Epic Resolute Professional Billing Implementation Analyst
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Job Location:
Monthly Salary:
Experience Required:
Posted on:
3 hours ago
Vacancies:
1 Vacancy
Job Summary
This is a remote position.
Role Overview
We are seeking an experienced Epic Resolute Professional Billing (PB) Implementation Analyst to support a full Epic implementation for a large healthcare organization. This consultant will serve as the primary/lead analyst for the Resolute PB module responsible for the end-to-end design build testing training and activation of professional billing workflows across ambulatory clinic and provider-based service lines.
The ideal candidate has successfully completed at least one full Epic implementation as a primary or lead PB analyst and brings strong expertise in charge capture claims processing reimbursement workflows payer rules configuration and integration with clinical documentation and scheduling systems.
This role is fully remote with limited anticipated travel to Tennessee for milestone events including workflow validation sessions integrated testing dress rehearsals and go-live command center support.
Key Responsibilities
Serve as the primary implementation analyst for Epic Resolute Professional Billing (PB) across the full project lifecycle.
Lead discovery and workflow design sessions with revenue cycle clinic operations coding compliance and IT stakeholders.
Translate payer contract requirements charge capture workflows and compliance rules into Epic PB configurations.
Build and configure:
Fee schedules CPT and diagnosis mappings and payer rule trees
Charge capture and charge routing workflows
Claim generation claim edits and submission workflows
Payment posting adjustment logic write-offs and reconciliations
Workqueues for charge review claims processing follow-up and denials management
Refund processing and credit balance workflows
Integrate Resolute PB workflows with:
Epic Ambulatory documentation and charge capture
Coding and charge review teams
Epic Cadence scheduling and registration workflows
Clearinghouse partners and external payer interfaces
Coordinate closely with HIM Hospital Billing and clinical application teams to ensure end-to-end revenue cycle functionality.
Develop and execute comprehensive unit testing integrated testing and UAT plans specific to Professional Billing workflows.
Assist with charge master data mapping and historical billing data conversion strategies.
Develop training materials and support end-user training sessions for billing operations teams.
Participate in go-live readiness activities including cutover planning command center support and post-go-live stabilization efforts.
Provide ongoing issue resolution workflow stabilization and optimization post-activation.
Maintain comprehensive documentation including workflow maps build specifications testing results and training materials.
Requirements
Required Qualifications
Epic Resolute Professional Billing certification active or previously certified.
Successful completion of at least one full Epic implementation as a primary or lead PB analyst.
5 years of Epic PB or physician billing analyst experience.
Deep understanding of professional billing operations including:
Charge capture
Claims submission and clearinghouse workflows
Denial management processes
Payer contract rule configuration
ICD-10 / CPT coding interactions
Payment posting and reconciliation workflows
Experience collaborating with coding compliance clinic operations and revenue integrity stakeholders.
Ability to work independently in a remote project environment.
Strong communication skills for running workflow design sessions stakeholder presentations and training events.
Preferred Qualifications
Experience with Epic Hospital Billing (HB) or integrated PB/HB revenue cycle implementations.
Familiarity with:
Value-based reimbursement models
Split billing workflows
Referrals and authorizations configuration
Managed care contracting workflows within Epic
Go-live command center leadership experience.
Experience across large health systems or multi-facility implementations.
Clarity reporting certification or billing analytics experience.
Required Skills:
Epic Resolute Professional Billing certification active or previously certified. Successful completion of at least one full Epic implementation as a primary or lead PB analyst. 5 years of Epic PB or physician billing analyst experience. Deep understanding of professional billing operations including: Charge capture Claims submission and clearinghouse workflows Denial management processes Payer contract rule configuration ICD-10 / CPT coding interactions Payment posting and reconciliation workflows Experience collaborating with coding compliance clinic operations and revenue integrity stakeholders. Ability to work independently in a remote project environment. Strong communication skills for running workflow design sessions stakeholder presentations and training events.
Required Education:
Bachelors Degree
Company Industry
IT Services and IT Consulting
Key Skills
- LTC Pharmacy
- Accounts Receivable
- Medical Coding
- Accounting
- 10 Key Calculator
- Detailing
- Medical Billing
- Microsoft Excel
- CPT Coding
- Epic
- Medicare
- Contracts
