EPIC Application Analyst - Resolute

Central Ohio Primary Care•Genoa Township, OH

About The Position

This position serves as the application specialist for Epic’s Resolute professional billing modules under the direction of the Supervisor of Epic Resolute Application Analysts. The Application Analyst provides ongoing support, configuration, and optimization of these system functions to promote accurate billing, efficient claims processing, and reimbursement performance. The analyst partners with CBO and practice leadership, Information Services, and end users to translate operational needs into workflow solutions and supports future upgrades and changes, testing, and system documentation.

Requirements

Obtain Epic Resolute base certification within three months of hire if not already certified.
At least three years of experience with Epic Resolute or equivalent medical-based revenue cycle applications.
Be organized and self-sufficient.
Be able to multitask and participate in multiple projects concurrently.
Have strong computer skills and working knowledge of Microsoft Office Suite.
Have knowledge of ambulatory medical practice professional billing processes, including charge capture, claims submission, payment posting, and denials.
Have working knowledge of payer reimbursement and compliance requirements, including HIPAA.
Be able to identify issues, analyze root causes, and provide potential resolutions.
Have strong written and verbal communication skills, including the ability to document workflows and train end users.
Be cognizant of end-user needs.

Nice To Haves

Bachelor’s degree.
Experience supporting Epic Resolute in a live production environment, including enhancements, optimization, and upgrades.

Responsibilities

Serve as the application specialist for Epic’s Resolute Professional Billing (PB) modules, providing production support and acting as a resource for questions and issues.
Configure, maintain, and optimize Resolute PB functionality, including charge review, claim edits and billing work queues, electronic claim submission, electronic remittance advice (ERA) and payment posting, payer configuration, and denial management workflows.
Work with management and end users to understand workflows and business processes, gather requirements, and translate operational needs into enhancements that improve billing accuracy, reduce claim denials, and increase automation.
Troubleshoot and resolve complex billing and claims issues by analyzing workflows, application configuration, interfaces, and downstream financial systems.
Develop and maintain configuration, workflow, and system documentation.
Assist with analysis of data, including analytics, quality, and root-cause analysis, to identify trends and opportunities for revenue cycle improvement.
Perform upgrade, integrated, and enhancement testing and analysis, including testing new functionality releases.
Provide technical consultation and end-user guidance on Resolute PB workflows and best practices.
Ensure work complies with COPC policies, payer requirements, HIPAA regulations, and information security standards.
Attend meetings and complete assigned action items.