Job Title: Epic Resolute PB Claims Analyst
Duration: 12 Months ContractLocation: Fully Remote
Job Description:
We are seeking an experienced Epic Resolute Professional Billing (PB) Claims Analyst to support claims processing, billing workflows, system configuration, testing, and production support.
Key Responsibilities:
- Configure and support Epic Resolute PB claims processing workflows.
- Troubleshoot claim errors, rejections, denials, and billing issues.
- Work on claim edits, claim submission, and claims resolution.
- Support professional billing, charge review, and reimbursement workflows.
- Analyze claims-related issues and coordinate with billing and revenue cycle teams.
- Perform system testing, defect resolution, and workflow optimization.
- Collaborate with business stakeholders to improve claims processing efficiency.
Required Qualifications:
- Hands-on experience with Epic Resolute PB.
- Strong knowledge of professional billing and claims processing workflows.
- Experience troubleshooting claim rejections, denials, and billing errors.
- Experience with Epic configuration, testing, and production support.
- Strong analytical, problem-solving, and communication skills.
- Active Epic Resolute PB certification preferred/required, based on client needs.
Empowering the Future of Healthcare
The healthcare Industry is on the brink of a paradigm shift where patients are increasingly being viewed as empowered consumers, utilizing digital technologies to better understand and manage their own health. As a result, there is a growing demand for a range of patient-centric services, including personalized care that is tailored to each individual's unique needs, health equity that ensures access to care for all, price transparency to make healthcare more affordable, streamlined prior authorizations for medications, the availability of therapeutic alternatives, health literacy to promote informed decision-making, reduced costs, and many other initiatives designed to improve the patient experience.
ClinDCast is at the forefront of shaping the future of healthcare by partnering with globally recognized healthcare organizations and offering them innovative solutions and expert guidance. Our suite of services is designed to cater to a broad range of needs of healthcare organizations, including healthcare IT innovation, electronic health record (EHR) implementation & optimizations, data conversion, regulatory and quality reporting, enterprise data analytics, FHIR interoperability strategy, payer-to-payer data exchange, and application programming interface (API) strategy.