Analyst, Resolute Billing II - Epic

Role overview

Configuration and issue resolution

• Configure and maintain 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 Epic system designs aligned with billing policies, compliance standards, and technical governance.
• Maintain complete, current documentation for build elements and configuration decisions.
• Analyze and resolve issues affecting charge capture, claim generation, payment posting, system functionality, or data.
• Use Chronicles, Data Courier, error workqueues, and reporting to diagnose and correct system or data errors.
• Identify root causes, propose sustainable fixes, and escalate high-impact or system-wide issues with technical analysis and documentation.

Testing and collaboration

• Collaborate with Bridges, SBO, Claims, and Infrastructure teams on issues spanning modules.
• Develop and execute test plans for new configuration, upgrades, and maintenance releases; conduct integrated and regression testing.
• Validate results with operational teams and document findings for quality assurance.
• Support go-live preparation, production validation, and post-deployment stabilization.
• Coordinate build and testing in implementation and optimization workgroups; communicate with stakeholders and provide PB workflow expertise in design sessions, user testing, and cutover planning.

Optimization and team support

• Evaluate workflows to identify automation opportunities and inefficiencies; recommend and implement improvements to usability, manual effort, and billing accuracy.
• Monitor work queue performance and reporting metrics for billing throughput and compliance; incorporate user and operational feedback into ongoing configuration.
• Support junior analysts by sharing knowledge, reviewing configuration, and modeling best practices.

Required qualifications

• At least 3 years of experience building and supporting Epic Resolute Professional Billing.
• Proficiency in charge router workflows, claim edits, payment posting, and reconciliation; ability to independently configure, test, and deploy Epic PB functionality.
• Epic Resolute Professional Billing certification and completion of Quest Diagnostics Epic system training and onboarding.
• Strong analytical, documentation, and problem-solving skills; excellent verbal and written communication and cross-functional collaboration skills.
• Bachelor's degree in Healthcare, Business, or Information Systems, or equivalent work experience.
• English is required.
• Travel up to 5%.

Preferred qualifications

• 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.

Travel

• Travel up to 5%; no other workplace arrangement is stated.