Analyst, Resolute Billing II
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Job Location:
Secaucus, NJ - USA
Monthly Salary:
Not Disclosed
Posted on:
Yesterday
Vacancies:
1 Vacancy
Job Summary
The Epic Resolute Professional Billing Analyst II is a fully proficient hands-on contributor responsible for the configuration maintenance and support of the Epic Professional Billing (PB) application at Quest Diagnostics.
This role independently performs system build testing and problem resolution to ensure accurate compliant and efficient billing operations across Quests national laboratory network. The Analyst II collaborates with stakeholders to implement functional changes optimize workflows and deliver reliable solutions that support clean claims timely reimbursement and a positive end-user experience for billing staff providers and patients.
Please note this is a hybrid opportunity (3 days in office & 2 days WFH). The position can be based in one of the following locations: Secaucus NJ Schaumburg IL Tampa FL or Dallas TX
Responsibilities
- Configure and maintain Epic PB components including charge router rules billing work queues claims edits remittance processing and payment posting.
- Own assigned functional areas and deliver accurate tested configuration on schedule with minimal supervision.
- Translate operational requirements and payer rules into effective Epic system designs.
- Ensure configuration aligns with Quests billing policies compliance standards and technical governance.
- Maintain complete current documentation for all build elements and configuration decisions.
- Independently analyze and resolve issues affecting charge capture claim generation or payment posting.
- Use Epic tools (Chronicles Data Courier error workqueues reporting) to diagnose and correct system or data errors.
- Identify root causes and propose sustainable fixes that prevent recurrence.
- Collaborate with technical teams (Bridges SBO Claims Infrastructure) when issues span multiple modules.
- Escalate high-impact or system-wide issues appropriately providing detailed technical analysis and documentation.
- Develop and execute thorough test plans for new configuration upgrades and maintenance releases.
- Conduct integrated and regression testing to confirm end-to-end billing accuracy.
- Validate results with operational teams and document all findings for quality assurance.
- Support go-live preparation production validation and post-deployment stabilization activities.
- Work collaboratively in Epic implementation and optimization workgroups coordinating build and testing efforts with other PB SBO and Claims analysts.
- Communicate clearly with operational stakeholders to confirm requirements and deliver updates.
- Provide subject matter expertise in Epic PB workflows during design sessions user testing and cutover planning.
- Support junior analysts by sharing knowledge reviewing configuration and modeling best practices.
- Evaluate existing workflows to identify automation opportunities or inefficiencies.
- Recommend and implement configuration improvements that enhance usability reduce manual intervention or improve billing accuracy.
- Monitor work queue performance and reporting metrics to ensure billing throughput and compliance.
- Incorporate feedback from users and operational leaders into ongoing build and maintenance efforts.
Qualifications
Required:
- 3 years of experience building and supporting Epic Resolute Professional Billing (PB).
- Full proficiency with charge router workflows claim edits payment posting and reconciliation.
- Proven ability to configure test and deploy Epic PB functionality independently.
- Strong analytical documentation and problem-solving skills
- Excellent verbal and written communication skills
- Ability to work collaboratively in a cross-functional environment
- Epic Resolute Professional Billing certification
- Completion of Quest Diagnostics Epic system training and onboarding.
- Participation in Epic upgrade readiness and optimization programs.
- Ongoing education in healthcare billing best practices payer updates and compliance standards.
- Bachelors degree in Healthcare Business or Information Systems or the equivalent work experience
- Travel up to 5%
- English Required
Preferred:
- Experience in a multi-site or national reference laboratory or healthcare billing operation.
- Familiarity with Epic SBO Claims or Charge Router modules.
- Understanding of payer rules denial management and revenue cycle compliance.
- Experience collaborating with external vendors or clearinghouses for billing interfaces.
- Epic Charge Router or Claims certification
Education
- Bachelors Degree Bachelors degree in Healthcare Business or Information Systems or the equivalent work experience (Required)
Languages
- English (Required)
Work Requirements
- Travel Required
Required Experience:
IC
Key Skills
- LTC Pharmacy
- Accounts Receivable
- Medical Coding
- Accounting
- 10 Key Calculator
- Detailing
- Medical Billing
- Microsoft Excel
- CPT Coding
- Epic
- Medicare
- Contracts
About Company
Quest Diagnostics (NYSE: DGX) empowers people to take action to improve health outcomes. Derived from the world's largest database of clinical lab results, our diagnostic insights reveal new avenues to identify and treat disease, inspire healthy behaviors and improve health care mana ... View more
