EPIC Resolute Professional Billing Claims and Remittance

2 weeks ago

Wilmington, United States ChristianaCare Full time

Applicants must be currently authorized to work in the United States. ChristianaCare will not sponsor applicants for this position for an employment visa now or in the future.

Why ChristianaCare

Do you want to work at one of the Top 100 Hospitals in the nation? We are guided by our values of Love and Excellence and are passionate about delivering health, not just health care. Come join us at ChristianaCare

ChristianaCare, with Hospitals in Wilmington and Newark, DE, as well as Elkton, MD, is one of the largest health care providers in the Mid-Atlantic Region. Named one of "America's Best Hospitals by U.S. News & World Report, we have an excess of 1,100 beds between our hospitals and are committed to providing the best patient care in the region. We are proud to that Christiana Hospital, Wilmington Hospital, our Ambulatory Services, and HomeHealth have all received ANCC Magnet Recognition .

ChristianaCare Offers

  • Medical, Dental, Vision, Life Insurance, etc.

  • Two retirement planning offerings, including 403(b) with company contributions.

  • Generous paid time off with annual roll-over and opportunities to cash out.

  • 12-week paid parental leave

  • Tuition assistance

  • Incredible Work/Life benefits including annual membership to access to backup care services for dependents through retirement planning services, financial coaching, fitness and wellness reimbursement, and great discounts through several vendors for hotels, rental cars, theme parks, shows, sporting events, movie tickets and much more

Why Epic

The electronic health record (EHR) is foundational to the care we provide because it centralizes patient information, enabling informed decision-making and seamless care coordination. The EHR supports our ability to deliver high-quality, equitable, accessible care. ChristianaCare is excited to transition from Cerner to Epic as the EHR across our sites of care

THIS ROLE IS A HYBRID POSITION REQUIRING FREQUENT ON-SITE WORK- MUST BE WITHIN COMMUTABLE DISTANCE

EPIC certification preferred; if not certified, must become EPIC certified within 3 weeks of completing the mandatory EPIC training sessions.

Must be available to travel for EPIC training the week of 3/31/2025.

Education and Experience Requirements:

  • Bachelor's degree in Information Technology , Healthcare Administration, Health Informatics or a related field preferred.

  • 2 - 3 years of experience working with Epic systems or laboratory information systems.

  • Knowledge of professional billing processes, claims management, and revenue cycle management.

  • High School diploma with 5 years of related experience may be considered in lieu of bachelor's degree.

  • Epic Resolute Professional Billing Certification preferred for external candidates.

Principal Duties and Responsibilities:

  • Configure and optimize the Epic Resolute Professional Billing module to support claims and remittance processes.

  • Ensure the system is set up to accurately capture charges, submit claims, and process remittances.

  • Manage the end-to-end claims process, including charge capture, claim submission, follow-up on outstanding claims, and denial management.

  • Monitor claim submissions to ensure timely and accurate processing.

  • Analyze remittance advice to ensure accurate posting of payments and adjustments.

  • Identify and resolve discrepancies in billing and remittance processing.

  • Develop and maintain documentation for claims and remittance workflows, system configurations, and training materials.

  • Conduct training sessions for end-users, including billing staff and financial administrators, to ensure effective use of the Epic Resolute Professional Billing module.

  • Provide go-live support and troubleshooting assistance to ensure a smooth transition to the new system.

  • Offer ongoing support and maintenance for the Epic Resolute Professional Billing module post-implementation.

  • Create and execute test scripts to validate system functionality and ensure accurate configuration.

  • Assist in the development of reports and dashboards to monitor claims and remittance metrics and identify areas for improvement.

  • Ensure compliance with healthcare regulatory requirements and billing standards.

  • Act as a liaison between end-users and the Epic implementation team to ensure effective communication and collaboration.

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