EPIC Application Analyst - Resolute

Central Ohio Primary Care•Westerville, OH
•Onsite

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 role partners with CBO and practice leadership, Information Services, and end users to translate operational needs into workflow solutions, and supports future upgrades, changes, testing, and system documentation. The position is full-time and benefits eligible, Monday through Friday, 8:00 a.m. to 5:00 p.m., in Westerville, Ohio.

Requirements

  • Epic Resolute base certification, or obtain certification within three months of hire.
  • At least three years of experience with Epic Resolute or equivalent medical-based revenue cycle applications.
  • Knowledge of ambulatory medical practice professional billing processes, including charge capture, claims submission, payment posting, and denials.
  • Working knowledge of payer reimbursement and compliance requirements, including HIPAA.
  • Ability to identify issues, analyze root causes, and provide potential resolutions.
  • Strong written and verbal communication skills, including the ability to document workflows and train end users.
  • Strong computer skills and working knowledge of Microsoft Office Suite.
  • Organized and self-sufficient, with the ability to multitask and participate in multiple projects concurrently.
  • Awareness 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 answering 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 workflow enhancements.
  • 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.
  • Analyze data, including analytics, quality, and root-cause information, to identify trends and revenue cycle improvement opportunities.
  • 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.

Benefits

  • Benefits eligible
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