Job#: 3051367

HB Resolute InformaticsLocation:

Remote Role OverviewWe are seeking an experienced Epic HB Resolute Informatics Specialist to support the optimization and ongoing enhancement of hospital billing workflows within a complex healthcare environment. This individual will serve as a liaison between Revenue Cycle Operations, IT, and Informatics teams to analyze business processes, identify opportunities for improvement, and support the implementation of workflow and system enhancements. This is not a traditional Epic build role; the ideal candidate will possess strong revenue cycle knowledge, analytical skills, and experience evaluating and optimizing Epic Hospital Billing workflows. Key ResponsibilitiesAnalyze and optimize Epic HB Resolute workflows across Hospital Billing operations.

Evaluate specialty billing workflows including research, cosmetic, and third-party billing.

Review and improve claim edit management processes to reduce denials and improve reimbursement.

Assess existing workqueue routing and escalation processes, recommending enhancements to increase efficiency.

Monitor workflow effectiveness and identify operational bottlenecks.

Collaborate with operational teams to gather and document business requirements for current and future states.

Support testing, validation, and implementation of Epic changes, including User Acceptance Testing (UAT).Serve as a liaison between Revenue Cycle Operations, analysts, and business stakeholders.

Required QualificationsBachelor's degree or equivalent healthcare revenue cycle experience.3+ years of Epic HB Resolute experience.

Strong understanding of Hospital Billing workflows, including claim edits, denials management, workqueues, payment posting, and adjustments.

Experience documenting business requirements and workflows.

Analytical and problem-solving skills.

Ability to work independently and manage multiple priorities.

Excellent verbal and written communication skills.

Preferred QualificationsEpic HB Resolute Certification or Accreditation.

Experience supporting large healthcare systems.

Knowledge of specialty billing workflows.

Exposure to revenue cycle transformation initiatives.

Experience supporting testing and implementation efforts.

Reporting and analytics experience within Epic.

Familiarity with change management methodologies.

Everforth Apex is a world-class IT services company that serves thousands of clients across the globe. When you join Everforth Apex, you become part of a team that values innovation, collaboration, and continuous learning. We offer quality career resources, training, certifications, development opportunities, and a comprehensive benefits package. Our commitment to excellence is reflected in many awards, including ClearlyRateds Best of Staffing® in Talent Satisfaction in the United States and Great Place to Work® in the United Kingdom and Mexico.

Everforth Apex uses a virtual recruiter as part of the application process. Click here for more details. By applying for this job, you agree to receive calls, AI-generated calls, text messages, or emails from Everforth Apex and its affiliates, and contracted partners. Frequency varies for text messages. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You can reply STOP to cancel and HELP for help. You can access our privacy policy at https://www.apexsystems.com/privacy-policy

Everforth Apex Benefits Overview:

Everforth Apex offers a range of supplemental benefits, including medical, dental, vision, life, disability, and other insurance plans that offer an optional layer of financial protection. We offer an ESPP (employee stock purchase program) and a 401K program which allows you to contribute typically within 30 days of starting, with a company match after 12 months of tenure. Everforth Apex also offers a HSA (Health Savings Account on the HDHP plan), a SupportLinc Employee Assistance Program (EAP) with up to 8 free counseling sessions, a corporate discount savings program and other discounts. In terms of professional development, Everforth Apex hosts an on-demand training program, provides access to certification prep and a library of technical and leadership courses/books/seminars once you have 6+ months of tenure, and certification discounts and other perks to associations that include CompTIA and IIBA. Everforth Apex has a dedicated customer service team for our Consultants that can address questions around benefits and other resources, as well as a certified Career Coach. You can access a full list of our benefits, programs, support teams and resources within our Welcome Packet as well, which an Everforth Apex team member can provide.

Everforth Apex Systems is an equal opportunity employer. We do not discriminate or allow discrimination on the basis of race, color, religion, creed, sex (including pregnancy, childbirth, breastfeeding, or related medical conditions), age, sexual orientation, gender identity, national origin, ancestry, citizenship, genetic information, registered domestic partner status, marital status, disability, status as a crime victim, protected veteran status, political affiliation, union membership, or any other characteristic protected by law. Everforth Apex will consider qualified applicants with criminal histories in a manner consistent with the requirements of applicable law.

If you require an accommodation under the Americans with Disabilities Act to participate in an interview with a virtual recruiter or to use our website for a search or application, please contact our Benefits Department at [email protected] or 804-523-8228. Please note that this contact information is strictly to be used for medical ADA accommodations and that no other inquiries will be answered.

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