Senior Epic Resolute Billing Analyst

Quest Diagnostics; Marlborough (MA); On-site; USD 110,000 - 150,000; Full time

Job summary

Quest Diagnostics is seeking an experienced Epic Resolute Professional Billing Analyst III to build, test, and support the Epic PB system, enabling accurate and compliant billing across the enterprise.

You will translate complex billing requirements into Epic configurations, manage tests and change records, collaborate with Revenue Cycle Operations, and improve workflows to reduce manual work and improve end-user usability for billing staff, providers and patients.

Qualifications

• 5+ years of experience supporting and configuring Epic Resolute Professional Billing (PB).
• Demonstrated understanding of Epic PB components and workflows.
• Proven ability to analyze system data and translate findings into precise configuration adjustments.
• Strong technical documentation and problem-solving skills.
• Ability to work independently on multiple assignments and manage competing priorities.
• Strong understanding of healthcare billing, payer requirements, and denial management.
• Advanced Epic PB training and participation in optimization/upgrade programs.
• Epic PB certification or Claims certification.
• Travel up to 5%.
• English required.

Responsibilities

• Configure and maintain Epic PB and/or PB Claims system components, including charge router logic, billing work queues, claim edit rules, and remittance processing.
• Translate complex billing requirements into accurate Epic configurations that support business needs.
• Participate in build reviews to ensure compliance with technical standards and governance requirements.
• Update payer-specific logic, provider mapping, and fee schedules to maintain accurate billing data.
• Document configuration steps and maintain organized, auditable change records.
• Troubleshoot high-complexity issues impacting charge capture, claims, or payment posting.
• Perform data analysis using system logs, error queues, and root cause tracking tools.
• Identify trends in recurring system or process issues and propose corrective actions.
• Collaborate with Revenue Cycle Operations, Technology, and clearinghouse partners to resolve interface or claim submission discrepancies.
• Escalate unresolved technical issues with supporting documentation to the Technical Lead or Epic Representative.
• Plan and execute detailed test scenarios for new configurations, upgrades, and enhancements.
• Validate end-to-end workflows for accuracy of charge capture, claim generation, and remittance posting.
• Conduct regression testing to confirm that new changes do not negatively impact production workflows.
• Partner with business users to confirm functional accuracy and ensure strong operational adoption.
• Monitor assigned billing work queues and proactively identify build or workflow improvements.
• Evaluate automation opportunities and participate in initiatives to streamline manual processes.
• Provide clear documentation and job aids for billing teams to support consistent system usage.
• Contribute to post-deployment review sessions to confirm expected outcomes and user satisfaction.
• Serve as a subject resource for Epic PB functionality within the application support team.
• Share technical findings and lessons learned through team documentation and internal training sessions.
• Collaborate closely with Claims, and Bridges teams to maintain integrated data flow across Epic modules.
• Participate in project meetings to provide technical insight, system validation, and issue tracking.

Skills

Epic PB knowledge

Billing workflow analysis

Documentation

Independent work

Healthcare billing knowledge

Education

Bachelor’s degree in Healthcare, Business, or Information Systems

Job description

Quest Diagnostics is seeking an experienced Epic Resolute Professional Billing Analyst III to build, test, and support the Epic PB system, enabling accurate and compliant billing across the enterprise.

You will translate complex billing requirements into Epic configurations, manage tests and change records, collaborate with Revenue Cycle Operations, and improve workflows to reduce manual work and improve end-user usability for billing staff, providers and patients.