Analyst, Resolute Billing II - Epic

Quest Diagnostics•Schaumburg, IL

19h

About The Position

The Epic Resolute Professional Billing Analyst II is a fully proficient, hands-on contributor responsible for configuring, maintaining, and supporting the Epic Professional Billing (PB) application at Quest Diagnostics. The role independently performs system build, testing, and problem resolution to support accurate, compliant, and efficient billing operations across Quest’s national laboratory network. The analyst works with stakeholders to implement functional changes, optimize workflows, and deliver solutions that support clean claims, timely reimbursement, and a positive experience for billing staff, providers, and patients. The analyst owns assigned functional areas, translates operational requirements and payer rules into Epic designs, and ensures configuration follows billing policies, compliance standards, and technical governance. The position also supports testing, implementation and optimization workgroups, go-live preparation, production validation, and post-deployment stabilization. It provides subject matter expertise in PB workflows and supports junior analysts through knowledge sharing and configuration reviews. A bachelor's degree in Healthcare, Business, or Information Systems, or equivalent work experience, is required. Epic Resolute Professional Billing certification and at least three years of experience building and supporting Epic Resolute PB are required. Travel of up to 5% is required, and English is required.

Requirements

At least 3 years of experience building and supporting Epic Resolute Professional Billing (PB).
Full proficiency with charge router workflows, claim edits, payment posting, and reconciliation.
Proven ability to configure, test, and deploy Epic PB functionality independently.
Strong analytical, documentation, and problem-solving skills.
Excellent verbal and written communication skills.
Ability to work collaboratively in a cross-functional environment.
Epic Resolute Professional Billing certification.
Bachelor’s degree in Healthcare, Business, or Information Systems, or equivalent work experience.
English proficiency is required.
Travel up to 5% is required.

Nice To Haves

Experience in a multi-site or national reference laboratory or healthcare billing operation.
Familiarity with Epic SBO, Claims, or Charge Router modules.
Understanding of payer rules, denial management, and revenue cycle compliance.
Experience collaborating with external vendors or clearinghouses for billing interfaces.
Epic Charge Router or Claims certification.

Responsibilities

Configure and maintain Epic PB components, including charge router rules, billing work queues, claims edits, remittance processing, and payment posting.
Own assigned functional areas and deliver accurate, tested configuration on schedule with minimal supervision.
Translate operational requirements and payer rules into effective Epic system designs.
Ensure configuration aligns with Quest’s billing policies, compliance standards, and technical governance.
Maintain complete, current documentation for build elements and configuration decisions.
Independently analyze and resolve issues affecting charge capture, claim generation, or payment posting.
Use Epic tools, including Chronicles, Data Courier, error workqueues, and reporting, to diagnose and correct system or data errors.
Identify root causes and propose sustainable fixes that prevent recurrence.
Collaborate with technical teams, including Bridges, SBO, Claims, and Infrastructure, on issues spanning multiple modules.
Escalate high-impact or system-wide issues with detailed technical analysis and documentation.
Develop and execute test plans for new configuration, upgrades, and maintenance releases.
Conduct integrated and regression testing to confirm end-to-end billing accuracy.
Validate results with operational teams and document findings for quality assurance.
Support go-live preparation, production validation, and post-deployment stabilization.
Collaborate in Epic implementation and optimization workgroups, coordinating build and testing with PB, SBO, and Claims analysts.
Communicate with operational stakeholders to confirm requirements and provide updates.
Provide Epic PB workflow expertise during design sessions, user testing, and cutover planning.
Support junior analysts by sharing knowledge, reviewing configuration, and modeling best practices.
Evaluate workflows to identify automation opportunities and inefficiencies.
Recommend and implement configuration improvements that enhance usability, reduce manual intervention, or improve billing accuracy.
Monitor work queue performance and reporting metrics for billing throughput and compliance.
Incorporate user and operational leader feedback into ongoing build and maintenance efforts.