Epic Resolute Hospital Billing (HB) Claims Analyst CERTIFIED

Job Summary

We have an immediate need of a Certified Epic Resolute Hospital Billing AND Claims Analyst to join our 100% remote team of healthcare professionals. This position requires extensive experience with Claims, as well as Epic Hospital Billing Claims (HB Claims) and Epic Resolute Hospital Billing certifications.

Responsibilities

• Working on Epic Hospital Billing and/or claims and contracts configuration changes
• Translating user requirements
• Participating in Epic software upgrades/enhancements
• Analyzing workflows, data collections, report details, and providing support of application incidents
• Working on Epic Hospital Billing and professional Billing and/or claims and contracts configuration changes and build by maintaining industry and client standards ensuring build quality and timeline adherence as well as debugging and resolving any issues/defects
• Serving as a mentor/subject matter expert to local and client-based team members
• Participating in medium to large complexity Epic software upgrade initiatives or enhancements to workflows including the design, build, and test phases
• Participating in design and validation sessions and ensure appropriate documentation, follow-up and issue escalation occurs
• Functioning as a liaison between Operations, Information Technology (IT) and Third-Party Systems
• Providing support of application incidents reported through the help desk
• Providing assigned support during go-lives and system upgrades
• Obtaining and maintaining in-depth knowledge of software functionality; acquiring and utilizing knowledge of operational workflows to be implemented
• Performing in-depth analysis of workflows, data collection, report details, and other technical issues associated with Epic software
• Working with trainers to develop and maintain application specific training curriculum and materials
• Adhering to organization standards for system configuration and change control
• Developing solid relationships with end user communities, customers and business partners
• Attending, participating in, and contributing to various project meetings

Qualifications

• Active / current certification in Epic Resolute Hospital Billing and Claims
• 5+ years healthcare experience that includes working with Epic software
• 5+ years of direct client healthcare domain knowledge such as billing, payment posting, self-pay/insurance follow up, denial management, customer service or vendor management
• 5+ years of Subject Matter Expertise (SME) in relevant applications
• 5+ years of knowledge of revenue cycle metrics, KPIs, and process improvement techniques relative to these areas