Epic Resolute Analyst (Professional Billing) Job at Zeektek (Sacramento)

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Sr Manager, Resolute Billing (Epic)

We are seeking an experienced Epic Resolute Professional Billing (PB) Applicatio...

Location

United States , Secaucus

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Bachelor's degree in Computer Science, Healthcare Administration, Business Administration, or a related field
7+ years of experience supporting Epic Resolute Professional Billing within a healthcare revenue cycle environment
4+ years of leadership or management experience
Strong knowledge of Professional Billing workflows, including Charge Router, claims processing, remittance, and payment posting
Experience managing large-scale Epic implementations and application optimization projects
Demonstrated success building and leading high-performing technical teams
Experience developing governance processes for enterprise Epic or healthcare billing platforms
Strong understanding of HIPAA, CMS regulations, and commercial payer requirements
Epic Resolute certification
Project Management certification

Job Responsibility

Lead, mentor, and develop a team of Epic Resolute Analysts
Establish team goals, performance metrics, and professional development plans
Conduct performance evaluations and foster leadership growth within the team
Oversee a portfolio of revenue cycle initiatives, from system enhancements to enterprise implementations
Develop and maintain project governance processes for project intake, prioritization, and reporting
Ensure projects are delivered on time, within scope, and aligned with business objectives
Review and approve complex Epic configurations to maintain system integrity, compliance, and data accuracy
Provide leadership for troubleshooting complex Professional Billing issues and perform root cause analysis
Leverage reporting and analytics to identify denial trends, revenue leakage, workflow inefficiencies, and other optimization opportunities
Translate analytical findings into actionable recommendations and process improvement initiatives

What we offer

medical, vision, dental, and life and disability insurance
eligibility to enroll in our company 401(k) plan

Fulltime

Senior Professional Billing And Claims Analyst

Our client is seeking a Senior Professional Billing and Claims Consultant for a ...

Location

United States , Des Moines

Salary:

50.00 - 55.00 USD / Hour

Medasource

Expiration Date

Until further notice

Requirements

5+ years of Epic Professional Billing and/or Claims experience in a healthcare environment
Strong understanding of Charge Router, payments & remittance workflows, claims processing, denial management, and revenue cycle operations
Experience supporting new Epic site implementations and go-live activities, including workflow validation, build review, and operational readiness
Knowledge of Rural Health billing, Critical Access Hospital Method II billing, and Provider-Based billing
Experience supporting Epic upgrades, including review and analysis of Nova Notes, system testing, and workflow impact assessments
Proven ability to troubleshoot and resolve complex ticketing and workflow issues
Experience mentoring or leading junior staff members, providing knowledge transfer and workflow guidance
Strong communication, organizational, and stakeholder management skills
Epic Professional Billing and Claims Certifications

Job Responsibility

Provide senior-level support for Epic Professional Billing and Claims operations, including configuration, troubleshooting, and optimization of Charge Router and related billing workflows
Support payments and remittance workflows, including payment posting, reconciliation, denial analysis, and remittance troubleshooting
Investigate and resolve complex billing, claims, and revenue cycle tickets within established SLA timelines
Partner with operational and technical teams, as well as third-party vendors, to improve billing efficiency, claims accuracy, and reimbursement outcomes
Support new Epic site implementations, including pre-implementation planning, workflow validation, build review, operational readiness, integrated testing, defect resolution, and end-user support during go-live stabilization
Assist with cutover planning and post-go-live optimization activities
Provide subject matter expertise in Rural Health Clinic (RHC) billing, Critical Access Hospital (CAH) Method II billing, and Provider-Based Billing workflows
Ensure workflows and configurations align with regulatory and reimbursement requirements, supporting operational teams in identifying compliance risks and reimbursement optimization opportunities
Participate in Epic upgrade activities, including review and analysis of Nova Notes, system testing and validation, workflow impact assessments, and coordination of upgrade-related changes
Recommend system enhancements and operational improvements based on Epic best practices and organizational needs

What we offer

Competitive medical, dental, vision, Health Savings Account, Dependent Care FSA, and supplemental coverage
401k plan with company match fully vested after eligibility
Paid time off, sick time, and paid company holidays
Employee Assistance Program (EAP) providing virtual counseling, financial services, legal services, life coaching

Fulltime

Epic Application Analyst I or II - Revenue Cycle Hospital Billing

Position Summary / Career Interest: Responsible for implementation and support o...

Location

United States , Shawnee Mission

Salary:

Not provided

The University of Kansas Health System

Expiration Date

Until further notice

Requirements

Associates Degree
2 or more years of experience in a healthcare setting OR 6 years' experience as Application Analyst in lieu of Associates degree
Certification or proficiency (with certification level score) in assigned Epic application or demonstrated learning of other assigned application within 180 Days

Job Responsibility

Responsible for implementation and support of applications
works closely with end users to troubleshoot and correct problems relating to applications
assists with conversions to and implementations of software products
uses operational knowledge to seek out, research and evaluate a variety of solutions
maintains and supports specified installed applications software products
demonstrates leadership skills in all job responsibilities
demonstrates accountability in delivering assigned task
reports project Issues and accomplishments to project manager
delivers a work product that meets project requirements
assists others and participates In the analysis and documentation of current and future needs and workflows

Fulltime

Senior Manager Resolute Billing

The Resolute Application Manager provides day-to-day leadership for the Epic Res...

Location

United States , Secaucus; Schaumburg

Salary:

150000.00 - 170000.00 USD / Year

Quest Diagnostics

Expiration Date

Until further notice

Requirements

7+ years of progressive experience in healthcare revenue cycle including Epic Resolute, configuration, implementation and support
4+ years in a management capacity
Deep understanding of Resolute PB workflows, including charge router, claims, remittance and payment posting
Experience in large scale project management and data analysis within healthcare environment
Proven experience in creating a high performing team
Experience establishing and operating governance frameworks for large-scale Epic deployments or complex billing platforms
Strong knowledge of HIPAA, CMS and commercial payer compliance requirements applicable to laboratory services
B.S. in Computer Science, Business Administration, Healthcare Administration or a related field. (Required)
Epic Resolute
project management certification (Required)

Job Responsibility

Lead, motivate, and manage a high-performing team of Epic Resolute Analysts
Set clear goals and accountability metrics
provide coaching and feedback to develop the team's technical and professional capabilities
Conduct performance reviews, define individual development plans, and cultivate a pipeline for future Resolute team leadership
Oversee the portfolio of all revenue cycle projects, from small optimizations to large-scale implementations, ensuring alignment with strategic priorities
Implement and manage a project governance framework to standardize project intake, prioritization, and status reporting
Guide the team in risk mitigation, issue resolution, and effective stakeholder communication to ensure projects are delivered on time and within scope
Review and approve complex system builds to guarantee data accuracy, regulatory compliance, and system stability
Direct the team to provide robust, actionable analytics that identify root causes of operational issues (e.g., denial trends, revenue leakage, workflow inefficiencies)
Serve as a key escalation point for complex Epic PB issues, performing root cause analysis and driving resolution

Fulltime

Senior IT Epic Analyst (Revenue Cycle Reporting)

The Senior IT Epic Analyst for Revenue Cycle Reporting plays a key role in suppo...

Location

United States , Boston

Salary:

99153.60 - 158631.20 USD / Year

Boston Children's Hospital

Expiration Date

Until further notice

Requirements

Bachelor’s degree in information systems, Computer Science, Healthcare Administration, Finance, or related field (master’s preferred)
5+ years of Epic reporting experience with emphasis on revenue cycle modules
Strong SQL development skills and experience with data warehouses and BI tools
Deep understanding of healthcare revenue cycle workflows, KPIs, and regulatory requirements
Experience leading projects, gathering requirements, and working directly with stakeholders at all organizational levels
Strong analytical, problem-solving, and communication skills
Ability to work independently while managing multiple priorities in a fast-paced environment
Epic Certifications – Required: Epic Clarity Data Model – Revenue Cycle (e.g., Resolute Professional Billing, Resolute Hospital Billing, Tapestry, Cadence)
Epic Clarity (Advanced)
Epic Caboodle

Job Responsibility

Lead the design, development, testing, and deployment of Epic-based revenue cycle reports and dashboards (Clarity, Caboodle, Reporting Workbench, Radar, SlicerDicer)
Partner with revenue cycle, finance, and operational leaders to understand reporting needs and deliver insights that support billing, collections, coding, compliance, and reimbursement
Ensure accuracy, timeliness, and data integrity across all reports and analytics solutions
Translate business requirements into technical specifications and develop reporting solutions to improve revenue cycle efficiency and outcomes
Maintain Epic certifications relevant to Revenue Cycle and Reporting
stay up to date on system upgrades and new functionality
Provide advanced troubleshooting and root cause analysis for reporting issues
Support ad hoc data requests, performance metrics, and regulatory/compliance reporting needs
Lead or participate in projects involving revenue cycle optimization, process improvement, and system enhancement
Mentor and provide guidance to junior analysts in reporting tools, data interpretation, and best practices

What we offer

flexible schedules
affordable health, vision and dental insurance
child care and student loan subsidies
generous levels of time off
403(b) Retirement Savings plan
Pension
Tuition and certain License and Certification Reimbursement
cell phone plan discounts
discounted rates on T-passes

Fulltime

Epic Certified Analyst – Access and Revenue Cycle

We are looking for an Epic Certified Analyst – Access and Revenue Cycle for a fu...

Location

United States , Las Vegas

Salary:

35.00 - 56.00 USD / Hour

Dynamic Computing Services

Expiration Date

Until further notice

Requirements

Must have one of the following Epic certifications at time of hire: Resolute Hospital Billing and Claim or Epic HIM Certification
Current active certification in specific Epic product(s) or the ability to obtain certification within six (6) months of hire
One (1) plus years of experience with HIM Coding
Bachelor’s Degree in computer science, information systems, healthcare informatics or a closely related field, OR a valid Nevada Registered Nurse license
Epic application implementation experience
Knowledge of: Business workflows to achieve strategic outcomes for the implementation
healthcare information systems
processes and workflows in business operations settings in any of the following areas: access, revenue, billing, claims applications, combined with advanced computer skills
principles and practices of public administration
administrative principles and practices, including goal setting and program development, implementation and evaluation

Job Responsibility

Responsible for analyzing workflows and understanding policies, procedures and constraints in any of the following core clinical areas including but not limited to: inpatient, ambulatory, ancillary supported by the Epic
Performs in depth and precise investigation and documentation of business operational specifications and application functionality
Participates in application of build, test, and support

Fulltime

Certified Epic Reimbursement Contracts Analyst

Baptist Health is seeking a Certified Epic Reimbursement Analyst to join our tea...

Location

United States , Tallahassee

Salary:

Not provided

Baptist Health (Florida)

Expiration Date

Until further notice

Requirements

Bachelor of Science Degree Required
Epic Resolute Hospital Billing Expected Reimbursement Contracts Administration Certified OR Epic Resolute Professional Billing Reimbursement Contracts Certified
Experience with managed care contracts, hospital billing, or revenue cycle operations
Strong analytical and problem-solving skills
Excellent communication and collaboration abilities
Attention to detail with a focus on accuracy and efficiency

Job Responsibility

Load and maintain managed care, government, and special contracts into the Epic system with a high level of accuracy
Validate and test reimbursement functionality within Epic to ensure proper configuration and payment outcomes
Collaborate with managed care plans and internal stakeholders to support timely and accurate contract implementation
Execute all steps required to operationalize contracts following negotiation and approval
Monitor contract performance and troubleshoot discrepancies related to reimbursement
Ensure compliance with healthcare regulations and organizational standards

Fulltime

IT Epic Sr Project Manager

We are seeking a highly motivated and experienced Senior Epic Project Manager to...

Location

United States , Englewood

Salary:

49.78 - 74.05 USD / Hour

American Nursing Care

Expiration Date

Until further notice

Requirements

Bachelors Other Related Field or Equivalent Professional Experience., upon hire.
7+ years of experience in project management within the healthcare industry, with a focus on Epic implementations required.
7+ years with strong functional understanding of hospital, clinic and billing operations.
3+ Multi-hospital and large project management experience.
Possess a deep understanding of Epic Revenue (Grand Central, HIM, Hospital Billing, Professional Billing, and Reporting) workflows and functionalities.
Project Management experience in a Health care environment.
Experience in Project Management methodologies and tool sets – waterfall/agile/scrum, planning, issue escalation, problem resolution, conflict and collision management, metrics and reporting, communications, etc.
Possess thorough understanding of Healthcare Business and Care Delivery processes.
Possess strong understanding of digital technology, clinical information systems, and how clinical information is integrated into the patient, consumer, and provider digital experience.

Job Responsibility

Key resource for the organization encompassing the development of relationships between IT and the organization’s multiple customer constituencies, including: patients, consumers, providers, clinical staff, administrators, and employees across CommonSpirit Health.
Responsible for the vital efficient operation of the organizations well-managed systems that will ensure the financial success and ability to cope with the pressures of shrinking revenues, and our market strategy to grow and expand into the future.
Responsible for establishing and maintaining channels of communication between business, IT and other relevant stakeholders.
Responsible for developing large scale project plans which identify key issues, problems, approaches, performance metrics, communication plan, resources required and ensuring deliverables of the IT initiatives.
Responsible for the supervision of the project resources required to deliver each task (i.e. key areas could include: Business Analysts, Solution Architects, Design Engineers, Cybersecurity, Testing, etc.)
Responsible for managing all aspects of the project from planning, design, development/implementation, testing, training, deployment, customer adoption and operation turnover of the ITD initiatives.
Tracks assigned budget and resources for each project. Prepares cost estimates and cost recommendations. Monitors expenditures.
Ensures compliance with all policies, financial stewardship by being accountable for the financial integrity around development and maintenance of project budget.
Oversee and coordinate technical aspects of the Epic implementation, including data conversions, and integration of medical devices, ensuring data integrity and system functionality.
Collaborate with clinical and operational stakeholders to gather requirements and translate them into project deliverables.

What we offer

medical
prescription drug
dental
vision plans
life insurance
paid time off (full-time benefit eligible team members may receive a minimum of 14 paid time off days, including holidays annually)
tuition reimbursement
retirement plan benefit(s) including, but not limited to, 401(k), 403(b), and other defined benefits offerings

Fulltime

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Epic Resolute Analyst (Professional Billing)

Job Description

Job Responsibility

Requirements

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