Epic Revenue Cycle Applications Analyst

Overview

The Epic Revenue Cycle Applications Analyst is responsible for the design, build, configuration, optimization, and support of Epic’s Resolute Professional Billing (PB) and Hospital Billing (HB) applications within an AMS environment. This role supports end-to-end revenue cycle operations—from charge capture and claim submission to payment posting and account resolution. The analyst acts as a subject matter expert (SME) in Epic billing workflows, leveraging both technical and operational expertise to ensure accurate, efficient, and compliant financial performance across client organizations.

The ideal candidate brings 5+ years of hands-on experience with Epic PB/HB and related modules, a strong understanding of billing and reimbursement workflows, and the ability to collaborate with clients to improve revenue cycle outcomes through system optimization and best practices.

• Epic Application Design, Build & Configuration:
  Lead configuration and maintenance of Epic Resolute PB and HB systems to support accurate charge capture, claims generation, and account management.
• Design and optimize billing workflows, charge review work queues, claim edit rules, and remittance processing.
• Maintain Charge Router, claims setup, remittance codes, and fee schedule configurations.
• Collaborate with clinical and patient access teams to ensure seamless integration between modules.
• Support the implementation of new payer contracts, billing rules, and reimbursement models as clients expand services or enter new markets.
• Participate in Epic version upgrades, validating and implementing new functionality to improve operational efficiency.
• Maintain build documentation in accordance with AMS standards and governance protocols.

• Provide advanced L2/L3-level application support for multiple clients’ Epic PB/HB environments.
• Troubleshoot issues related to charge capture, claims edits, remittance, payment posting, and collections workflows.
• Execute configuration updates, regression testing, and performance tuning in alignment with AMS SLAs.
• Identify revenue leakage or bottlenecks within workflows and recommend sustainable optimizations.
• Collaborate with client business offices, HIM, and Patient Financial Services teams to ensure billing compliance and accuracy.
• Support periodic audits and reconciliation processes, including coordination with finance and compliance departments.

• Serve as the Epic Revenue Cycle SME, advising clients on billing best practices, optimization strategies, and regulatory compliance.
• Offer Epic product insight regarding PB/HB functionality, roadmap developments, and module limitations.
• Contribute SME input to RFP responses, solution design sessions, and new business pursuits within the AMS and consulting portfolio.
• Guide clients in implementing process improvements that enhance cash flow, reduce denials, and improve operational KPIs.

• Collaborate across AMS work streams (Access, Ambulatory, Clin Doc, Ancillary, MyChart) to deliver integrated Epic support and ensure smooth financial workflows.
• Participate in governance and performance meetings, presenting analysis on trends, incidents, and optimization initiatives.
• Mentor junior analysts and contribute to internal AMS knowledge management and best-practice repositories.
• Partner with other application leads to ensure enterprise consistency and cross-functional alignment across Epic modules.

• Bachelor’s degree in Information Systems, Business, Healthcare Administration, or related field (or equivalent experience).
• Minimum 5+ years of experience with Epic Resolute Professional Billing (PB) and/or Hospital Billing (HB) in a healthcare IT, AMS, or consulting environment.
• Active Epic certification(s) in Resolute PB and/or HB required.
• Strong understanding of Epic revenue cycle workflows, including charge capture, claims, remittance, and reconciliation processes.
• Experience supporting third-party integrations such as clearinghouses, payers, or external billing tools.
• Demonstrated success in application configuration, workflow optimization, and…