Job Summary (List Format) Senior Epic Resolute Hospital Billing (HB) Analyst
- Epic Certification:
- Epic Resolute Hospital Billing (HB) certification required.
- Additional preferred certifications: Epic Claims, Epic Contract Management, Epic Hospital Billing Administration, Reporting Workbench, Clarity Data Model, Cogito reporting tools.
- Experience Requirements:
- 5 8+ years of healthcare IT experience.
- 3 5+ years supporting Epic Resolute HB.
- Experience leading implementations, upgrades, and optimization projects.
- Experience supporting multiple hospitals or health systems.
- Demonstrated ownership of complex application builds and workflow redesigns.
- Hospital Revenue Cycle Knowledge:
- Facility, inpatient, and outpatient billing.
- Claim generation and submission.
- Reimbursement methodologies and revenue integrity processes.
- Denials management, payment posting, credit & collections.
- Knowledge of government and commercial payer requirements.
- Epic Build and Support:
- Application configuration and maintenance.
- Workflow analysis, optimization, and integrated testing.
- Upgrade planning, testing, and change control.
- Incident/problem management and end-user support.
- Technical Skills:
- Advanced Epic Resolute HB build knowledge.
- Charge master integration and charge review queues.
- Claim edits and billing rules.
- Payment posting and remittance processing.
- Workqueues, financial class/payer configuration, statement processing, and account/claim workflows.
- Revenue Cycle Knowledge:
- Familiarity with billing forms and regulations (UB-04, Medicare, Medicaid).
- Understanding of commercial payer contracts, revenue codes, DRGs, APCs, observation billing, and compliance.
- Operational Workflows:
- Patient access, health information management (HIM) coding workflows, and case management interactions.
- Charge capture, claims, reimbursement lifecycle, and revenue cycle KPIs and reporting.
- Leadership Responsibilities:
- Leads major projects and application enhancements.
- Facilitates design and workflow sessions.
- Mentors junior analysts and coordinates testing efforts.
- Serves as HB subject matter expert and partners with operational leadership.
- Creates documentation/training materials and provides revenue cycle optimization recommendations.
- Background/Drug Screen:
- No background check or drug screen required.