Epic Resolute Professional Billing (RPB) Application Analyst - Senior / Expert Builder

This is an opportunity for experienced Epic professionals who enjoy being hands-on with the system-not simply managing tickets or supporting existing configuration.

You will work closely with Revenue Cycle stakeholders, application teams, technical teams, and other Epic professionals to design and implement solutions within Epic Resolute PB.

What You’ll Be Doing

As an Epic Resolute PB Builder, you will:

• Design, build, configure, test, and maintain Epic Resolute Professional Billing applications and workflows.
• Translate business and Revenue Cycle requirements into Epic configuration and build.
• Independently develop and modify Epic workflows based on business requirements.
• Build and configure Workqueues (WQs), including criteria, routing, prioritization, ownership, and workflow logic.
• Configure and optimize charge-related workflows, including charge routing, charge review, charge adjustments, and charge overrides.
• Build and configure workflows supporting claims processing, billing, reimbursement, payment posting, denials, and adjustments.
• Participate in Epic implementations, upgrades, optimization initiatives, and workflow redesign projects.
• Perform configuration validation, functional testing, integration testing, regression testing, and User Acceptance Testing (UAT).
• Troubleshoot complex application issues and determine whether the root cause is related to configuration, workflow, or system behavior.
• Collaborate with Revenue Cycle leadership and business stakeholders to understand requirements and design appropriate Epic solutions.
• Document build specifications, configuration decisions, testing results, and workflow changes.
• Support go-live activities and post-production optimization when required.

Build Experience We’re Looking For

The hiring team is particularly interested in candidates with deep hands-on Resolute PB build experience in areas such as:

Workqueue Build

• Building and configuring Workqueues from business requirements
• WQ criteria and rule configuration
• Routing and ownership logic
• Prioritization logic
• Denial and adjustment Workqueues
• Workqueues based on missing diagnosis (DX) information

Charge Adjustment & Charge Review

• Charge Adjustment Review
• Charge routing
• Charge overrides
• Charge review workflows
• Adjustment/refund Workqueue build
• Approval workflows based on dollar thresholds or other business rules
• Critical Access Hospital (CAH) inpatient charges and related HARs

Retro / Denials

• Retroactive processing
• Claim readjudication
• Denial workflows
• Building Workqueues based on denial types and categories
• Adjustment Workqueues for denial sign-off
• RMC overrides and non-payment guidelines

Claims & Statements

• Claims configuration
• Claim Definition Files (CDFs)
• CDF overrides
• Claim forms, components, component groups, and groupers
• Patient statement configuration

Financial Assistance / Self-Pay

• Financial Assistance (FA) build and configuration
• Financial Counseling workflows
• Single Billing Office (SBO)
• Self-pay workflows
• Bad debt vendor files

Candidates do not need to have experience in every area above, but strong hands-on build experience in multiple areas is highly preferred., * Do you currently hold an ACTIVE Epic Resolute Professional Billing (RPB/PB) certification

• How many years of hands-on Epic Resolute Professional Billing (RPB/PB) build/configuration experience do you have?
• Please briefly describe one or more Epic Resolute PB builds/configurations you personally completed. Examples may include Workqueues (WQs), charge routing/charge review, charge adjustments, Financial Assistance (FA), Retro/denial workflows, Claims & Statements, CDFs, or SBO.

Do not describe general billing responsibilities-please provide specific hands-on Epic build/configuration examples.

We are looking for strong hands-on Epic Resolute Professional Billing (RPB) Builders, not candidates whose experience is primarily limited to production support.

Active Epic certification is required, but certification alone will not be sufficient for this opportunity.

The ideal candidate will have significant experience designing, building, configuring, testing, and optimizing Epic Resolute Professional Billing workflows and should be able to clearly explain specific examples of Epic build they have personally completed.

Candidates whose background is primarily Level 1/Level 2 support, ticket triage, issue resolution, or end-user support, without substantial hands-on build/configuration experience, will not be a strong fit.

Required Epic Certification

Candidates must have at least one of the following ACTIVE Epic certifications:

• Epic Resolute Professional Billing (RPB/PB)
• Epic Resolute Hospital Billing (HB)

RPB/PB certification is strongly preferred.

About the Opportunity

We are partnering with a leading healthcare organization on a large-scale Epic Revenue Cycle transformation and optimization initiative.

We are seeking experienced Epic Resolute Professional Billing Application Analysts / Builders who can take business requirements and independently translate them into Epic build and configuration., * ACTIVE Epic Resolute Professional Billing (RPB/PB) Certification required.

• Minimum 3+ years of hands-on Epic Resolute experience.
• Strong hands-on Epic application build and configuration experience.
• Ability to clearly explain specific Epic build projects completed personally.
• Experience translating business requirements into Epic workflows and configuration.
• Strong understanding of Healthcare Revenue Cycle processes.
• Experience with testing and validation of Epic build.
• Strong analytical, troubleshooting, and communication skills.
• Ability to work independently in a complex enterprise healthcare environment.

Strongly Preferred

• Senior or Expert-level Epic Resolute PB experience.
• Experience serving as an Epic Application Builder or Senior Epic Builder.
• Experience with multiple Epic Revenue Cycle applications.
• Epic Resolute PB + HB certifications.
• Experience with Workqueue build and workflow design.
• Experience with Charge Router / Charge Review.
• Experience with Financial Assistance (FA).
• Experience with Retro processing and denials.
• Experience with Claims & Statements / CDFs.
• Experience with SBO / Self-Pay.
• Experience supporting large Epic implementations or optimization programs.
• Experience with Clarity, Caboodle, SQL, ServiceNow, Jira, or other healthcare technology tools.
• Experience working in Agile/Scrum environments., License / Certification
• Epic Resolute Professional Billing (RPB/PB) Certification - Required
• Epic Resolute Hospital Billing (HB) Certification - Preferred

$40 - $80 an hour - Full-time, Contract, Pulled from the full job description

• 401(k)
• Health insurance
• Retirement plan
• 401(k) matching
• Paid time off
• Vision insurance
• Dental insurance, * What they built
• Why they built it
• What requirements they received
• How they configured the solution
• What WQs, rules, routing, or workflows they created
• How they tested the build
• How the solution impacted the Revenue Cycle workflow

For example, experience building a Workqueue from requirements, configuring routing and prioritization logic, developing CDF overrides, creating charge adjustment workflows, or designing denial workflows would be highly valuable.

Important: Certification vs. Build Experience, Candidates whose experience is primarily:

• Production support
• L1/L2 ticket triage
• End-user support
• Incident management
• Troubleshooting existing workflows
• Monitoring existing configuration

without substantial hands-on Epic build experience may not be considered.

Why You’ll Want This Opportunity

• 100% Remote
• Work from anywhere in the United States, Canada, or Mexico
• Support a major U.S.-based Epic Revenue Cycle initiative
• Long-term contract with strong extension potential
• Opportunity to work on enterprise-scale Epic projects
• Collaborate with experienced Epic application and Revenue Cycle professionals
• Opportunity to work on meaningful Epic build, configuration, and optimization
• Competitive compensation, * 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Retirement plan
• Vision insurance