[Hiring] Epic Resolute PB Claims Analyst @Cynet Systems

Role Description

Support Epic Resolute Professional Billing (PB) application build, maintenance, and enhancements. Responsibilities include:

• Analyze, design, configure, test, and implement PB-related requirements and workflows.
• Troubleshoot production issues, service requests, and defects related to professional billing operations.
• Collaborate with business stakeholders to gather requirements and translate them into Epic solutions.
• Support charge capture, claims management, reimbursement workflows, and revenue cycle optimization.
• Participate in upgrade activities, integrated testing, regression testing, and go-live support.
• Develop and maintain system documentation, workflows, and knowledge repositories.
• Provide end-user support, root cause analysis, and process improvement recommendations.
• Ensure compliance with healthcare industry regulations, organizational standards, and change management processes.
• Work closely with cross-functional Epic teams including HB, Cadence, Prelude, Ambulatory, and Reporting teams when required.

Qualifications

• Bachelor's degree or equivalent experience.
• 2–4 years of experience supporting Epic Professional Billing (PB) projects or managed services.
• Working knowledge of healthcare Revenue Cycle Management (RCM) processes.
• Experience in Epic PB configuration, maintenance, and production support.
• Strong analytical, troubleshooting, and stakeholder management skills.
• Experience with incident management, service requests, change requests, and enhancement activities.

Requirements

• Epic Resolute Professional Billing (PB) Certification.
• Experience with Claims, Contracts, Reimbursement, or Revenue Cycle workflows.
• Prior experience supporting large healthcare organizations or managed services engagements.
• Knowledge of Agile delivery methodology and ITIL processes.

Key Responsibilities

• Design and develop robust and scalable end-to-end solutions, covering both front-end and back-end development.
• Enhance an existing application and/or product, to incorporate a new feature or modify an existing one.
• Tackle complex technical challenges and provide innovative solutions.
• Identify and address bottlenecks in systems and optimize application performance and responsiveness through code improvements.
• Communicate effectively with team members, collaborate with cross-functional stakeholders to gather requirements, and provide updates on project progress.