Epic HB Claims Analyst

the Organization•Cincinnati, OH

2d•Remote

About The Position

The Epic Resolute Hospital Billing (HB) Analyst supports healthcare organizations in optimizing hospital billing and revenue cycle operations. The role focuses on Epic Resolute HB build, application support, workflow improvements, system enhancements, issue resolution, and ongoing operational support. The analyst applies hands-on Epic HB experience and knowledge of hospital revenue cycle processes to collaborate with clinical, operational, and technical teams and develop solutions that improve billing accuracy, reimbursement, and operational efficiency. The analyst supports configuration, maintenance, and optimization of Epic Resolute HB; analyzes workflows; assists with build, testing, and implementation; and supports claims processing, billing workflows, reimbursement initiatives, and workqueue management. The role also includes investigating application issues, performing build and configuration under established change control processes, maintaining project and workflow documentation, participating in testing and upgrades, managing support tickets and enhancement requests, and collaborating with client stakeholders. Travel is approximately 25%, typically one week per month, depending on client needs.

Requirements

Active Epic Resolute Hospital Billing (HB) Certification; verification is required.
1–3 years of Epic Resolute HB experience.
Experience supporting hospital billing and revenue cycle operations.
Understanding of hospital billing workflows, claims processing, claim edits, denial management, revenue cycle operations, accounts receivable processes, and reimbursement workflows.
Experience participating in Epic build, support, testing, or optimization activities.
Strong analytical and problem-solving skills.
Excellent communication and interpersonal skills.
Ability to manage multiple priorities and work collaboratively within project teams.
Ability to travel approximately 25%, typically one week per month based on client needs.

Nice To Haves

Additional Epic Revenue Cycle certifications.
Experience supporting Epic HB Claims workflows.
Experience with denial prevention initiatives.
Experience with reimbursement optimization efforts.
Experience supporting Epic implementations, upgrades, or optimization projects.
Consulting or client-facing experience.
Experience working with Revenue Cycle, Patient Financial Services (PFS), Revenue Integrity, or Billing Operations teams.

Responsibilities

Support configuration, maintenance, and optimization of Epic Resolute Hospital Billing applications.
Analyze revenue cycle workflows and identify opportunities for operational improvement.
Assist with Epic build, testing, and implementation activities.
Support claims processing, billing workflows, reimbursement initiatives, and workqueue management.
Investigate and resolve application issues in partnership with operational and technical teams.
Participate in optimization efforts focused on billing accuracy and revenue cycle performance.
Perform Epic build and configuration activities following established change control processes.
Create and maintain workflow diagrams, testing scripts, build specifications, and other documentation.
Participate in integrated testing, user acceptance testing, upgrades, and implementation activities.
Troubleshoot system issues and support their resolution.
Manage support tickets and enhancement requests to ensure timely resolution.
Partner with operational and technical stakeholders to gather requirements and support project initiatives.
Participate in client meetings and provide status updates on assigned work.
Assist with user education and workflow documentation.
Support implementation, optimization, and continuous improvement initiatives.