Epic Revenue Cycle Application Analyst (Hospital Billing & Professional Billing)

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.