Epic HB Claims Analyst

RightClick; United States; On-site; USD 70,000 - 100,000; Full time

Job summary

RightClick is seeking an Epic Hospital Billing Claims Analyst to optimize the Resolute Hospital Billing module, focusing on claims processing and remittance workflows. The role emphasizes analytical thinking, attention to detail, and collaboration across Revenue Cycle, IT, Compliance, and clinical teams to resolve billing issues.

The ideal candidate will have 4+ years with Epic HB Claims, an Epic Certification in Resolute Hospital Billing Claims and Remittance Administration, and a strong

Qualifications

• 4+ years of professional experience in Epic HB Claims.
• Epic Certification in Resolute Hospital Billing Claims and Remittance Administration required.
• Bachelor's degree in Healthcare Administration, IT, Business, or related field preferred.

Responsibilities

• Configure and maintain Epic HB Claims and Remittance workflows.
• Process and manage hospital billing claims using Epic Resolute HB.
• Monitor claim edits, rejections, and denials; implement solutions to improve clean claim rates.
• Collaborate with Revenue Cycle, IT, Compliance, and clinical teams to optimize billing operations.
• Analyze trends in claim denials and reimbursement delays.

Skills

Analytical thinking

Attention to detail

Time management

Collaboration

Education

Bachelor's degree in Healthcare Administration / IT / Business or related field

Tools

Epic Resolute HB

Job description

Our client is seeking an Epic Hospital Billing Claims Analyst to support and optimize the Resolute Hospital Billing (HB) module, with a focus on claims processing and remittance workflows. The ideal candidate is analytical, detail-oriented, and comfortable collaborating across Revenue Cycle, IT, Compliance, and clinical teams to resolve billing issues. This is a fully remote position.

Epic HB Claims Analyst's Responsibilities And Duties

• Configure and maintain Epic HB Claims and Remittance workflows
• Process and manage hospital billing claims using Epic Resolute HB
• Monitor claim edits, rejections, and denials, and implement solutions to improve clean claim rates
• Collaborate with Revenue Cycle, IT, Compliance, and clinical teams to optimize billing operations
• Analyze trends in claim denials and reimbursement delays

Epic HB Claims Analyst's Qualifications And Skills

• At least 4 years of professional experience in Epic HB Claims
• Epic Certification in Resolute Hospital Billing Claims and Remittance Administration required
• Strong understanding of hospital billing operations, claims submission, and remittance processes
• Experience with 837/835 files, payer configurations, and clearinghouse workflows
• Ability to work independently and manage multiple priorities
• Excellent analytical and problem-solving skills
• Bachelor's degree in Healthcare Administration, IT, Business, or a related field preferred

RightClick is an equal opportunity employer who agrees not to discriminate against any employee or job applicant irrespective of race, color, creed, alienage, religion, sex, national origin, age, disability, gender (including gender identity), marital status, sexual orientation, citizenship or any other characteristic protected by law.