Epic Resolute HB/PB Claims Analyst
Work Mode: Remote/ Hybrid
Employment Type: Full-Time
Job Summary
We are seeking an experienced Epic Resolute Hospital Billing (HB), 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.
Key Responsibilities
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
Minimum 2+ years of experience working with Epic Resolute applications.
Epic Resolute Hospital Billing (HB) Certification – Mandatory.
Epic Resolute Professional Billing (PB) Certification – Mandatory.
Epic Claims/Remittance experience preferred.
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.
Preferred Skills
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.
Education
Bachelor's degree in Healthcare, Information Technology, Computer Science, or a related field preferred.
Mandatory Certification
Epic Resolute Hospital Billing (HB) Certification.
Epic Resolute Professional Billing (PB) Certification.
Epic Claims/Remittance Certification is a strong plus.
Preferred Experience
Healthcare IT implementation, optimization, or application support experience.
Experience working directly with Revenue Cycle and Patient Financial Services teams.

Epic Resolute HB/PB Claims Analyst

Similar Analytics Jobs

Data Analyst

Inventory Analyst

Client Onboarding & Operations Analyst– Entry Level

Data Analyst

Business Analyst III

Flight Operations Analyst