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Professional Billing Analyst, PB Admin, Claims, Charge Router
InterScripts, Inc.. Design, build, and maintain Epic Resolute Professional Billing configuration, including billing system definitions, charge processing, and PB workqueues .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in Epic Resolute Professional Billing configuration, including charge processing and claims management, while effectively collaborating with operational and IT teams to enhance revenue cycle performance.
Highest-signal resume keywords
Epic Certification in Professional Billing AdministrationEpic Certification in ClaimsEpic Certification in Charge Router2+ Years of Epic PB Analyst ExperienceWorking Knowledge of CPT, HCPCS, ICD-10
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Epic Resolute Professional Billing ConfigurationCharge Router RulesClaims Build ConfigurationCharge Processing837P OutputUnit TestingIntegrated TestingRegression TestingTroubleshooting Charge IssuesIncident Resolution
Soft Skills
Clear CommunicationCollaboration with Stakeholders
Certifications & Qualifications
Epic Certification in Professional Billing AdministrationEpic Certification in ClaimsEpic Certification in Charge RouterEpic Hospital Billing Administration Certification
Industry Keywords
Medical BillingCodingCPTHCPCSICD-10Payer RulesClaim AdjudicationRevenue Cycle ManagementPatient AccountsChange Control
About the role
Key responsibilities & impact- Design, build, and maintain Epic Resolute Professional Billing configuration, including billing system definitions, charge processing, and PB workqueues
- Build and troubleshoot Charge Router rules, charge sessions, and routing logic between clinical applications and billing
- Configure and maintain Claims build, including claim edits, claim rules, payer and plan setup, and 837P output
- Support the Hospital Billing application and PB/HB integration points affecting patient accounts and statements
- Translate operational billing and coding requirements into Epic build and provide practical recommendations to revenue cycle leaders
- Run unit, integrated, and regression testing for new build, fixes, and Epic upgrades
- Resolve incident and enhancement tickets within SLA with documentation and change control
- Partner with integration, reporting, and clinical application teams on cross-application workflows
Requirements
What you’ll need- Current Epic certification in Professional Billing Administration, Claims, and Charge Router (required)
- Experience with, or certification in, Epic Hospital Billing Administration (strongly preferred)
- 2+ years of hands-on experience as an Epic PB analyst doing build, not only end-user or operational support
- Prior work as a medical biller or coder before moving into an Epic analyst role
- Working knowledge of CPT, HCPCS, ICD-10, modifiers, payer rules, and claim adjudication
- Strong troubleshooting skills and the ability to trace a charge or claim issue from front end to back end
- Clear communication with operational stakeholders and IT teams
- Prefer candidates who live within a 2 to 3 hour drive of East-Central Indiana
- Periodic onsite presence in East-Central Indiana
Benefits
Comp & perks- Remote position
- Periodic onsite presence
- Full-time FTE