Epic Resolute HB Claims Analyst - Senior Consultant

Nordic Healthcare Group (NHG); United States; Remote; USD 90,000 - 130,000; Full time

Job summary

Nordic Healthcare Group (NHG) is seeking a skilled Epic Resolute Hospital Billing specialist to optimize hospital claims workflows for NHG and affiliates. You will guide configuration, testing, and issue resolution while mentoring client teams and Nordic staff.

Responsibilities include project leadership, process enhancements, and collaboration with revenue cycle stakeholders to ensure accurate, timely reimbursements. Strong communication and cross-functional coordination are essential.

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.

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 to system build, claim processing workflows, claim edits, workqueues, testing, troubleshooting, and optimization efforts.
• Analyze and resolve complex claims-related issues including claim generation, transmission, billing edits, denials, rejections, and remittance processing.
• Provide project management and project leadership services aligned with client expectations and contracted role.
• Mentor client and Nordic teammates regarding HB Claims workflows, reimbursement processes, and best practices.

Skills

Communication skills

Problem-solving

Multi-tasking

Self-starter

Education

Bachelor’s degree or equivalent experience

Epic Resolute Hospital Billing certification

Resolute HB Claims certification

Tools

Epic Resolute HB platform

Job description

Nordic Healthcare Group (NHG) is seeking a skilled Epic Resolute Hospital Billing specialist to optimize hospital claims workflows for NHG and affiliates. You will guide configuration, testing, and issue resolution while mentoring client teams and Nordic staff.

Responsibilities include project leadership, process enhancements, and collaboration with revenue cycle stakeholders to ensure accurate, timely reimbursements. Strong communication and cross-functional coordination are essential.