The Epic Resolute Professional Billing Analyst III is an experienced technical specialist responsible for building, testing, and supporting the Epic Professional Billing (PB) system to enable accurate and compliant billing operations across Quest Diagnostics.
This role independently manages complex configuration assignments, analyzes billing requirements, develops system solutions, improves workflows that support clean claims, timely payments, and overall billing efficiency. The Analyst III works collaboratively with leadership and cross functional teams to maintain billing integrity, reduce manual work, and enhance the end-user experience for billing staff, providers and patients by improving workflow efficiency and overall usability.
Responsibilities- Configure and maintain Epic PB system components, including charge router logic, billing work queues, claim edit rules, and remittance processing.
- Translate complex billing requirements into accurate Epic configurations that support business needs.
- Participate in build reviews to ensure compliance with technical standards and governance requirements.
- Update payer-specific logic, provider mapping, and fee schedules to maintain accurate billing data.
- Document configuration steps and maintain organized, auditable change records.
- Troubleshoot high-complexity issues impacting charge capture, claims, or payment posting.
- Perform data analysis using system logs, error queues, and root cause tracking tools.
- Identify trends in recurring system or process issues and propose corrective actions.
- Collaborate with Revenue Cycle Operations, Technology, and clearinghouse partners to resolve interface or claim submission discrepancies.
- Escalate unresolved technical issues with supporting documentation to the Technical Lead or Epic Representative.
- Plan and execute detailed test scenarios for new configurations, upgrades, and enhancements.
- Validate end-to-end workflows for accuracy of charge capture, claim generation, and remittance posting.
- Conduct regression testing to confirm that new changes do not negatively impact production workflows.
- Partner with business users to confirm functional accuracy and ensure strong operational adoption.
- Monitor assigned billing work queues and proactively identify build or workflow improvements.
- Evaluate automation opportunities and participate in initiatives to streamline manual processes.
- Provide clear documentation and job aids for billing teams to support consistent system usage.
- Contribute to post-deployment review sessions to confirm expected outcomes and user satisfaction.
- Serve as a subject resource for Epic PB functionality within the application support team.
- Share technical findings and lessons learned through team documentation and internal training sessions.
- Collaborate closely with Claims, and Bridges teams to maintain integrated data flow across Epic modules.
- Participate in project meetings to provide technical insight, system validation, and issue tracking.
Required:
- 5+ years of experience supporting and configuring Epic Resolute Professional Billing (PB).
- Demonstrated understanding of Epic charge router, claims, remittance, and reconciliation workflows.
- Proven ability to analyze system data and translate findings into precise configuration adjustments.
- Strong technical documentation and problem-solving skills.
- Ability to work independently on multiple assignments and manage competing priorities.
- Strong understanding of healthcare billing, payer requirements, and denial management.
- Bachelor’s degree in Healthcare, Business, or Information Systems or the equivalent work experience.
- Advanced Epic PB training and participation in continuous optimization and upgrade programs.
- Epic Resolute Professional Billing certification.
- Bachelor’s degree in Healthcare, Business, or Information Systems or the equivalent work experience.
- Travel up to 25%
- English Required.
Preferred:
- Experience with laboratory-specific billing processes or national-scale healthcare systems.
- Familiarity with interface workflows between Epic and external billing systems or clearinghouses.
Languages
- English (Required)
Work Requirements
- Travel Required
While we appreciate and value our staffing partners, we do not accept unsolicited resumes from agencies. Quest will not be responsible for paying agency fees for any individual as to whom an agency has sent an unsolicited resume.
Equal Opportunity Employer: Race/Color/Sex/Sexual Orientation/Gender Identity/Religion/National Origin/Disability/Vets or any other legally protected status.
Skills Required
- 5+ years supporting and configuring Epic Resolute Professional Billing (PB)
- Epic Resolute Professional Billing certification
- Advanced Epic PB training and participation in optimization and upgrade programs
- Demonstrated understanding of Epic charge router, claims, remittance, and reconciliation workflows
- Proven ability to analyze system data and translate findings into precise Epic configuration adjustments
- Strong technical documentation and problem-solving skills
- Ability to work independently on multiple assignments and manage competing priorities
- Strong understanding of healthcare billing, payer requirements, and denial management
- Bachelor's degree in Healthcare, Business, or Information Systems or equivalent work experience
- Travel up to 25%
- English language proficiency
- Experience with laboratory-specific billing processes or national-scale healthcare systems
- Familiarity with interface workflows between Epic and external billing systems or clearinghouses
What We Do
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 management. Quest annually serves one in three adult Americans and half the physicians and hospitals in the United States, and our 47,000 employees understand that, in the right hands and with the right context, our diagnostic insights can inspire actions that transform lives. The company offers physicians the broadest test menu (3,000+ tests), is a pioneer in developing innovative new tests, is the leader in cancer diagnostics, provides anatomic pathology (AP) services, & interpretive consultation through its medical & scientific staff of about 900 M.D.s & Ph.D.s. The company reported 2020 revenues of $9.44 billion. Quest Diagnostics offers the most extensive clinical testing network in the U.S., with laboratories in most major metropolitan areas, & in Mexico, the UK & India. The company also operates four esoteric laboratories, 40 outpatient AP laboratories, & 160 smaller, rapid-response laboratories. Patients may have specimens collected in any of the company’s approximately 2,250 patient service centers. On a typical workday, testing is performed for about 550,000 patients. Quest Diagnostics empowers healthcare organizations & clinicians with state-of-the-art connectivity solutions. The company is the leading provider of pre-employment drugs-of-abuse screening for employers & risk assessment services for the life insurance industry. It is the world’s 2nd largest provider of clinical trials testing for new pharmaceuticals. More information is available at www.questdiagnostics.com. Language Assistance / Non-Discrimination Notice Asistencia de Idiomas / Aviso de no Discriminación 語言協助 / 不歧視通知 www.QuestDiagnostics.com/home/nondiscrimination
