Rebound Orthopedics & Neurosurgery · 23 hours ago
Epic Application Analyst – Resolute Professional Billing
Rebound Orthopedics & Neurosurgery is seeking an Epic Resolute Professional Billing Analyst to join their team in Vancouver, WA. The role involves designing, building, testing, implementing, and supporting Epic PB functionality while collaborating with various teams to ensure efficient workflows and strong financial outcomes.
FitnessHealth Care
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
Qualification
Required
Bachelor's degree in Information Technology, Healthcare Administration, Finance, or related field; or equivalent experience
Epic Resolute Professional Billing (PB Claims/Remittance or PB Admin) certification required within 180 days of hire
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
Preferred
Epic Charge Router, HB, Referrals/Authorization
Benefits
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
Company
Rebound Orthopedics & Neurosurgery
Rebound Orthopedics & Neurosurgery is a health & wellness company that offers orthopedic and neurosurgery services.