About this role
The Epic Resolute Billing Analyst II supports configuration, maintenance, and optimization of the Epic Resolute Professional Billing application across Quest Diagnostics’ network. The role focuses on building and validating PB configurations, testing, and ensuring accurate billing operations.
Key Responsibilities
- Configure and maintain Epic PB components including charge router rules, billing work queues, claims edits, remittance processing, and payment posting
- Own assigned functional areas and deliver accurate, tested configuration on schedule with minimal supervision
- Translate operational requirements and payer rules into effective Epic system designs
- Ensure configuration aligns with Quest's billing policies, compliance standards, and technical governance
- Maintain complete, current documentation for all build elements and configuration decisions
- Independently analyze and resolve issues affecting charge capture, claim generation, or payment posting
Technical Overview
Technical scope includes Epic PB configuraton, PB workflows such as charge routers, SBO, SBO modules, SBO/Claims interfaces, Chroncles, Data Courier, and upgrade readiness activities.
Ideal Candidate
The ideal candidate is an experienced Epic PB analyst with 3+ years in resolving billing workflows, configuring PB modules, and supporting Epic PB upgrades. They should demonstrate strong analytical and cross-functional collaboration skills, with a track record in healthcare billing operations.
Must-Have Skills
3+ years of experience building and supporting Epic Resolute Professional Billing (PB)Full proficiency with charge router workflowsclaim editspayment postingand reconciliationProven ability to configuretestand deploy Epic PB functionality independentlyStrong analyticaldocumentationand problem-solving skillsExcellent verbal and written communication skillsAbility to work collaboratively in a cross-functional environmentEpic Resolute Professional Billing certificationCompletion of Quest Diagnostics Epic system training and onboardingParticipation in Epic upgrade readiness and optimization programsOngoing education in healthcare billing best practicespayer updatesand compliance standardsBachelor's degree in HealthcareBusinessor Information Systems or the equivalent work experienceTravel up to 5%English Required
Nice-to-Have Skills
Experience in a multi-site or national reference laboratory or healthcare billing operationFamiliarity with Epic SBOClaimsor Charge Router modulesUnderstanding of payer rulesdenial managementand revenue cycle complianceExperience collaborating with external vendors or clearinghouses for billing interfacesEpic Charge Router or Claims certification
Tools & Platforms
Epic Resolute Professional BillingEpic SBOEpic Charge RouterClaimsChroniclesData Courier
Required Skills
3+ years of experience building and supporting Epic Resolute Professional Billing (PB); Full proficiency with charge router workflowsclaim editspayment postingand reconciliation; Ability to configuretestand deploy Epic PB functionality independently; Strong analyticaldocumentationand problem-solving skills; Excellent verbal and written communication; Ability to work collaboratively in a cross-functional environment; Epic Resolute Professional Billing certification; Completion of Quest Diagnostics Epic system training and onboarding; Participation in Epic upgrade readiness and optimization programs; Ongoing education in healthcare billing best practicespayer updatesand compliance standards; Bachelor's degree in HealthcareBusinessor Information Systems or the equivalent work experience; Travel up to 5%; English Required
Hard Skills
Epic Resolute Professional BillingEpic PBCharge routerRemittance processingPayment postingReconciliationConfigurationTestingGo-liveChroniclesData CourierEpic SBOEpic Charge RouterBilling operationsHealthcare billingpayer rulesdenial managementexternal vendors or clearinghouses
Soft Skills
AnalyticalDocumentationProblem-solvingCommunicationCross-functional collaboration
Certifications
Required
Epic Resolute Professional Billing certification
Preferred
Epic Charge Router or Claims certificationEpic SBO certification
Keywords for Your Resume
Epic Resolute Professional BillingPBEpicEpic Charge RouterEpic SBOClaimsCharge RouterRemittance processingPayment postingReconciliationConfigurationTestingGo-liveChroniclesData CourierEpic upgrade readinesspayer updatesdenial managementhealthcare billingQuest Diagnosticshybrid3+ yearsBachelor's degreecharge routerclaims editspayment postingreconciliationbilling
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