Job Description
Location: Remote - FL
Department: Corporate Systems and IT Administration
Work Type: Part Time
Shift:
Minimum to Midpoint Pay Rate: $37.72 - $49.03 / hour
Job Summary:
The Epic HB Resolute Claims Analyst supports the hospital billing (HB) claims process by analyzing, troubleshooting, and resolving claim-related issues within the Epic Resolute Hospital Billing system. This part-time role ensures timely and accurate claim submission, working closely with revenue cycle teams to optimize workflows and maintain compliance with payer requirements.
Key Responsibilities: - Monitor and resolve claim edits, rejections, and denials within Epic HB Resolute.
- Collaborate with Revenue Cycle Operations and IS teams to identify and correct system or process issues.
- Maintain and update claim definition files, claim edit rules, work queues, and other related Epic build.
- Assist in testing and implementing Epic upgrades or enhancements.
- Provide data analysis to support revenue cycle performance.
- Participate in projects requiring claims build and configuration within Epic HB.
Qualifications:
- 3+ years of experience with Epic Resolute Hospital Billing (HB) claims.
- Epic HB certification required; HB Claims certification strongly preferred.
- Strong understanding of hospital billing workflows and payer requirements.
- Excellent analytical, communication, and problem-solving skills.
- Ability to work independently in a remote or hybrid environment.
- Experience supporting LTC-Long Term Care & HH-Home Health billing & claims support is preferred.
- Experience with SSI clearinghouse tools and workflows is a plus.
Schedule:
Part-time, flexible days & hours (approximately 24 hours per week)
Job Tags
Part time, Remote work, Flexible hours, Shift work,