Epic Resolute PB Claims Analyst

Exciting Opportunity: Epic Resolute PB Claims Analyst
Organisation Overview
Our Client is a leading organisation within the healthcare sector, specialising in providing innovative clinical and business systems solutions. Renowned for fostering a collaborative and forward-thinking environment, they are recognised for their commitment to excellence, continuous growth, and employee development. Their workplace culture values integrity, innovation, and delivering exceptional support to healthcare providers, making it a rewarding place to build your career.
Role Summary
In response to ongoing growth and strategic initiatives, Our Client is seeking a dedicated Epic Resolute PB Claims Analyst to join their team on a permanent basis. This pivotal role is instrumental in enhancing and maintaining their clinical and business systems, ensuring seamless claims processing and data integrity. The position presents an excellent chance for an experienced professional to make a significant impact within a dynamic organisation committed to health improvement and technological excellence.
Responsibilities

• Lead the implementation and support of the Epic PB and Claims modules, ensuring accurate configuration aligned with operational needs.
• Investigate root causes of claims discrepancies by analysing upstream and downstream data sources within Epic.
• Maintain and optimise clinical/business systems, supporting system upgrades, enhancements, and new integrations.
• Provide technical support and troubleshooting to end-users, resolving issues efficiently and with a customer-focused approach.
• Develop and execute test plans for system updates, documenting findings and facilitating training for end-users.
• Collaborate with cross-functional teams to identify opportunities for process improvements and system optimisations.
• Ensure compliance with relevant standards, regulations, and data security protocols.
• Lead small to medium-sized projects, providing clear direction and effective management from initiation through completion.

Essential Skills & Experience

• A minimum of three years’ relevant experience within a healthcare environment, ideally in multi-entity settings such as hospitals, physician offices, or managed care organisations.
• Proven expertise with Epic Resolute Professional Billing and Claims modules, including configuration and troubleshooting.
• Relevant certification or accreditation in PB Claims and Remit is essential; dual certification in Resolute HB and PB is highly desirable.
• Solid understanding of clinical workflows and how data flows within healthcare systems.
• Strong analytical skills, with the ability to diagnose system issues and implement effective solutions.
• Experience in system testing, report creation, and user training.
• Proficiency with Microsoft Office suite and familiarity with network, server, and database concepts.
• Demonstrated commitment to delivering excellent customer service and technical support.

Desirable Skills & Experience

• Certification in relevant software or systems support.
• Experience with Epic applications beyond the PB and Claims modules, contributing to system-wide optimisations.
• Knowledge of healthcare billing practices, claims processes, and regulatory standards.
• Project management experience, with a focus on system implementations and upgrades.

Call to Action
If you are an experienced Epic Resolute PB Claims Analyst eager to contribute to a forward-thinking healthcare organisation, we invite you to submit your CV. Join a team that values your expertise and offers opportunities for professional growth and development. Apply today to become part of a mission-driven organisation dedicated to healthcare excellence.
Note: We welcome applications from candidates who meet the essential criteria and are passionate about advancing healthcare technology solutions.