Senior Consultant- Epic Resolute Hospital Billing Claims Analyst

Healthtech Inc; Northern (KY); Hybrid; USD 120,000 - 150,000; Full time

Job summary

Nordic is seeking a Senior Consultant- Epic Resolute Hospital Billing Claims Analyst to support HB Claims workflows for hospital clients. You will build, test, and optimize claims processes, lead project activities, and mentor client teams with a focus on accuracy and efficiency.

This role requires strong communication, problem-solving, and a proven track record in Epic HB Claims configurations and go-live support. A senior-level consultant attitude is essential for successful delivery.

Qualifications

• Bachelor's degree or equivalent experience.
• Epic Resolute Hospital Billing certification required; Resolute HB Claims certification strongly preferred.
• 2+ years' Epic Resolute Hospital Billing experience required.
• 5+ years' hospital billing and claims workflow experience preferred.
• Excellent written and verbal communication skills.

Responsibilities

• Evaluate current-system processes for hospital billing claims workflows and recommend configurations.
• Apply Epic Resolute HB Claims expertise to system build, workflows and testing.
• Analyze and resolve complex claims-related issues including denials and remittance.
• Provide project management and leadership for client engagements.
• Lead meetings on project status and claims optimization initiatives.
• Document build decisions, testing results and workflow recommendations meticulously.
• Support integrated testing, user acceptance testing, and go-live activities.
• Additional duties as required by the client.

Skills

Epic Resolute HB Claims

Project management

Communication skills

Mentoring

Analytical skills

Education

Bachelor's degree or equivalent experience

Epic Resolute Hospital Billing certification

Resolute HB Claims certification

Tools

Epic Resolute Certification

Resolute HB Claims Certification

Job description

Senior Consultant- Epic Resolute Hospital Billing Claims Analyst page is loaded## Senior Consultant- Epic Resolute Hospital Billing Claims Analystlocations: US - Nationaltime type: Full timeposted on: Posted Yesterdayjob requisition id: R6110Make a difference. Be happy. Grow your career.**Key Responsibilities**Perform professional services for Nordic and its affiliates in alignment with the expectations of Nordic and each applicable client, including but not limited to:* 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 and Experience*** 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, claim edits, denial management, and remittance workflows.* Demonstrated experience supporting HB Claims build, testing, troubleshooting, optimization, and reimbursement processes preferred.* Must demonstrate and embody Nordic's maxims.* Possess a strong work ethic and treat others with respect, keep commitments, inspire the trust of others, work ethically and with integrity, and uphold organizational values.* Strong attention to detail and ability to manage multiple priorities while meeting customer service commitments and project timelines.* Demonstrated sound judgment and appropriate escalation.* Highly organized, able to multi-task as well as maintain intense focus on individual tasks.* Self-starter with ability to maintain schedule, meet deadlines, and monitor one's own work product.* Highly adaptable and able to acclimate quickly to new project assignments.* Aptitude for mentoring and guiding others.* Maintain a high degree of professionalism.* Must be able to work independently, as well as within a team environment.#CM-1**Nordic is an equal opportunity employer. We are committed to creating an inclusive environment for all employees and applicants. We do not discriminate on the basis of race, color, religion, sex, national origin, age, disability, genetic information, marital or veteran status, or any other protected status under applicable federal, state, or local laws. We encourage individuals of all backgrounds to apply, including women, minorities, individuals with disabilities, and veterans.**