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.

• 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)

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