Epic Application Analyst – Resolute Professional Billing

NORTHWEST SURGICAL•Vancouver, WA

1d•Onsite

About The Position

Rebound is hiring for an Epic Resolute Professional Billing Analyst to join our team in Vancouver, WA. This position is required to work on-site. The Epic Resolute Professional Billing (PB) Analyst designs, builds, tests, implements, and supports Epic PB functionality (charge capture, claims, remittance, follow‑up, credits/collections, reporting). You’ll be the primary support contact for PB, collaborating with Revenue Cycle, Patient Accounting, Compliance, Finance/GL, HIM, and Clinical teams to ensure clean claims, efficient workflows, and strong financial outcomes.

Requirements

Bachelor’s degree in Information Technology, Healthcare Administration, Finance, or related field; or equivalent experience.
Epic Resolute Professional Billing (PB Claims/Remittance or PB Admin) certification required within 180 days of hire.
Proficiency with Epic Hyperspace PB master files, Radar; familiarity with Clarity/Caboodle; strong SDLC/ITIL and project management.
Data skills (Excel; SQL preferred); ability to translate payer rules into scalable build; excellent communication and documentation.

Nice To Haves

Epic Charge Router, HB, Referrals/Authorization.

Responsibilities

Own PB master files (Payor, Benefit Plans, Fee Schedules, Service Areas/PB Admin, Claim Definitions, Clearinghouse routes, NPI/Tax IDs), aligning configuration with Rebound standards and payer rules.
Optimize claim edits and workqueues (Charge Review, Claim Edit, Follow‑up, Credit & Collections), and manage CPT/HCPCS updates and modifiers to improve first‑pass yield.
Support EDI 837P/835 file generation/submission and remittance posting, including payer‑specific mapping and reconciliation.
Optimize allowables/expected reimbursement logic and underpayment identification.
Work with Interface teams on clearinghouse, lockbox, and payment gateway integrations; diagnose transmission failures and reconciliation gaps.
Collaborate on financial reconciliation (payments/adjustments/write‑offs).
Enable Clarity/Caboodle/Radar reporting and dashboards for WQ performance, clean claim rate, denials, refunds, and AR metrics.
Lead unit/system/integration/UAT for Epic quarterly updates, hotfixes, and optimizations; maintain test scripts, defect logs, and release notes.
Follow ITIL/SDLC change control with clear documentation, migration plans, and back‑out procedures.
Serve as PB primary contact; triage Service Desk tickets, prioritize backlog, and communicate status.
Troubleshoot WQ backlogs, claim edit failures, remit posting discrepancies, and denial trends; deliver job aids and training to end users and super users.
Monitor KPIs (clean claim rate, first‑pass yield, AR days, DNFB/DNFC, refund timeliness, credit balance resolution) and drive continuous improvement.
Ensure workflows meet HIPAA/PHI security and regulatory requirements; support audit readiness with build evidence, access logs, and change records.
Participate in root‑cause analyses and document decisions/outcomes.

Benefits

Medical/Vision/Rx
Dental
401(K) Retirement Plan, including discretionary profit sharing and Cash Balance Plan
Company paid Life Insurance/AD&D
Voluntary Life insurance/AD&D
Company paid short and long-term disability
Flexible Spending and Health Saving Accounts
Employee Assistance Program
Free Parking
Paid Time Off accrued at up to 24 days in your first year based on FTE