Senior Epic Resolute HBPB Claims & Remittance Expert Remote
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Job Location:
Dallas, IA - USA
Monthly Salary:
Not Disclosed
Posted on:
3 hours ago
Vacancies:
1 Vacancy
Job Summary
Job Summary:
- 100% remote position; no sponsorship available.
- Seeking an expert-level Epic Resolute professional-not a standard analyst.
- Must own and optimize end-to-end claims and remittance architecture for HB/PB.
- Proactively identify and resolve revenue leakage and complex revenue cycle issues.
- Expected to deliver immediate impact; must have led critical revenue cycle transformations previously.
- Rapidly assess and optimize HB/PB claims and remittance workflows.
- Identify and resolve high-impact gaps in revenue cycle such as denials delays and underpayments.
- Independently drive system configuration changes without supervision.
- Deliver measurable improvements (e.g. reduced DNFB denial rates AR days).
- Serve as the authority for all claims and remittance-related decisions.
- Architect configure and optimize Epic Resolute HB and/or PB Claims & Remittance modules.
- Lead resolution of complex billing claims adjudication and remittance issues.
- Diagnose and fix systemic inefficiencies in the revenue cycle at scale.
- Own full solution delivery from root cause analysis through production deployment.
- Partner with senior stakeholders (revenue cycle leadership IT finance) to drive key decisions.
- Lead high-impact initiatives with direct accountability for financial results.
- Provide expert guidance during system enhancements upgrades and optimizations.
Mandatory Requirements:
- Active and current Epic Resolute HB or PB Claims & Remittance Certification.
- 7 years of hands-on Epic Resolute experience (specifically focused on Claims & Remittance).
- Proven record of delivering quantifiable revenue cycle improvements including metrics (e.g. % denial reduction AR improvement cash acceleration).
- Prior experience in high-performance healthcare organizations or large-scale Epic environments.
- Demonstrated ability to operate independently in ambiguous high-stakes zero-oversight settings.
- Strong portfolio highlighting real-world case studies or project outcomes.
- Deep expertise in:
- HB/PB Claims build edits and workqueues
- Remittance processing (835) reconciliation and denial management
- End-to-end revenue cycle workflows and dependencies
- 100% remote position; no sponsorship available.
- Seeking an expert-level Epic Resolute professional-not a standard analyst.
- Must own and optimize end-to-end claims and remittance architecture for HB/PB.
- Proactively identify and resolve revenue leakage and complex revenue cycle issues.
- Expected to deliver immediate impact; must have led critical revenue cycle transformations previously.
- Rapidly assess and optimize HB/PB claims and remittance workflows.
- Identify and resolve high-impact gaps in revenue cycle such as denials delays and underpayments.
- Independently drive system configuration changes without supervision.
- Deliver measurable improvements (e.g. reduced DNFB denial rates AR days).
- Serve as the authority for all claims and remittance-related decisions.
- Architect configure and optimize Epic Resolute HB and/or PB Claims & Remittance modules.
- Lead resolution of complex billing claims adjudication and remittance issues.
- Diagnose and fix systemic inefficiencies in the revenue cycle at scale.
- Own full solution delivery from root cause analysis through production deployment.
- Partner with senior stakeholders (revenue cycle leadership IT finance) to drive key decisions.
- Lead high-impact initiatives with direct accountability for financial results.
- Provide expert guidance during system enhancements upgrades and optimizations.
Mandatory Requirements:
- Active and current Epic Resolute HB or PB Claims & Remittance Certification.
- 7 years of hands-on Epic Resolute experience (specifically focused on Claims & Remittance).
- Proven record of delivering quantifiable revenue cycle improvements including metrics (e.g. % denial reduction AR improvement cash acceleration).
- Prior experience in high-performance healthcare organizations or large-scale Epic environments.
- Demonstrated ability to operate independently in ambiguous high-stakes zero-oversight settings.
- Strong portfolio highlighting real-world case studies or project outcomes.
- Deep expertise in:
- HB/PB Claims build edits and workqueues
- Remittance processing (835) reconciliation and denial management
- End-to-end revenue cycle workflows and dependencies
