Epic Application Analyst, Resolute Hospital Billing/Claims

Thank you for considering a career at Ensemble!

Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country.

Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference!

O.N.E Purpose:

• Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations.

• Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation.

• Striving for Excellence: Execute at a high level by demonstrating our “Best in KLAS” Ensemble Difference Principles and consistently delivering outstanding results.

The Opportunity:

The Epic Application Analyst, Resolute Hospital Billing/Claims serves as the primary liaison between Revenue Cycle Operations and Information Technology for Epic Resolute Hospital Billing and Claims functionality. This role is responsible for Epic build, configuration, workflow optimization, testing, troubleshooting, and ongoing support of hospital billing and institutional claims workflows.

The ideal candidate will possess a current Epic Resolute Hospital Billing Administration or Epic Resolute Hospital Billing Claims Administration certification, with hands-on experience supporting the corresponding build and workflows. Relevant experience may include hospital billing configuration, work queues, claim generation, claim edits, submission, correction, and resolution.

Essential Responsibilities

Epic Resolute Hospital Billing/Claims Support & Optimization

• Analyze, design, configure, test, and support Epic functionality related to Resolute Hospital Billing and Claims.
• Perform Epic build and configuration supporting hospital billing and institutional claims workflows.
• Support billing workflows, work queues, claim generation, claim edits, submission, correction, and related revenue cycle processes.
• Troubleshoot billing and claims-related application issues and identify system or workflow root causes.
• Serve as a lead analyst for HB and/or HB Claims issues, enhancements, and optimization initiatives.
• Identify opportunities to improve billing performance, clean claim performance, and overall workflow efficiency.

Hospital Billing, Claims & Revenue Cycle Performance

• Partner with Revenue Cycle leadership and operational teams to optimize hospital billing and claims workflows.
• Analyze system-related causes of billing issues, claim errors, denials, and delays.
• Support work queues and edits associated with hospital billing and claims.
• Recommend Epic configuration and workflow improvements designed to increase billing accuracy and efficiency.
• Support initiatives focused on revenue cycle performance, denial reduction, and clean claim improvement.

System Build, Testing & Change Management

• Perform Resolute Hospital Billing and Claims-related Epic build and configuration following organizational change control processes.
• Gather business requirements and translate hospital billing and claims-related operational needs into Epic solutions.
• Create and maintain workflow documentation, decision documents, and build specifications.
• Participate in integrated testing, user acceptance testing, implementation, and post-production support.
• Troubleshoot application issues and coordinate resolution with IT teams and Epic resources.

Stakeholder & Client Support

• Serve as a subject matter expert for Epic Resolute Hospital Billing and/or HB Claims functionality.
• Partner with Revenue Cycle Operations, IT, and other stakeholders on hospital billing and claims-related initiatives.
• Educate operational stakeholders on Epic functionality and recommended billing and claims workflows.
• Support implementation, optimization, and performance improvement initiatives.

Required Qualifications

• Current Epic Resolute Hospital Billing Administration or Epic Resolute Hospital Billing Claims Administration certification is required. Candidates must upload verification of their active certification prior to the interview or provide verification at the start of the interview.
• Minimum 3 years of Epic build, support, implementation, or optimization experience.
• Demonstrated hands-on experience with Epic Resolute Hospital Billing and/or HB Claims build and workflows.
• Experience supporting hospital/facility billing and/or institutional claims workflows within revenue cycle operations.
• Experience with hospital billing workflows, work queues, claim generation, claim edits, submission, troubleshooting, or related Resolute HB functionality.
• Strong understanding of hospital billing and revenue cycle workflows.
• Experience gathering requirements, testing, and implementing Epic system enhancements.
• Ability to travel up to 25% as needed.

Additional Information

This position pays between $97,000 - $145,500 based on experience and geographical location.

Must be inquisitive and demonstrate openness to innovation including AI to explore better processes and ways to alleviate friction and improve patient and client experiences.

This is a remote position; however, candidates must be willing and able to travel to and work onsite at client (up to 25%), temporary, or corporate office locations as business needs require.

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Join an award-winning company

Five-time winner of “Best in KLAS” 2020-2022, 2024-2025

Black Book Research's Top Revenue Cycle Management Outsourcing Solution 2021-2024

22 Healthcare Financial Management Association (HFMA) MAP Awards for High Performance in Revenue Cycle 2019-2024

Leader in Everest Group's RCM Operations PEAK Matrix Assessment 2024

Clarivate Healthcare Business Insights (HBI) Revenue Cycle Awards for strong performance 2020, 2022-2023

Energage Top Workplaces USA 2022-2024

Fortune Media Best Workplaces in Healthcare 2024

Monster Top Workplace for Remote Work 2024

Great Place to Work certified 2023-2024

• Innovation
• Work-Life Flexibility
• Leadership
• Purpose + Values

Bottom line, we believe in empowering people and giving them the tools and resources needed to thrive. A few of those include:

• Associate Benefits –  We offer a comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs. 
• Our Culture – Ensemble is a place where associates can do their best work and be their best selves. We put people first, last and always. Our culture is rooted in collaboration, growth, and innovation.  
• Growth – We invest in your professional development. Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement. 
• Recognition – We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company. 

Ensemble is an equal employment opportunity employer. It is our policy not to discriminate against any applicant or employee based on race, color, sex, sexual orientation, gender, gender identity, religion, national origin, age, disability, military or veteran status, genetic information or any other basis protected by applicable federal, state, or local laws.  Ensemble also prohibits harassment of applicants or employees based on any of these protected categories.

Due to business, operational, payroll, and regulatory requirements, this position is limited to individuals who reside and are authorized to work within the United States. Applications generated from outside the United States will not be considered.  Individuals may reapply when located within the United States.

Ensemble provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law. If you require accommodation in the application process, please contact TA@ensemblehp.com.

This posting addresses state specific requirements to provide pay transparency.  Compensation decisions consider many job-related factors, including but not limited to geographic location; knowledge; skills; relevant experience; education; licensure; internal equity; time in position.  A candidate entry rate of pay does not typically fall at the minimum or maximum of the role’s range.

Employment Disclaimers – Ensemble