Epic HB/PB Resolute Claims Analyst

Interscripts, Inc.•Chantilly, VA

1d•Onsite

About The Position

We are seeking an experienced Epic Resolute Hospital Billing (HB),or Professional Billing (PB), and Claims Analyst to support, maintain, and optimize Epic Revenue Cycle applications. The ideal candidate will have hands-on experience with Epic Resolute HB, PB, Claims, and Revenue Cycle workflows, along with strong analytical and troubleshooting skills. Active Epic certification is mandatory.

Requirements

Minimum 2+ years of experience working with Epic Resolute applications.
Epic Resolute Hospital Billing (HB) Certification – Mandatory.
Epic Resolute Professional Billing (PB) Certification – Mandatory.
Experience supporting healthcare revenue cycle operations.
Strong understanding of billing, claims processing, payment posting, denial management, and reimbursement workflows.
Experience with system configuration, testing, validation, and production support.
Excellent communication and stakeholder management skills.

Nice To Haves

Epic Claims/Remittance experience preferred.
Knowledge of Charge Router, Work Queues (WQs), Claims, Remittance, Payment Posting, and Revenue Cycle workflows.
Experience with Epic upgrade testing and release management.
Understanding of healthcare billing regulations, payer requirements, and reimbursement processes.
Experience in hospital and professional billing environments.
Healthcare IT implementation, optimization, or application support experience.
Experience working directly with Revenue Cycle and Patient Financial Services teams.

Responsibilities

Configure, maintain, and support Epic Resolute HB, PB, and Claims applications.
Analyze business requirements and translate them into Epic system solutions.
Support claim generation, claim edits, remittance processing, and denial management workflows.
Troubleshoot application issues and provide timely resolution.
Perform system build, configuration, testing, upgrades, and optimization activities.
Collaborate with Revenue Cycle, Patient Financial Services, and IT teams.
Create and maintain application documentation, workflows, and training materials.
Participate in integrated testing, go-live support, and post-implementation activities.
Ensure compliance with healthcare billing regulations and organizational standards.
Support enhancement requests and continuous process improvement initiatives.