Analyst, Resolute Billing II

Quest Diagnostics Incorporated; Chicago (IL); Remoto; USD 70.000 - 126.000; Tempo pieno

Descrizione del lavoro

Quest Diagnostics Incorporated seeks a skilled Epic Resolute PB Analyst II to configure, test, and support the Epic Professional Billing system across the national network. You will own functional areas, translate payer rules into system designs, and maintain detailed documentation for auditability.

The role demands hands‑on configuration, problem solving, and collaboration with Bridges, SBO, Claims, and Infrastructure teams, ensuring accurate charge capture and timely reimbursement.

Competenze

• 3+ years of experience building and supporting Epic Resolute Professional Billing (PB).
• Full proficiency with charge router workflows, claim edits, payment posting, and reconciliation.
• Proven ability to configure, test, and deploy Epic PB functionality independently.
• Strong analytical, documentation, and problem‑solving skills.
• Excellent verbal and written communication skills.
• Ability to work collaboratively in a cross‑functional environment.
• Epic Resolute Professional Billing certification.
• Completion of Quest Diagnostics Epic system training and onboarding.
• Participation in Epic upgrade readiness and optimization programs.
• Ongoing education in healthcare billing best practices, payer updates, and compliance standards.
• Bachelor's degree in Healthcare, Business, or Information Systems or the equivalent work experience
• Travel up to 5%
• English Required

Mansioni

• Configure and maintain Epic PB components including charge router rules, billing work queues, claims edits, remittance processing, and payment posting.
• Own assigned functional areas and deliver accurate, tested configuration on schedule with minimal supervision.
• Translate operational requirements and payer rules into effective Epic system designs.
• Ensure configuration aligns with Quest's billing policies, compliance standards, and technical governance.
• Maintain complete, current documentation for all build elements and configuration decisions.
• Independently analyze and resolve issues affecting charge capture, claim generation, or payment posting.
• Use Epic tools to diagnose and correct system or data errors.
• Identify root causes and propose sustainable fixes that prevent recurrence.
• Collaborate with technical teams when issues span multiple modules.
• Escalate high‑impact or system‑wide issues appropriately, providing detailed technical analysis and documentation.
• Develop and execute thorough test plans for new configuration, upgrades, and maintenance releases.
• Conduct integrated and regression testing to confirm end‑to‑end billing accuracy.
• Validate results with operational teams and document all findings for quality assurance.
• Support go‑live preparation, production validation, and post‑deployment stabilization activities.
• Work collaboratively in Epic implementation and optimization workgroups, coordinating build and testing efforts with other PB, SBO, and Claims analysts.
• Communicate clearly with operational stakeholders to confirm requirements and deliver updates.
• Provide subject matter expertise in Epic PB workflows during design sessions, user testing, and cutover planning.
• Support junior analysts by sharing knowledge, reviewing configuration, and modeling best practices.
• Evaluate existing workflows to identify automation opportunities or inefficiencies.
• Recommend and implement configuration improvements that enhance usability, reduce manual intervention, or improve billing accuracy.
• Monitor work queue performance and reporting metrics to ensure billing throughput and compliance.
• Incorporate feedback from users and operational leaders into ongoing build and maintenance efforts.

Conoscenze

Epic Resolute PB experience

Charge router workflows

Payment posting

Reconciliation

Analytical skills

Documentation skills

Problem‑solving skills

Verbal and written communication

Cross‑functional collaboration

Formazione

Bachelor's degree in Healthcare, Business, or Information Systems

Strumenti

Epic Resolute PB

Descrizione del lavoro

Epic Resolute Professional Billing Analyst II

The Epic Resolute Professional Billing Analyst II is a fully proficient, hands‑on contributor responsible for the configuration, maintenance, and support of the Epic Professional Billing (PB) application at Quest Diagnostics. This role independently performs system build, testing, and problem resolution to ensure accurate, compliant, and efficient billing operations across Quest's national laboratory network. The Analyst II collaborates with stakeholders to implement functional changes, optimize workflows, and deliver reliable solutions that support clean claims, timely reimbursement, and a positive end‑user experience for billing staff, providers, and patients.

Responsibilities

• Configure and maintain Epic PB components including charge router rules, billing work queues, claims edits, remittance processing, and payment posting.
• Own assigned functional areas and deliver accurate, tested configuration on schedule with minimal supervision.
• Translate operational requirements and payer rules into effective Epic system designs.
• Ensure configuration aligns with Quest's billing policies, compliance standards, and technical governance.
• Maintain complete, current documentation for all build elements and configuration decisions.
• Independently analyze and resolve issues affecting charge capture, claim generation, or payment posting.
• Use Epic tools (Chronicles, Data Courier, error workqueues, reporting) to diagnose and correct system or data errors.
• Identify root causes and propose sustainable fixes that prevent recurrence.
• Collaborate with technical teams (Bridges, SBO, Claims, Infrastructure) when issues span multiple modules.
• Escalate high‑impact or system‑wide issues appropriately, providing detailed technical analysis and documentation.
• Develop and execute thorough test plans for new configuration, upgrades, and maintenance releases.
• Conduct integrated and regression testing to confirm end‑to‑end billing accuracy.
• Validate results with operational teams and document all findings for quality assurance.
• Support go‑live preparation, production validation, and post‑deployment stabilization activities.
• Work collaboratively in Epic implementation and optimization workgroups, coordinating build and testing efforts with other PB, SBO, and Claims analysts.
• Communicate clearly with operational stakeholders to confirm requirements and deliver updates.
• Provide subject matter expertise in Epic PB workflows during design sessions, user testing, and cutover planning.
• Support junior analysts by sharing knowledge, reviewing configuration, and modeling best practices.
• Evaluate existing workflows to identify automation opportunities or inefficiencies.
• Recommend and implement configuration improvements that enhance usability, reduce manual intervention, or improve billing accuracy.
• Monitor work queue performance and reporting metrics to ensure billing throughput and compliance.
• Incorporate feedback from users and operational leaders into ongoing build and maintenance efforts.

Qualifications

• 3+ years of experience building and supporting Epic Resolute Professional Billing (PB).
• Full proficiency with charge router workflows, claim edits, payment posting, and reconciliation.
• Proven ability to configure, test, and deploy Epic PB functionality independently.
• Strong analytical, documentation, and problem‑solving skills
• Excellent verbal and written communication skills
• Ability to work collaboratively in a cross‑functional environment
• Epic Resolute Professional Billing certification
• Completion of Quest Diagnostics Epic system training and onboarding.
• Participation in Epic upgrade readiness and optimization programs.
• Ongoing education in healthcare billing best practices, payer updates, and compliance standards.
• Bachelor's degree in Healthcare, Business, or Information Systems or the equivalent work experience
• Travel up to 5%
• English Required

Preferred

• Experience in a multi‑site or national reference laboratory or healthcare billing operation.
• Familiarity with Epic SBO, Claims, or Charge Router modules.
• Understanding of payer rules, denial management, and revenue cycle compliance.
• Experience collaborating with external vendors or clearinghouses for billing interfaces.
• Epic Charge Router or Claims certification

Education

• Bachelor's Degree Bachelor’s degree in Healthcare, Business, or Information Systems or the equivalent work experience (Required)

Languages

• English (Required)

Work Requirements

• Travel Required

Job Details

• Job Schedule: Full time
• Job Shift: Day
• Weekly Working Hours: 40.00
• Location: 25 E Schaumburg Rd, Schaumburg, IL, 60194, US Remote daily

Salary

• Salary Minimum 69,900.00
• Salary Range Mid 97,900.00
• Salary Maximum 125,900.00
• AIP Target % 5

About the Team

Quest Diagnostics honors our service members and encourages veterans to apply.

While we appreciate and value our staffing partners, we do not accept unsolicited resumes from agencies. Quest will not be responsible for paying agency fees for any individual as to whom an agency has sent an unsolicited resume.

Equal Opportunity Employer: Race/Color/Sex/Sexual Orientation/Gender Identity/Religion/National Origin/Disability/Vets or any other legally protected status.