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Analyst, Resolute Billing II - Epic

Quest Diagnostics
Schaumburg, USA
Full-time
Mid · 3+ years experience
Onsite
Discovered 1 weeks ago
Communication

Full Job Posting

Qualifications

  • Required:
  • 3+ years of experience building and supporting Epic Resolute Professional Billing (PB).
  • Full proficiency with charge router workflows, claim edits, payment posting, and reconciliation.
  • Proven ability to configure, test, and deploy Epic PB functionality independently.
  • Strong analytical, documentation, and problem-solving skills
  • Excellent verbal and written communication skills
  • Ability to work collaboratively in a cross-functional environment
  • Epic Resolute Professional Billing certification
  • Completion of Quest Diagnostics Epic system training and onboarding.
  • Participation in Epic upgrade readiness and optimization programs.
  • Ongoing education in healthcare billing best practices, payer updates, and compliance standards.
  • Bachelor’s degree in Healthcare, Business, or Information Systems or the equivalent work experience
  • Travel up to 5%
  • English Required
  • Preferred:
  • Experience in a multi-site or national reference laboratory or healthcare billing operation.
  • Familiarity with Epic SBO, Claims, or Charge Router modules.
  • Understanding of payer rules, denial management, and revenue cycle compliance.
  • Experience collaborating with external vendors or clearinghouses for billing interfaces.
  • Epic Charge Router or Claims certification
  • Education
  • Bachelor’s Degree Bachelor’s degree in Healthcare, Business, or Information Systems or the equivalent work experience (Required)
  • Languages
  • Work Requirements
  • Travel Required

Responsibilities

  • Configure and maintain Epic PB components including charge router rules, billing work queues, claims edits, remittance processing, and payment posting.
  • Own assigned functional areas and deliver accurate, tested configuration on schedule with minimal supervision.
  • Translate operational requirements and payer rules into effective Epic system designs.
  • Ensure configuration aligns with Quest’s billing policies, compliance standards, and technical governance.
  • Maintain complete, current documentation for all build elements and configuration decisions.
  • Independently analyze and resolve issues affecting charge capture, claim generation, or payment posting.
  • Use Epic tools (Chronicles, Data Courier, error workqueues, reporting) to diagnose and correct system or data errors.
  • Identify root causes and propose sustainable fixes that prevent recurrence.
  • Collaborate with technical teams (Bridges, SBO, Claims, Infrastructure) when issues span multiple modules.
  • Escalate high-impact or system-wide issues appropriately, providing detailed technical analysis and documentation.
  • Develop and execute thorough test plans for new configuration, upgrades, and maintenance releases.
  • Conduct integrated and regression testing to confirm end-to-end billing accuracy.
  • Validate results with operational teams and document all findings for quality assurance.
  • Support go-live preparation, production validation, and post-deployment stabilization activities.
  • Work collaboratively in Epic implementation and optimization workgroups, coordinating build and testing efforts with other PB, SBO, and Claims analysts.
  • Communicate clearly with operational stakeholders to confirm requirements and deliver updates.
  • Provide subject matter expertise in Epic PB workflows during design sessions, user testing, and cutover planning.
  • Support junior analysts by sharing knowledge, reviewing configuration, and modeling best practices.
  • Evaluate existing workflows to identify automation opportunities or inefficiencies.
  • Recommend and implement configuration improvements that enhance usability, reduce manual intervention, or improve billing accuracy.
  • Monitor work queue performance and reporting metrics to ensure billing throughput and compliance.
  • Incorporate feedback from users and operational leaders into ongoing build and maintenance efforts.

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