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Shyft6 · 1 month ago

Epic Resolute Professional Billing Implementation Analyst

United States

Full-time

Remote

Senior Level

$80/hr - $80/hr

5+ years exp

Shyft6 is seeking an experienced Epic Resolute Professional Billing Implementation Analyst to support a full Epic implementation for a large healthcare organization. This remote role involves leading the design, build, testing, training, and activation of professional billing workflows across various service lines, ensuring integration with clinical documentation and scheduling systems.

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Responsibilities

Serve as the primary implementation analyst for Epic Resolute Professional Billing (PB) across the full project lifecycle

Lead discovery and workflow design sessions with revenue cycle, clinic operations, coding, compliance, and IT stakeholders

Translate payer contract requirements, charge capture workflows, and compliance rules into Epic PB configurations

Build and configure: Fee schedules, CPT and diagnosis mappings, and payer rule trees

Charge capture and charge routing workflows

Claim generation, claim edits, and submission workflows

Payment posting, adjustment logic, write-offs, and reconciliations

Workqueues for charge review, claims processing, follow-up, and denials management

Refund processing and credit balance workflows

Integrate Resolute PB workflows with: Epic Ambulatory documentation and charge capture

Coding and charge review teams

Epic Cadence scheduling and registration workflows

Clearinghouse partners and external payer interfaces

Coordinate closely with HIM, Hospital Billing, and clinical application teams to ensure end-to-end revenue cycle functionality

Develop and execute comprehensive unit testing, integrated testing, and UAT plans specific to Professional Billing workflows

Assist with charge master data mapping and historical billing data conversion strategies

Develop training materials and support end-user training sessions for billing operations teams

Participate in go-live readiness activities including cutover planning, command center support, and post-go-live stabilization efforts

Provide ongoing issue resolution, workflow stabilization, and optimization post-activation

Maintain comprehensive documentation including workflow maps, build specifications, testing results, and training materials

Qualification

Epic Resolute Professional Billing certificationEpic implementation experienceCharge capture expertiseClaims submission workflowsDenial management processesPayer contract rule configurationICD-10 / CPT codingPayment posting workflowsCollaboration with stakeholdersCommunication skillsWork independently

Required

Epic Resolute Professional Billing certification, active or previously certified

Successful completion of at least one full Epic implementation as a primary or lead PB analyst

5+ years of Epic PB or physician billing analyst experience

Deep understanding of professional billing operations, including: Charge capture, Claims submission and clearinghouse workflows, Denial management processes, Payer contract rule configuration, ICD-10 / CPT coding interactions, Payment posting and reconciliation workflows

Experience collaborating with coding, compliance, clinic operations, and revenue integrity stakeholders

Ability to work independently in a remote project environment

Strong communication skills for running workflow design sessions, stakeholder presentations, and training events

Preferred

Experience with Epic Hospital Billing (HB) or integrated PB/HB revenue cycle implementations

Familiarity with: Value-based reimbursement models, Split billing workflows, Referrals and authorizations configuration, Managed care contracting workflows within Epic

Go-live command center leadership experience

Experience across large health systems or multi-facility implementations

Clarity reporting certification or billing analytics experience