Sr Epic Resolute (Billing & Claims) Certified Analyst

Responsibilities

Design, build, and support Epic Resolute (Professional Billing & Claims) functionality.

Maintain billing rules, including charge routing, claim edits, payer setup, and workqueues.

Support charge capture, claim submission, payment posting, denials, and A/R workflows.

Troubleshoot billing and claims issues, including rejections, denials, and workflow gaps.

Partner with revenue cycle, coding, and operational teams to optimize workflows and reduce revenue leakage.

Provide onsite clinic support, including workflow analysis and optimization.

Ensure data integrity, compliance, and reporting support for revenue cycle performance.

Requirements

Preferred Qualifications:

• Epic Resolute Certification (Professional Billing) (active)
• 3+ years of Epic Resolute experience in a healthcare environment
• Strong knowledge of billing, claims processing, and revenue cycle operations
• Experience with claim edits, denials management, and A/R follow-up workflows
• Ability to travel to clinics for onsite support
• Experience with Community Connect or multi-site environments
• Experience with workqueues, claim scrubbing, and payer/plan build
• Understanding of ambulatory (PB) workflows and integrations with Cadence/Prelude
• Experience supporting go-lives, testing (UAT), and workflow optimization initiatives

Qualifications

Education Requirements:

• Bachelor’s degree in Computer Science, Information Systems Management or related field (or equivalent combination of education, training and experience).

Licensure/Certification Requirements:

• No licensure or certification required.

Knowledge/Skills/Abilities

• Epic Resolute Certification (Professional Billing) (active)
• 3+ years of Epic Resolute experience in a healthcare environment
• Strong knowledge of billing, claims processing, and revenue cycle operations
• Experience with claim edits, denials management, and A/R follow-up workflows
• Ability to travel to clinics for onsite support
• Excellent analytical and communication skills
• Ability to work well in a team environment
• Demonstrated ability to successfully manage multiple tasks simultaneously
• Highly responsive to internal customers