Overview Join Optum's EHR Services to help transform healthcare delivery through Epic billing solutions. As an Epic Professional Billing Claims Analyst, you will act as a subject matter expert for Resolute Professional Billing, supporting claim generation, edits, and payer-specific requirements while driving revenue cycle improvements. You will collaborate with operations, IT, and client teams on upgrades, design, and go-lives, focusing on timely submissions and optimized reimbursements. This remote-friendly role emphasizes leadership, mentorship, and cross-functional collaboration in a fast-growing practice that improves health outcomes at scale.
Compensation / Benefits- comprehensive benefits package
- equity stock purchase
- 401k contribution
- remote work flexibility
- telecommuter policy
- career development opportunities
Responsibilities- Maintain and configure Professional Billing claims according to industry and client standards
- Translate user requirements into design specifications and review with clients
- Mentor client-based team members as subject matter expert
- Lead Epic upgrade initiatives and workflow enhancements across design, build, and test phases
- Participate in design/validation sessions and ensure documentation and issue escalation
- Coordinate between Operations, IT, and Third-Party Systems
- Provide on-call support for incidents and go-lives
- Develop and maintain knowledge of Epic functionality and operational workflows
- Collaborate with trainers to develop training materials
- Adhere to configuration/change control standards
- Build strong relationships with end users and business partners
- Attend meetings and contribute to project governance
Key requirements- Active / current Epic certification in Resolute Professional Billing Claims
- 4+ years of healthcare experience
- 4+ years of experience in an Epic analyst role with function and build experience
- 4+ years of knowledge of revenue cycle metrics, KPIs, and process improvement techniques related to these areas
- 3+ years of direct client healthcare domain knowledge (billing, payment posting, denial management, etc.)
- self-motivation
- leadership
- team collaboration
- Epic Resolute Professional Billing
- Epic software upgrade management
- Epic EMR and full implementation lifecycle
