Epic Resolute Analyst

Understanding of the end-to-end hospital revenue cycle, from pre-registration and charge capture to claim scrubbing and denial management.

Epic Resolute HB/PB Builds skills having experience in configuring:

Fee Schedules: Setting up and updating chargemasters, pricing, and fee arrays.

Charge router/coding/Claim: Building Work queues for accounts that require review, and checks to avoid denials

Payer Contracts: Configuring expected reimbursements, DRGs (Diagnosis-Related Groups), and fee schedules for different insurance plans.

Remittance & Denial Posting: Setting up auto-posting for ERAs (Electronic Remittance Advice) and mapping Denial Codes for routing to specialized follow-up work queues

Coding Standards: Working knowledge of medical coding, specifically ICD-10, CPT, HCPCS, revenue codes, and modifiers.

Integration Points: Understanding how HB interacts with clinical modules (e.g., Willow for pharmacy, OpTime for surgery), as well as Epic’s ADT/Prelude (registration) and SBO (Single Billing Office).

Data & Analytics: Ability to generate billing reports, build custom dashboards

Troubleshooting: Investigating system errors, analysing claim rejections

Workflow Optimization: Collaborating with clinical departments and billing office staff to re-engineer workflows, reduce manual data entry, and minimize Accounts Receivable (A/R) days.

Testing & Upgrades: Conduct testing for Epic’s quarterly and annual system upgrades in compliance with organizational standards and migrate approved changes to production.

Documentation & Training: Creating knowledge bases, documentation for change management, and training materials for end-users

Epic Certifications: Analysts must be certified by Epic in Resolute Hospital Billing Administration or certifications in SBO (Single Billing Office) or Professional Billing (PB).

Do you have experience in Workflow management (operations management method)?, Analysts must be certified by Epic in Resolute Hospital Billing Administration or certifications in SBO (Single Billing Office) or Professional Billing (PB).

$65 - $74 an hour - Temporary, Full-time, Contract, Pulled from the full job description

• 401(k)
• Health insurance
• Vision insurance
• Health savings account
• Dental insurance
• Life insurance
• Disability insurance, BCforward offers all eligible employees a comprehensive benefits package including, but not limited to major medical, HSA, dental, vision, employer-provided group life, voluntary life insurance, short-term disability, long-term disability, and 401k., * Dental insurance
• Health insurance
• Vision insurance

Founded in 1998 on the idea that industry leaders needed a professional service, and workforce management expert, to fuel the development and execution of core business and technology strategies, BCforward is a Black-owned firm providing unique solutions supporting value capture and digital product delivery needs for organizations around the world. Headquartered in Indianapolis, IN with an Offshore Development Center in Hyderabad, India, BCforward’s 6,000 consultants support more than 225 clients globally.

BCforward champions the power of human potential to help companies transform, accelerate, and scale. Guided by our core values of People-Centric, Optimism, Excellence, Diversity, and Accountability, our professionals have helped our clients achieve their strategic goals for more than 25 years. Our strong culture and clear values have enabled BCforward to become a market leader and best in class place to work.

BCforward is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against based on disability.

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