[Hiring] Epic Application Analyst @Ensemble Health Partners

Role Description

The Epic Application Analyst, Resolute Hospital Billing/Claims serves as the primary liaison between Revenue Cycle Operations and Information Technology for Epic Resolute Hospital Billing and Claims functionality. This role is responsible for Epic build, configuration, workflow optimization, testing, troubleshooting, and ongoing support of hospital billing and institutional claims workflows.

• Epic Resolute Hospital Billing/Claims Support & Optimization
  • Analyze, design, configure, test, and support Epic functionality related to Resolute Hospital Billing and Claims.
  • Perform Epic build and configuration supporting hospital billing and institutional claims workflows.
  • Support billing workflows, work queues, claim generation, claim edits, submission, correction, and related revenue cycle processes.
  • Troubleshoot billing and claims-related application issues and identify system or workflow root causes.
  • Serve as a lead analyst for HB and/or HB Claims issues, enhancements, and optimization initiatives.
  • Identify opportunities to improve billing performance, clean claim performance, and overall workflow efficiency.
• Hospital Billing, Claims & Revenue Cycle Performance
  • Partner with Revenue Cycle leadership and operational teams to optimize hospital billing and claims workflows.
  • Analyze system-related causes of billing issues, claim errors, denials, and delays.
  • Support work queues and edits associated with hospital billing and claims.
  • Recommend Epic configuration and workflow improvements designed to increase billing accuracy and efficiency.
  • Support initiatives focused on revenue cycle performance, denial reduction, and clean claim improvement.
• System Build, Testing & Change Management
  • Perform Resolute Hospital Billing and Claims-related Epic build and configuration following organizational change control processes.
  • Gather business requirements and translate hospital billing and claims-related operational needs into Epic solutions.
  • Create and maintain workflow documentation, decision documents, and build specifications.
  • Participate in integrated testing, user acceptance testing, implementation, and post-production support.
  • Troubleshoot application issues and coordinate resolution with IT teams and Epic resources.
• Stakeholder & Client Support
  • Serve as a subject matter expert for Epic Resolute Hospital Billing and/or HB Claims functionality.
  • Partner with Revenue Cycle Operations, IT, and other stakeholders on hospital billing and claims-related initiatives.
  • Educate operational stakeholders on Epic functionality and recommended billing and claims workflows.
  • Support implementation, optimization, and performance improvement initiatives.

Qualifications

• Current Epic Resolute Hospital Billing Administration or Epic Resolute Hospital Billing Claims Administration certification is required.
• Minimum 3 years of Epic build, support, implementation, or optimization experience.
• Demonstrated hands-on experience with Epic Resolute Hospital Billing and/or HB Claims build and workflows.
• Experience supporting hospital/facility billing and/or institutional claims workflows within revenue cycle operations.
• Experience with hospital billing workflows, work queues, claim generation, claim edits, submission, troubleshooting, or related Resolute HB functionality.
• Strong understanding of hospital billing and revenue cycle workflows.
• Experience gathering requirements, testing, and implementing Epic system enhancements.
• Ability to travel up to 25% as needed.

Requirements

• This position pays between $97,000 - $145,500 based on experience and geographical location.
• Must be inquisitive and demonstrate openness to innovation including AI to explore better processes and ways to alleviate friction and improve patient and client experiences.
• This is a remote position; however, candidates must be willing and able to travel to and work onsite at client (up to 25%), temporary, or corporate office locations as business needs require.

Benefits

• Comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs.
• Professional development opportunities, including earning a professional certification relevant to their field and tuition reimbursement.
• Quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company.