Senior Epic Resolute HB Claims Consultant

Healthtech Inc; United States; Remote; USD 120,000 - 150,000; Full time

Job summary

Nordic is seeking an experienced Epic Resolute Hospital Billing consultant to support Nordic and client hospital billing workflows. You will evaluate current processes, configure system settings, and optimize claims processing, edits, and remittance operations.

The role requires Epic Resolute Hospital Billing certification, 2+ years of HB experience, and 5+ years overall in hospital billing workflows. Strong communication and leadership skills are essential, with a focus on mentoring and

Qualifications

• Bachelor's degree or equivalent experience.
• Epic Resolute Hospital Billing certification required; Resolute HB Claims certification strongly preferred.
• 2+ years' relevant Epic Resolute Hospital Billing experience.
• 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.

Responsibilities

• Evaluate hospital billing workflows and propose configuration changes.
• Apply Epic Resolute HB Claims to system build, claim processing workflows, edits, and optimization.
• Analyze and resolve complex claims issues including denials and remittance processing.
• Provide project management and project leadership services in alignment with client expectations.
• Mentor client and Nordic teammates on HB Claims workflows and revenue cycle best practices.
• Collaborate with project teams, stakeholders, billing departments, and end-users as needed.
• Lead meetings on project status, optimization initiatives, and coordination of work.
• Document build decisions, testing results, workflow recommendations, progress and escalations.
• Support testing, UAT, claims validation, and go-live activities.
• Additional duties related to the project as required by client.

Job description

Nordic is seeking an experienced Epic Resolute Hospital Billing consultant to support Nordic and client hospital billing workflows. You will evaluate current processes, configure system settings, and optimize claims processing, edits, and remittance operations.

The role requires Epic Resolute Hospital Billing certification, 2+ years of HB experience, and 5+ years overall in hospital billing workflows. Strong communication and leadership skills are essential, with a focus on mentoring and