
PB Analyst
Posted 5 hours ago

Posted 5 hours ago
This is a fully remote position, open to applicants in Texas.
• Design, configure, develop, test, and uphold Epic Resolute Professional Billing (PB) applications.
• Act as the key application authority for Claims and Remittance functionality within Epic Resolute PB.
• Configure and provide support for claims processing, claim edits, remittance posting, reimbursement workflows, workqueues, and charge entry.
• Collaborate with Revenue Cycle, Patient Financial Services, and IT stakeholders to collect requirements and enhance Professional Billing workflows.
• Assist ongoing Revenue Cycle stabilization initiatives by pinpointing opportunities to enhance billing accuracy, reimbursement, and operational efficiency.
• Resolve production issues, conduct root cause analysis, and provide prompt resolutions to application support requests.
• Engage in system upgrades, integrated testing, go-lives, optimization initiatives, and continual maintenance.
• Create and sustain build documentation, workflow diagrams, and application support documentation.
• Ensure that the Epic build is in accordance with organizational standards, payer requirements, and regulatory compliance.
• Collaborate with operational leaders to suggest workflow improvements and long-term enhancements to the Professional Billing application.
• Active Epic Resolute Professional Billing (PB) Certification or Accreditation is mandatory.
• Epic certification or substantial experience with Claims, Remittance, Charge Router, and Benefits Engine is highly preferred.
• Bachelor’s degree in Healthcare Administration, Information Systems, Business, or a related discipline.
• Four (4) years of pertinent healthcare IT or revenue cycle experience may be accepted in place of a degree.
• 4+ years of experience in Epic Resolute PB build, implementation, and application support within a healthcare setting.
• Proven experience in supporting Claims processing, Remittance, reimbursement workflows, and Professional Billing operations.
• Strong comprehension of professional billing workflows, payer regulations, revenue cycle operations, and reimbursement methodologies.
• Experience in supporting complex health systems, academic medical centers, or multi-specialty physician organizations is preferred.
• Exceptional analytical, troubleshooting, communication, and documentation skills.
• Capability to work independently in a remote setting while effectively collaborating with cross-functional teams.
• Willingness to travel monthly for project activities, workshops, and go-live support.
• Salary based on experience $100,000 - $118,000
• Superlanet is an Equal Opportunity Employer and does not discriminate on the basis of race or ethnicity, religion, sex, national origin, age, veteran disability, genetic information, or any other reason prohibited by law in employment.
CVS Health
University of Arkansas System
Gartner
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