Rebound is hiring for an Epic Resolute Professional Billing Analyst to join our team in Vancouver, WA. This position is required to work on-site.
The Epic Resolute Professional Billing (PB) Analyst designs, builds, tests, implements, and supports Epic PB functionality (charge capture, claims, remittance, follow‑up, credits/collections, reporting). You’ll be the primary support contact for PB, collaborating with Revenue Cycle, Patient Accounting, Compliance, Finance/GL, HIM, and Clinical teams to ensure clean claims, efficient workflows, and strong financial outcomes.
Responsibilities:
- Own PB master files (Payor, Benefit Plans, Fee Schedules, Service Areas/PB Admin, Claim Definitions, Clearinghouse routes, NPI/Tax IDs), aligning configuration with Rebound standards and payer rules.
- Optimize claim edits and workqueues (Charge Review, Claim Edit, Follow‑up, Credit & Collections), and manage CPT/HCPCS updates and modifiers to improve first‑pass yield.
- Support EDI 837P/835 file generation/submission and remittance posting, including payer‑specific mapping and reconciliation.
- Optimize allowables/expected reimbursement logic and underpayment identification.
- Work with Interface teams on clearinghouse, lockbox, and payment gateway integrations; diagnose transmission failures and reconciliation gaps.
- Collaborate on financial reconciliation (payments/adjustments/write‑offs).
- Enable Clarity/Caboodle/Radar reporting and dashboards for WQ performance, clean claim rate, denials, refunds, and AR metrics.
- Lead unit/system/integration/UAT for Epic quarterly updates, hotfixes, and optimizations; maintain test scripts, defect logs, and release notes.
- Follow ITIL/SDLC change control with clear documentation, migration plans, and back‑out procedures.
- Serve as PB primary contact; triage Service Desk tickets, prioritize backlog, and communicate status.
- Troubleshoot WQ backlogs, claim edit failures, remit posting discrepancies, and denial trends; deliver job aids and training to end users and super users.
- Monitor KPIs (clean claim rate, first‑pass yield, AR days, DNFB/DNFC, refund timeliness, credit balance resolution) and drive continuous improvement.
- Ensure workflows meet HIPAA/PHI security and regulatory requirements; support audit readiness with build evidence, access logs, and change records.
- Participate in root‑cause analyses and document decisions/outcomes.
Requirements:
Education
- Bachelor’s degree in Information Technology, Healthcare Administration, Finance, or related field; or equivalent experience.
Certification
- Epic Resolute Professional Billing (PB Claims/Remittance or PB Admin) certification required within 180 days of hire.
- Bonus: Epic Charge Router, HB, Referrals/Authorization.
Skills
- Proficiency with Epic Hyperspace PB master files, Radar; familiarity with Clarity/Caboodle; strong SDLC/ITIL and project management.
- Data skills (Excel; SQL preferred); ability to translate payer rules into scalable build; excellent communication and documentation.
Proud to Offer:
- Medical/Vision/Rx
- Dental
- 401(K) Retirement Plan, including discretionary profit sharing and Cash Balance Plan
- Company paid Life Insurance/AD&D
- Voluntary Life insurance/AD&D
- Company paid short and long-term disability
- Flexible Spending and Health Saving Accounts
- Employee Assistance Program
- Free Parking
- Paid Time Off accrued at up to 24 days in your first year based on FTE
This is a great opportunity to work in a quality organization with Top Doctors in the Northwest. At Rebound, our goal is to cultivate an organization that offers superior patient-centered medical care, with mutual respect and cooperation in a positive and supportive environment. Come join our team!
This position works Monday - Friday, no weekends or holidays.
This is a full-time, 40 hour per week position.