Epic Resolute Hospital Billing Associate Analyst
About the Role
As an experienced EPIC Resolute Hospital Billing Associate Analyst, you will work in a collaborative environment under Deloitte’s Project Delivery Talent Model, tailored for long-term, onsite client service delivery. This role allows you to share new ideas and collaborate on projects without extensive travel demands.
Responsibilities
- Review AR aging reports and work queues to identify unpaid and delayed claims.
- Follow up with third-party payers (commercial and government) on outstanding balances to understand claim status and payer requirements for adjudication.
- Analyze claim status, remittance advice, and Explanation of Benefits (EOBs) to determine root causes of non-payment.
- Document claim status details and payer-provided information.
- Provide account information to payers as required and resolve issues related to eligibility, authorizations, claim edits, coordination of benefits, and missing documentation.
- Rebill corrected claims and route issues to coding, billing, credentialing, denials, and/or clinical teams as needed.
- Review payments, contractual adjustments, denials, and patient responsibility balances to validate accurate account resolution.
- Adhere to defined SOPs and workflows within Epic Resolute Hospital Billing, claims clearinghouse, payer websites/portals, and other required systems.
- Meet and exceed minimum productivity and quality standards; participate in performance improvement plans as required.
Skills
- Ability to work independently and collaborate as part of a team.
- Effective written and verbal communication skills.
- Meticulous attention to detail and quality of work product.
- Ability to build and sustain professional relationships.
- Ability to lead projects or workstreams.
- Ability to manage and prioritize multiple tasks in a fast-paced and dynamic environment.
- Strong interpersonal skills and professional demeanor.
- Ability to meet deadlines.
- Ability to provide clear guidance to others.
About the Team
AI & Engineering leverages cutting-edge engineering capabilities to build, deploy, and operate integrated/verticalized sector solutions in software, data, AI, network, and hybrid cloud infrastructure. These solutions transform mission-critical operations and enable clients to stay ahead with the latest advancements by modernizing technology and data platforms. Delivery models are tailored to meet each client’s unique requirements.
Qualifications
- 1+ years of experience in hospital accounts receivable follow-up operations or a related revenue cycle functional area.
- 1+ years of foundational proficiency in Epic Resolute Hospital Billing application.
- 1+ years of experience working according to high-performing productivity and quality standards; experience with claims clearinghouse systems.
- Bachelor’s degree, preferably in Computer Science, Information Technology, Computer Engineering, or a related IT discipline; or equivalent experience.
- Limited immigration sponsorship may be available.
Pay
The wage range for this role is $50,000–$60,000, taking into account factors such as skill sets, experience, training, licensure, certifications, and business needs. Compensation decisions depend on individual and organizational performance. You may also be eligible to participate in a discretionary annual incentive program.