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UNC HEALTH

Sr Epic Resolute (Billing & Claims) Certified Analyst

morrisville, NC

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Job description

UNC Health Epic Resolute Certified AnalystYour passion belongs at UNC Health. Join more than 56,000 teammates working together to improve the health and well-being of the communities we serve across North Carolina.UNC Health is seeking an experienced Epic Resolute Certified Analyst to support our Community Connect program. This role supports external partner clinics using UNC Health's Epic platform, with a focus on professional billing (PB), claims management, and end-to-end revenue cycle workflows, with strong alignment to ambulatory operations.Location: Morrisville, NC (Hybrid: Remote & Onsite)Team: Community Connect | UNC Health ISDResponsibilities:Design, build, and support Epic Resolute (Professional Billing & Claims) functionalityMaintain billing rules, including charge routing, claim edits, payer setup, and workqueuesSupport charge capture, claim submission, payment posting, denials, and A/R workflowsTroubleshoot billing and claims issues, including rejections, denials, and workflow gapsPartner with revenue cycle, coding, and operational teams to optimize workflows and reduce revenue leakageSupport requirements gathering, testing, go-lives, and system enhancementsProvide onsite clinic support, including workflow analysis and optimizationEnsure data integrity, compliance, and reporting support for revenue cycle performancePreferred Qualifications:Epic Resolute Certification (Professional Billing) (active)3+ years of Epic Resolute experience in a healthcare environmentStrong knowledge of billing, claims processing, and revenue cycle operationsExperience with claim edits, denials management, and A/R follow-up workflowsAbility to travel to clinics for onsite supportExperience with Community Connect or multi-site environmentsExperience with workqueues, claim scrubbing, and payer/plan buildUnderstanding of ambulatory (PB) workflows and integrations with Cadence/PreludeExperience supporting go-lives, testing (UAT), and workflow optimization initiativesEducation Requirements: Bachelor's degree in Computer Science, Information Systems Management or related field (or equivalent combination of education, training and experience). Licensure/Certification Requirements: No licensure or certification required. Professional Experience Requirements: If a Bachelor's degree: Four (4) years of experience with IT systems and/or related operational experience. If an Associate's degree: Six (6) years of IT systems and/or related operational experience. If a High School diploma or GED: Eight (8) years of IT systems and/or related operational experience.Knowledge/Skills/and Abilities Requirements:Epic Resolute Certification (Professional Billing) (active)3+ years of Epic Resolute experience in a healthcare environmentStrong knowledge of billing, claims processing, and revenue cycle operationsExperience with claim edits, denials management, and A/R follow-up workflowsAbility to travel to clinics for onsite supportExcellent analytical and communication skills. Ability to work well in a team environment. Demonstrated ability to successfully manage multiple tasks simultaneously. Highly responsive to internal customers.

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morrisville, NC, 27560, US

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