The Role
Support, configure, and optimize Epic Resolute Hospital and Professional Billing and Claims modules. Translate business requirements into Epic builds, manage claim generation/edits, remittance and denial workflows, perform testing/upgrades, troubleshoot issues, produce documentation and training, and collaborate with Revenue Cycle and IT teams to ensure compliance and continuous improvement.
Summary Generated by Built In
b Job Title: Epic HB/PB Resolute Claims Analyst
Location: Chantilly, Virginia, United States
Experience: 2+ Years
Employment Type: Full-Time
Job SummaryEmployment Type: Full-Time
We are seeking an experienced Epic Resolute Hospital Billing (HB),or Professional Billing (PB), and Claims Analyst to support, maintain, and optimize Epic Revenue Cycle applications. The ideal candidate will have hands-on experience with Epic Resolute HB, PB, Claims, and Revenue Cycle workflows, along with strong analytical and troubleshooting skills. Active Epic certification is mandatory.
- Configure, maintain, and support Epic Resolute HB, PB, and Claims applications.
- Analyze business requirements and translate them into Epic system solutions.
- Support claim generation, claim edits, remittance processing, and denial management workflows.
- Troubleshoot application issues and provide timely resolution.
- Perform system build, configuration, testing, upgrades, and optimization activities.
- Collaborate with Revenue Cycle, Patient Financial Services, and IT teams.
- Create and maintain application documentation, workflows, and training materials.
- Participate in integrated testing, go-live support, and post-implementation activities.
- Ensure compliance with healthcare billing regulations and organizational standards.
- Support enhancement requests and continuous process improvement initiatives.
Requirements
- Knowledge of Charge Router, Work Queues (WQs), Claims, Remittance, Payment Posting, and Revenue Cycle workflows.
- Experience with Epic upgrade testing and release management.
- Understanding of healthcare billing regulations, payer requirements, and reimbursement processes.
- Experience in hospital and professional billing environments.
- A bachelor's degree in Healthcare, Information Technology, Computer Science, or a related field is preferred.
- Epic Resolute Hospital Billing (HB) Certification.
- Epic Resolute Professional Billing (PB) Certification.
- Epic Claims/Remittance Certification is a strong plus.
- Healthcare IT implementation, optimization, or application support experience.
- Experience working directly with Revenue Cycle and Patient Financial Services teams.
Skills Required
- Minimum 2+ years working with Epic Resolute applications
- Epic Resolute Hospital Billing (HB) Certification
- Epic Resolute Professional Billing (PB) Certification
- Active Epic certification (general)
- Experience supporting healthcare revenue cycle operations
- Strong understanding of billing, claims processing, payment posting, denial management, and reimbursement workflows
- Experience with system configuration, testing, validation, and production support
- Excellent communication and stakeholder management skills
- Epic Claims/Remittance experience
- Epic Claims/Remittance Certification
- Knowledge of Charge Router, Work Queues (WQs), Claims, Remittance, Payment Posting, and Revenue Cycle workflows
- Experience with Epic upgrade testing and release management
- Experience in hospital and professional billing environments
- Bachelor's degree in Healthcare, IT, Computer Science, or related field
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The Company
What We Do
InterScripts delivers comprehensive IT services and solutions, including management and technology consulting, to commercial, government, and healthcare organizations. They specialize in modernizing technology, data management, and secure data archival, notably with their AI-powered platform, BytePad.
