The Epic Resolute Billing Analyst I is a hands-on Epic application professional responsible for configuration, testing, maintenance, and support within the Epic Professional Billing module.
This role focuses on maintaining system accuracy, resolving operational issues, and supporting clean claims and efficient billing workflows. The analyst works collaboratively with peers and cross-functional teams to ensure reliable billing functionality and consistent end-user performance across Quest Diagnostics' revenue cycle management.
Key responsibilities include:
- Configure and maintain Epic PB components such as charge router rules, billing work queues, claims edits, and remittance processing.
- Perform configuration tasks accurately and independently within established standards and timelines.
- Translate operational requirements into technical build changes that improve billing efficiency and compliance.
- Maintain documentation for configuration work, test outcomes, and migrations.
- Support configuration updates related to payer rule changes and workflow improvements.
- Investigate and resolve issues affecting charge capture, claim generation, and payment posting.
- Use Epic tools such as error workqueues, Chronicles, and reporting to identify root causes.
- Collaborate with PB analysts, integration teams, and revenue cycle staff to resolve cross-functional issues.
- Monitor assigned error work queues to maintain billing throughput and accuracy.
- Create and execute test scripts for enhancements, upgrades, and maintenance builds.
- Perform integrated and regression testing to validate end-to-end workflows.
- Participate in go-live readiness, production validation, and post-implementation review activities.
- Partner with Revenue Cycle Operations, Finance, and IT integration teams to ensure Epic PB supports business and compliance objectives.
- Communicate system changes, issues, and resolutions clearly to stakeholders.
- Contribute to project meetings, testing cycles, and team discussions.
- Identify recurring issues or process gaps and recommend improvements.
- Support initiatives that enhance billing accuracy, automation, and user satisfaction.
Requirements & Qualifications
Required qualifications
- 2+ years of experience in healthcare IT, billing, or revenue operations.
- Strong analytical and problem-solving skills.
- Excellent written and verbal communication abilities.
- Strong understanding of charge capture, claim generation, and payment posting processes.
- Ability to troubleshoot system issues and communicate solutions effectively.
- Excellent attention to detail, analytical thinking, and task management skills.
- Epic Resolute Professional Billing Certification.
- Completion of Epic and Quest-specific billing system orientation and training.
- Bachelor's degree in Information Systems, Healthcare Administration, Business, or equivalent work experience.
- English required.
Preferred qualifications
- Experience in a large healthcare or reference laboratory billing environment.
- Familiarity with Epic SBO, Claims, or Charge Router modules.
- Knowledge of payer billing rules, denials, and reimbursement workflows.
- Experience collaborating with clearinghouses or external billing partners.
Location
Illinois, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
3 weeks ago
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