EPIC Physician Billing Analyst
Position Summary
Our client is seeking an EPIC Physician Billing Analyst to support the configuration, maintenance, and optimization of the Epic Professional Billing (Resolute PB) module. This role is critical to ensuring accurate physician billing, clean claims submission, and proper reimbursement for professional services.
The EPIC Physician Billing Analyst will collaborate with IT, revenue cycle, and operational stakeholders to align system functionality with business workflows, improve billing efficiency, and maintain compliance with regulatory standards.
Key Responsibilities
Epic Professional Billing Configuration and Maintenance
โข Configure and customize the Epic Professional Billing (Resolute PB) module to meet organizational needs
โข Maintain system components including charge router, workqueues, collection agency workflows, statement processing, benefit engine, and estimates
โข Build, test, validate, and migrate system changes to production
โข Perform ongoing system maintenance and support upgrades and new Epic releases
โข Review release notes, assess impact of updates, and recommend implementation strategy
Workflow Analysis and Optimization
โข Analyze current revenue cycle and financial workflows to identify inefficiencies
โข Design and implement best practice workflows to improve billing accuracy and operational performance
โข Collaborate with revenue cycle, finance, and IT stakeholders to ensure system alignment with business processes
โข Support integration of claim scrubbers, payment processors, and related revenue cycle tools
Support and Troubleshooting
โข Serve as primary support contact for Epic Professional Billing end users
โข Troubleshoot and resolve system issues related to billing, claims processing, and reimbursement
โข Provide guidance on system functionality and workflow best practices
โข Participate in a rotating on-call support schedule
Training and Documentation
โข Provide training and education to end users on Epic Professional Billing workflows and functionality
โข Develop and maintain system documentation and internal procedures
โข Support user adoption through clear communication and structured guidance
Compliance and Regulatory Alignment
โข Maintain Epic Professional Billing certification
โข Ensure compliance with healthcare billing regulations and industry standards
โข Support transitions between claim formats (e.g., X12 4010 to 5010) and coding systems (e.g., ICD-9 to ICD-10)
โข Monitor regulatory updates impacting professional billing and reimbursement processes
Required Qualifications
Education and Certification
โข Bachelor's degree in Computer Science, Information Technology, Computer Engineering, Healthcare Informatics, or related field preferred
โข Epic Professional Billing (Resolute PB) certification required
Technical Expertise
โข Demonstrated expertise in Epic Professional Billing configuration, including:
- Charge router
- Workqueue configuration
- Collection agency workflows
- Statement processing
- Benefit engine
- Estimates
โข Experience building, testing, and migrating Epic system changes
โข Proficiency with Microsoft Office Suite (Excel, Word, Project, Visio, PowerPoint)
Healthcare Revenue Cycle Knowledge
โข Strong understanding of healthcare revenue cycle processes
โข Knowledge of professional billing versus hospital billing workflows
โข Familiarity with medical coding systems including CPT and ICD-10
โข Understanding of insurance billing processes and reimbursement methodologies
Professional Competencies
โข Strong analytical and problem-solving skills
โข High attention to detail and accuracy
โข Effective verbal and written communication skills
โข Ability to work independently and collaboratively within cross-functional teams
โข Self-motivated with strong organizational skills
Work Environment
โข Office-based or hybrid setting depending on organizational needs
โข Occasional after-hours or on-call support as required
Our client is seeking a detail-oriented and technically strong Epic analyst who can optimize professional billing workflows, ensure regulatory compliance, and support revenue cycle excellence within a healthcare environment.