Epic Resolute Hospital Billing Associate Analyst

About the role

As an experienced EPIC Resolute Hospital Billing Associate Analyst, you will have the ability to share new ideas and collaborate on projects as a consultant without the extensive demands of travel. Consider an opportunity with Deloitte under our Project Delivery Talent Model, which is tailored specifically for long-term, onsite client service delivery.

Responsibilities

• Review AR aging reports and work queues to identify unpaid and delayed claims.
• Follow up with third party payers, including commercial and government payers, on outstanding balances to understand claim status and payer requirements to adjudicate claim.
• 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 and 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 and work within Epic Resolute Hospital Billing, claims clearinghouse, payer websites and portals, and other systems and required by workflows.
• Meet and exceed minimum productivity and quality standards; submit to performance improvement plans as required according to guidance from engagement management.

Qualifications

• 1+ years of experience in hospital accounts receivable follow-up operations or 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 working in claims clearinghouse system.
• Bachelor's degree, preferably in Computer Science, Information Technology, Computer Engineering, or related IT discipline; or equivalent experience.
• Limited immigration sponsorship may be available.

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.

Pay

A reasonable estimate of the current range is $50,000-$60,000. You may also be eligible to participate in a discretionary annual incentive program, subject to the rules governing the program, whereby an award, if any, depends on various factors, including, without limitation, individual and organizational performance.