Epic Resolute HB Claims Analyst: Billing Optimization Lead

Nordic Global; United States; On-site; USD 110,000 - 135,000; Full time

Job summary

Nordic Global is seeking an experienced HB Claims Consultant with Epic Resolute expertise to lead hospital billing projects for healthcare clients in the United States. You will design, build, test, and optimize claims workflows, edits, and remittance processes, while guiding client teams and Nordic staff through complex implementation tasks.

The role requires strong communication, problem-solving, and mentoring skills, plus a track record of delivering project leadership on consulting

Qualifications

• Bachelor’s degree or equivalent experience required.
• Epic Resolute Hospital Billing certification required; Resolute HB Claims certification strongly preferred.
• 2+ years’ relevant Epic Resolute Hospital Billing experience required.
• 5+ years’ professional experience supporting Hospital Billing and claims-related workflows strongly preferred.
• Previous consulting experience preferred.
• Excellent communication skills, written and verbal.
• Proven ability to apply problem-solving and technical skills to claims processing, denial management, and remittance workflows.
• Must demonstrate Nordic’s maxims and a strong work ethic.

Responsibilities

• Evaluate current-system processes and procedures with a focus on Hospital Billing claims workflows; recommend and develop system configurations and workflow modifications based on industry best practices.
• Apply Epic Resolute HB Claims expertise to system build, claim processing workflows, claim edits, workqueues, testing, troubleshooting, and optimization efforts.
• Analyze and resolve complex claims-related issues including claim generation, claim transmission, billing edits, denials, rejections, and remittance processing.
• Provide project management and project leadership services in alignment with client expectations and contracted role.
• Provide leadership guidance and mentorship to client and Nordic teammates regarding HB Claims workflows, reimbursement processes, and revenue cycle best practices.
• Work directly with project teams, revenue cycle stakeholders, billing departments, end-users, and leadership as project needs dictate.
• Lead and attend meetings regarding project status, claims optimization initiatives, reimbursement performance, and ongoing work-product coordination.
• Accurately and completely document claims build decisions, testing results, workflow recommendations, work progress, issues, escalations, and other required information in accordance with Nordic and individual client requirements.
• Support integrated testing, user acceptance testing, claims validation, reimbursement testing, and go-live support activities.
• Additional specific duties related to the project as may be required and dictated by client.

Skills

Epic Resolute Hospital Billing

HB Claims certification

2+ years Epic Resolute HB experience

5+ years Hospital Billing experience

Communication skills

Project leadership

Mentoring

Problem-solving

Client engagement

Education

Bachelor’s degree or equivalent experience

Tools

Epic Resolute HB Tools

Job description

Nordic Global is seeking an experienced HB Claims Consultant with Epic Resolute expertise to lead hospital billing projects for healthcare clients in the United States. You will design, build, test, and optimize claims workflows, edits, and remittance processes, while guiding client teams and Nordic staff through complex implementation tasks.

The role requires strong communication, problem-solving, and mentoring skills, plus a track record of delivering project leadership on consulting