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.