Epic Resolute Revenue Recovery Pro

Primed Consulting; San Ramon (CA); On-site; USD 70,000 - 76,000; Full time

Job summary

Hill Physicians Medical Group is seeking an experienced Epic Resolute Professional Billing specialist to manage health plan revenue recovery, from claim review to payment posting and reconciliation.

The ideal candidate has 1–3 years’ hands-on Epic Resolute Billing, claims research, 835/EOB discrepancies, and strong Excel/Word skills to support denial management and accurate reporting in a complex managed-care environment.

Qualifications

• Epic Resolute Professional Billing experience required.
• Experience researching 835 and EOB payment discrepancies.
• Strong knowledge of CPT/HCPCS and ICD-10 coding and payer requirements.
• Proficiency with Excel, Word, and reporting tools.

Responsibilities

• Work daily Pay & Chase work queues handling charge and claim review, denial management, and escalation to recover claims.
• Post and reconcile Health Plan payments and refunds; resolve remittance errors.
• Prepare disputes, appeals, and supporting documentation for denied balances.
• Perform manual claim extraction and payment-only workflows; escalate when needed.
• Monitor outstanding claims and recovery outcomes using Epic reporting and work queues.
• Collaborate with Revenue Cycle, Epic/IT, Accounting, Contracting, Enrollment, and Health Plans to resolve root causes.
• Maintain HIPAA and other regulatory documentation.

Skills

Epic Resolute

Revenue cycle

Analysis

Communication skills

Education

College degree or equivalent

Tools

Excel

Word

Reporting tools

Job description

Hill Physicians Medical Group is seeking an experienced Epic Resolute Professional Billing specialist to manage health plan revenue recovery, from claim review to payment posting and reconciliation.

The ideal candidate has 1–3 years’ hands-on Epic Resolute Billing, claims research, 835/EOB discrepancies, and strong Excel/Word skills to support denial management and accurate reporting in a complex managed-care environment.