Job Summary
The Onshore Epic Resolute Hospital Billing (HB) Senior Analyst / Lead serves as the principal technical expert and operational consultant for the health system’s inpatient, outpatient facility, and enterprise revenue cycle applications. Stationed onshore, this individual leads facility billing design, configuration, claims setup, charging workflows, and end-to-end integration. They bridge communication between hospital financial leadership, patient financial services (PFS), clinical service lines, and offshore configuration teams to optimize facility revenue integrity and claim clean rates.
Key Responsibilities
Client Alignment & Strategic Leadership
Serve as the primary onshore technical point of contact for Patient Financial Services (PFS), Revenue Cycle Operations, Chief Financial Officers, and Health Information Management (HIM).
Translate client financial strategies and complex payer rule changes into system build requirements and workflow modifications.
Facilitate stakeholder alignment sessions for current-state analysis, future-state design, and enterprise revenue cycle roadmap planning.
System Build, Configuration & Revenue Integrity
Design, build, test, and maintain Epic Resolute Hospital Billing (HB) and Epic HB Claims modules.
Configure hospital billing structures, including DNB (Discharge Not Billed) checks, account maintenance workflows, billing rules, extension records, workqueues (WQs), and claim edit rules (CDF/CDE).
Manage HB Charge Router, clinical charge capture integration, pricing matrices, room and board logic, fee schedules, and UB-04 / 837I claim form configurations.
Oversee remit processing (835), credit balance workflows, self-pay paths, and collection agency interfaces.
Manage tight integration with clinical and access modules (ADT/Grand Central, Prelude, OpTime, Willow Inpatient, Radiant, Beacon, and ClinDoc).The Onshore Epic Resolute Hospital Billing (HB) Senior Analyst / Lead serves as the principal technical expert and operational consultant for the health system’s inpatient, outpatient facility, and enterprise revenue cycle applications. Stationed onshore, this individual leads facility billing design, configuration, claims setup, charging workflows, and end-to-end integration. They bridge communication between hospital financial leadership, patient financial services (PFS), clinical service lines, and offshore configuration teams to optimize facility revenue integrity and claim clean rates.
Key Responsibilities
Client Alignment & Strategic Leadership
Serve as the primary onshore technical point of contact for Patient Financial Services (PFS), Revenue Cycle Operations, Chief Financial Officers, and Health Information Management (HIM).
Translate client financial strategies and complex payer rule changes into system build requirements and workflow modifications.
Facilitate stakeholder alignment sessions for current-state analysis, future-state design, and enterprise revenue cycle roadmap planning.
System Build, Configuration & Revenue Integrity
Design, build, test, and maintain Epic Resolute Hospital Billing (HB) and Epic HB Claims modules.
Configure hospital billing structures, including DNB (Discharge Not Billed) checks, account maintenance workflows, billing rules, extension records, workqueues (WQs), and claim edit rules (CDF/CDE).
Manage HB Charge Router, clinical charge capture integration, pricing matrices, room and board logic, fee schedules, and UB-04 / 837I claim form configurations.
Oversee remit processing (835), credit balance workflows, self-pay paths, and collection agency interfaces.
Manage tight integration with clinical and access modules (ADT/Grand Central, Prelude, OpTime, Willow Inpatient, Radiant, Beacon, and ClinDoc).