Location: Chantilly, Virginia, United States Experience: Years Employment Type: Full Time
Job Summary
We are seeking an experienced Epic Revenue Cycle Application Analyst (Hospital Billing & Professional Billing) to join our healthcare IT team. The ideal candidate will have hands-on experience in implementing, configuring, supporting, and optimizing Epic Revenue Cycle applications , with expertise in Resolute Hospital Billing (HB) and Resolute Professional Billing (PB) . The candidate will collaborate with revenue cycle, finance, billing, coding, and operational teams to enhance billing accuracy, claims processing, reimbursement, and overall revenue cycle performance.
Key Responsibilities
- Configure, maintain, and support Epic Revenue Cycle applications, including Resolute Hospital Billing (HB) and Resolute Professional Billing (PB) .
- Gather, analyze, and document business requirements from revenue cycle, finance, billing, and operational stakeholders.
- Design, build, test, validate, and deploy Epic Revenue Cycle enhancements and system changes.
- Support end-to-end revenue cycle workflows, including charge capture, billing, claims management, payment posting, reimbursement, denials management, and collections.
- Configure billing rules, claim edits, work queues, reimbursement settings, and financial workflows.
- Troubleshoot production issues, perform root cause analysis, and implement system improvements.
- Participate in Epic implementations, upgrades, optimization initiatives, and enhancement projects.
- Execute unit testing, integrated testing, and User Acceptance Testing (UAT).
- Develop and maintain build documentation, workflow diagrams, technical specifications, and support documentation.
- Collaborate with other Epic analysts to ensure seamless integration with Patient Access, Cadence, Prelude, MyChart, and other Epic applications.
- Ensure all solutions comply with Epic best practices, payer requirements, and healthcare regulatory standards.
Requirements
- 3+ years of hands-on experience with Epic Revenue Cycle applications , including Resolute Hospital Billing (HB) and Resolute Professional Billing (PB) .
- Epic Resolute Hospital Billing (HB) and/or Epic Resolute Professional Billing (PB) Certification is mandatory.
- Experience in Epic build, configuration, implementation, testing, and production support.
- Strong understanding of U.S. healthcare revenue cycle operations, hospital billing, physician billing, claims processing, reimbursement, payment posting, and denials management.
- Experience supporting integrated Epic applications.
- Excellent analytical, troubleshooting, and problem-solving skills.
- Strong verbal and written communication skills.
- Ability to work independently and collaboratively in a fast-paced healthcare environment.
Mandatory Requirements
- Epic Resolute Hospital Billing (HB) and/or Professional Billing (PB) Certification (Mandatory)
- Minimum 3 years of relevant Epic Revenue Cycle experience
- Hands-on experience with Hospital Billing (HB) and Professional Billing (PB) workflows.
- Excellent communication skills.
Preferred Skills
- Experience in U.S. healthcare revenue cycle and financial operations.
- Knowledge of charge capture, claims adjudication, payment posting, denials management, reimbursement, and collections.
- Experience integrating Epic Revenue Cycle applications with Patient Access, Cadence, Prelude, MyChart, and other Epic modules.
- Understanding of Epic implementation methodology and healthcare interoperability.
- Familiarity with HIPAA compliance and healthcare financial regulations.
- Strong documentation, stakeholder management, and communication skills.