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.
Required Qualifications
- Epic Resolute Hospital Billing (HB) Certification required.
- 3+ years of Epic HB Analyst experience.
- Strong understanding of healthcare Revenue Cycle operations.
- Experience with claims processing, payment posting, reimbursement methodologies, and denial management.
- Knowledge of Medicare, Medicaid, Commercial Payers, and healthcare billing regulations.
- Experience gathering requirements, workflow analysis, and system design.
- Strong troubleshooting and analytical skills.
- Excellent communication and stakeholder management abilities.
Preferred Qualifications
- Additional Epic certifications such as:
- Epic Resolute Professional Billing (PB)
- Epic Claim Remittance
- Epic Revenue Data Model
- Epic Charge Router
Empowering the Future of Healthcare
The healthcare Industry is on the brink of a paradigm shift where patients are increasingly being viewed as empowered consumers, utilizing digital technologies to better understand and manage their own health. As a result, there is a growing demand for a range of patient-centric services, including personalized care that is tailored to each individual's unique needs, health equity that ensures access to care for all, price transparency to make healthcare more affordable, streamlined prior authorizations for medications, the availability of therapeutic alternatives, health literacy to promote informed decision-making, reduced costs, and many other initiatives designed to improve the patient experience.
ClinDCast is at the forefront of shaping the future of healthcare by partnering with globally recognized healthcare organizations and offering them innovative solutions and expert guidance. Our suite of services is designed to cater to a broad range of needs of healthcare organizations, including healthcare IT innovation, electronic health record (EHR) implementation & optimizations, data conversion, regulatory and quality reporting, enterprise data analytics, FHIR interoperability strategy, payer-to-payer data exchange, and application programming interface (API) strategy.
