EPIC Physician Billing Analyst

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

Created: 2026-03-10