty physician organizations preferred.
  
• Excellent analytical, troubleshooting, communication, and documentation skills.
  
• Ability to work independently in a remote environment while collaborating effectively with cross-functional teams.
  
• Ability to travel monthly for project activities, workshops, and go-live support.
  

Preferred Experience

• Epic certifications or advanced build experience with Benefits Engine, Charge Router, Claims, and Remittance.
  
• Experience participating in large-scale Epic implementations or revenue cycle transformation initiatives.
  
• Experience optimizing Professional Billing workflows in complex healthcare organizations.
  
• Knowledge of reporting, revenue cycle analytics, and operational performance improvement.
  

Benefits