Application System Analyst III

Job Requirements Job Requirements The Senior Epic Resolute Hospital Billing (HB) Analyst - Level 3 serves as a senior technical and operational resource responsible for the design, build, optimization, and support of Epic Resolute Hospital Billing workflows and applications, including claims management, charge capture, reimbursement configuration, and revenue cycle integrations. This role provides advanced build expertise, strategic workflow guidance, and operational troubleshooting to ensure Epic supports efficient revenue cycle operations, regulatory compliance, and accurate reimbursement. The analyst works closely with revenue cycle leadership, patient financial services (PFS), HIM, compliance, and clinical departments to optimize billing workflows and claims processing. The Level 3 analyst functions as a subject matter expert, leading complex implementations, mentoring junior analysts, supporting revenue cycle optimization initiatives, and ensuring alignment with Epic best practices. Key Responsibilities Design, configure, and maintain Epic Resolute Hospital Billing (HB) functionality to support revenue cycle workflows. Lead advanced application build and configuration, including: Billing rules Claim edits Charge routing Work queues Reimbursement contracts Payment posting configurations Configure and maintain claims processing workflows, including electronic and paper claim generation. Maintain Epic master files related to hospital billing and claims management. Claims & Billing Operations Support Support end-to-end claims management processes, including claim creation, editing, submission, and remittance processing. Configure and optimize claim edits, claim forms, and payer-specific billing requirements.

Troubleshoot issues related to:

Claim rejections Clearinghouse errors Electronic data interchange (EDI) Claim scrubbers Collaborate with Patient Financial Services (PFS) to resolve billing and reimbursement issues. Revenue Cycle Optimization Identify and implement workflow improvements to reduce claim denials, improve clean claim rates, and accelerate reimbursement. Partner with operational leaders to analyze revenue cycle performance metrics and implement system enhancements. Participate in revenue cycle initiatives such as: Denial reduction programs Charge capture optimization Regulatory compliance updates Epic upgrades and new functionality adoption. Implementation & Project Leadership Serve as a technical lead for Epic HB implementations, upgrades, and optimization projects. Lead design sessions and system build activities for new billing workflows or regulatory requirements. Develop and maintain project documentation, including build specifications, workflow diagrams, and testing scripts.

Coordinate testing efforts including:

Integrated testing User acceptance testing Regression testing. Integration & Data Flow Support interfaces and data flow between Epic and external systems including: Clearinghouses Payer systems Financial reporting platforms Collaborate with integration teams to ensure accurate 837/835 transaction processing. Troubleshooting & Support Provide tier 2 and tier 3 application support for revenue cycle issues. Investigate and resolve complex production issues related to billing, claims, and payment processing. Perform root cause analysis and implement system corrections or workflow improvements. Mentorship & Knowledge Sharing Serve as a mentor to Level 1 and Level 2 analysts. Provide guidance on Epic build standards, troubleshooting, and best practices. Lead knowledge-sharing sessions and assist with analyst onboarding.

Work Experience Epic Certification Required:

Epic Resolute Hospital Billing (HB)

Certification Preferred:

Epic Claims Certification Epic Charge Router Certification Epic Revenue Cycle Administration Certification Experience Required:

5+ years of Epic Resolute Hospital Billing experience Experience with Epic claims processing workflows Experience supporting hospital revenue cycle operations

Preferred:

Experience with: Clearinghouse integrations 837/835 EDI transactions Claim editing and denial management Epic upgrades and new version implementations Technical Skills Strong experience with Epic HB build including: Resolute Hospital Billing Workqueues Billing rules Claim edits Charge router configuration Payment posting workflows Remittance processing Claims Management Electronic claims submission Claim form configuration (UB-04) Clearinghouse integrations Claim rejection and denial workflows Revenue Cycle Knowledge Hospital billing operations Reimbursement methodologies Managed care contracts Revenue integrity practices Soft Skills Strong analytical and problem-solving skills Ability to translate operational needs into technical system design Excellent communication and stakeholder management skills Ability to manage multiple projects and priorities simultaneously Strong documentation and organizational skills Work Experience Epic Certification Epic Resolute Hospital Billing (HB) Certification required:

Preferred:

Epic Claims Certification Epic Charge Router Certification Epic Revenue Cycle Administration Certification Experience Required:

5+ years of Epic Resolute Hospital Billing experience Experience with Epic claims processing workflows Experience supporting hospital revenue cycle operations

Preferred:

Experience with: Clearinghouse integrations 837/835 EDI transactions Claim editing and denial management Epic upgrades and new version implementations Technical Skills Strong experience with Epic HB build including: Resolute Hospital Billing Workqueues Billing rules Claim edits Charge router configuration Payment posting workflows Remittance processing Claims Management Electronic claims submission Claim form configuration (UB-04) Clearinghouse integrations Claim rejection and denial workflows Revenue Cycle Knowledge Hospital billing operations Reimbursement methodologies Managed care contracts Revenue integrity practices Soft Skills Strong analytical and problem-solving skills Ability to translate operational needs into technical system design Excellent communication and stakeholder management skills Ability to manage multiple projects and priorities simultaneously Strong documentation and organizational skills Benefits All your information will be kept confidential according to EEO guidelines.

Compensation:

Pay Range:

$42.64 - $64.00 Other Compensation (if applicable): Review the 2025-2026 UMMS Benefits Guide Like many employers, UMMS is being targeted by cybercriminals impersonating our recruiters and offering fake job opportunities. We will never ask for banking details, personal identification, or payment via email or text. If you suspect fraud, please contact us at careers@umms.edu.