Epic Resolute Billing Analyst III

Responsibilities

• Configure and maintain Epic PB system components, including charge router logic, billing work queues, claim edit rules, and remittance processing.
• Translate complex billing requirements into accurate Epic configurations that support business needs.
• Participate in build reviews to ensure compliance with technical standards and governance requirements.
• Update payer-specific logic, provider mapping, and fee schedules to maintain accurate billing data.
• Document configuration steps and maintain organized, auditable change records.
• Troubleshoot high-complexity issues impacting charge capture, claims, or payment posting.
• Perform data analysis using system logs, error queues, and root cause tracking tools.
• Identify trends in recurring system or process issues and propose corrective actions.
• Collaborate with Revenue Cycle Operations, Technology, and clearinghouse partners to resolve interface or claim submission discrepancies.
• Escalate unresolved technical issues with supporting documentation to the Technical Lead or Epic Representative.
• Plan and execute detailed test scenarios for new configurations, upgrades, and enhancements.
• Validate end-to-end workflows for accuracy of charge capture, claim generation, and remittance posting.
• Conduct regression testing to confirm that new changes do not negatively impact production workflows.
• Partner with business users to confirm functional accuracy and ensure strong operational adoption.
• Monitor assigned billing work queues and proactively identify build or workflow improvements.
• Evaluate automation opportunities and participate in initiatives to streamline manual processes.
• Provide clear documentation and job aids for billing teams to support consistent system usage.
• Contribute to post-deployment review sessions to confirm expected outcomes and user satisfaction.
• Serve as a subject resource for Epic PB functionality within the application support team.
• Share technical findings and lessons learned through team documentation and internal training sessions.
• Collaborate closely with Claims, and Bridges teams to maintain integrated data flow across Epic modules.
• Participate in project meetings to provide technical insight, system validation, and issue tracking.

Requirements

• 5+ years of experience supporting and configuring Epic Resolute Professional Billing (PB).
• Demonstrated understanding of Epic charge router, claims, remittance, and reconciliation workflows.
• Proven ability to analyze system data and translate findings into precise configuration adjustments.
• Strong technical documentation and problem-solving skills.
• Able to work independently on multiple assignments and manage competing priorities.
• Strong understanding of healthcare billing, payer requirements, and denial management.
• Bachelor’s degree in Healthcare, Business, or Information Systems or the equivalent work experience.
• Advanced Epic PB training and participation in continuous optimization and upgrade programs.
• Epic Resolute Professional Billing certification.
• Travel up to 25%

Qualifications

• English Required.
• Preferred: Experience with laboratory-specific billing processes or national-scale healthcare systems, familiarity with interface workflows between Epic and external billing systems or clearinghouses.