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Analyst, Resolute Billing III - Epic

Quest Diagnostics
Marlborough, USA
Full-time
Mid · 5+ years experience
Onsite
Discovered 2 weeks ago

Full Job Posting

Qualifications

  • Required:
  • 5+ years of experience supporting and configuring Epic Resolute Professional Billing (PB).
  • Demonstrated understanding of Epic charge router, claims, remittance, and reconciliation workflows.
  • Proven ability to analyze system data and translate findings into precise configuration adjustments.
  • Strong technical documentation and problem-solving skills.
  • Ability to work independently on multiple assignments and manage competing priorities.
  • Strong understanding of healthcare billing, payer requirements, and denial management.
  • Bachelor’s degree in Healthcare, Business, or Information Systems or the equivalent work experience.
  • Advanced Epic PB training and participation in continuous optimization and upgrade programs.
  • Epic Resolute Professional Billing certification or Claims certification
  • Travel up to 5%
  • English Required.
  • Preferred:
  • Experience with laboratory-specific billing processes or national-scale healthcare systems.
  • Familiarity with interface workflows between Epic and external billing systems or clearinghouses.
  • Languages
  • Work Requirements
  • Travel Required

Responsibilities

  • Configure and maintain Epic PB and/or PB Claims system components, including charge router logic, billing work queues, claim edit rules, and remittance processing.
  • Translate complex billing requirements into accurate Epic configurations that support business needs.
  • Participate in build reviews to ensure compliance with technical standards and governance requirements.
  • Update payer-specific logic, provider mapping, and fee schedules to maintain accurate billing data.
  • Document configuration steps and maintain organized, auditable change records.
  • Troubleshoot high-complexity issues impacting charge capture, claims, or payment posting.
  • Perform data analysis using system logs, error queues, and root cause tracking tools.
  • Identify trends in recurring system or process issues and propose corrective actions.
  • Collaborate with Revenue Cycle Operations, Technology, and clearinghouse partners to resolve interface or claim submission discrepancies.
  • Escalate unresolved technical issues with supporting documentation to the Technical Lead or Epic Representative.
  • Plan and execute detailed test scenarios for new configurations, upgrades, and enhancements.
  • Validate end-to-end workflows for accuracy of charge capture, claim generation, and remittance posting.
  • Conduct regression testing to confirm that new changes do not negatively impact production workflows.
  • Partner with business users to confirm functional accuracy and ensure strong operational adoption.
  • Monitor assigned billing work queues and proactively identify build or workflow improvements.
  • Evaluate automation opportunities and participate in initiatives to streamline manual processes.
  • Provide clear documentation and job aids for billing teams to support consistent system usage.
  • Contribute to post-deployment review sessions to confirm expected outcomes and user satisfaction.
  • Serve as a subject resource for Epic PB functionality within the application support team.
  • Share technical findings and lessons learned through team documentation and internal training sessions.
  • Collaborate closely with Claims, and Bridges teams to maintain integrated data flow across Epic modules.
  • Participate in project meetings to provide technical insight, system validation, and issue tracking.

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