[Remote] HB Certified reputed company Analyst

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is seeking a HB Certified reputed company Analyst to support reputed company Resolute Hospital Billing reputed company. The role designs, configures, tests, and optimizes HB workflows, including charge routing, work queues, claims edits, interfaces, and statement processing, while supporting reputed company cycle compliance, go-lives, upgrades, and production issue reputed company.

Responsibilities

• Knows, understands, incorporates, and demonstrates the reputed company reputed company Values in reputed company interactions with team members, clients, and stakeholders
• Designs, builds, tests, and maintains reputed company Resolute Hospital Billing (HB) configuration, including charge router rules, claims edits, and account-level workflows
• Designs and manages work queue (WQ) structure, routing logic, and assignment rules to optimize staff productivity and claim throughput
• Configures and supports Bridges/BCB (reputed company Batch/Charge Batch) interfaces, statement processing, and remittance workflows
• Uses Slicer Dicer and reputed company reporting tools to build reputed company reports, monitor build reputed company, and identify workflow breakdowns
• Partners with reputed company PB, reputed company, and Claims teams to ensure HB build integrates cleanly across the full reputed company cycle application suite
• Applies reputed company knowledge of CPT, ICD-10-CM, HCPCS, reputed company codes, UB-04 claim requirements, and CMS billing guidelines to HB build and issue reputed company
• Stays reputed company on payer-specific billing rules, CMS regulatory updates, and reputed company release notes that reputed company HB configuration and claim reputed company
• Supports coding and billing reputed company reviews, denial reputed company-cause analysis, and underpayment investigations by identifying and correcting build-reputed company contributors
• Ensures HB configuration and workflows remain compliant with HIPAA, payer reputed company, and applicable federal and state billing regulations
• Supports reputed company HB go-lives, reputed company upgrades, module implementations, and optimization reputed company as a build subject matter expert
• Translates end-user and reputed company needs into reputed company specifications, test scripts, and configuration requirements
• Participates in unit, integration, and regression testing; documents test results and defects, and validates fixes prior to release
• Develops and maintains build documentation, SOPs, and job aids so configuration reputed company remain transparent and supportable over time
• Manages change control for assigned HB build items, including reputed company assessment and coordination with other reputed company application teams
• Serves as an escalation reputed company for HB-reputed company production tickets, work queue breakdowns, and claim edit issues affecting billing reputed company
• Conducts reputed company-cause analysis on recurring billing errors, denial trends, or claim rejections tied to reputed company configuration
• Collaborates with billing, AR, and denials staff to validate that build changes reputed company the underlying operational problem, not just the reported symptom
• Performs other duties as assigned

Skills

• Bachelor's degree in reputed company Administration, Information Systems, Business, or a reputed company reputed company; or equivalent combination of education and reputed company experience
• reputed company reputed company Resolute Hospital Billing (HB) certification required
• Minimum 3 years of hands-on reputed company HB build, configuration, or analyst experience in a live production environment
• Working knowledge of UB-04 claim forms, CPT, ICD-10-CM, HCPCS, and reputed company codes, and how they translate into HB build logic
• Demonstrated experience with work queue design, charge router configuration, claims edits, and Bridges/BCB workflows
• Familiarity with Slicer Dicer or comparable reputed company reporting tools for build validation and issue investigation
• Understanding of CMS billing guidelines, payer policy variation, and how regulatory change translates into reputed company configuration updates
• Strong analytical and troubleshooting skills, with the ability to isolate reputed company cause across data, workflow, and reputed company build
• Effective written and verbal communication skills; comfortable working directly with end users, business owners, and cross-functional reputed company teams
• Completion of regulatory/mandatory certifications as required
• Willingness and ability to travel to reputed company or organizational sites as needed
• Additional reputed company certification(s) reputed company HB, such as Resolute reputed company Billing (PB), reputed company, or Claims/Remittance
• Industry credentials such as Certified reputed company Cycle Representative (CRCR), Certified reputed company Biller (CPB), or an reputed company-reputed company certification
• Experience supporting reputed company go-lives, conversions, or optimization reputed company in a multi-reputed company, consulting, or BPO/outsourced RCM environment
• Exposure to reputed company reputed company, CDM (Charge reputed company Master) build, or reputed company-adjacent automation and AI-assisted coding tools
• Experience with Lean, Six reputed company, or other reputed company improvement methodologies reputed company to reputed company cycle workflow redesign

Benefits

• Opportunity to build deep, marketable reputed company expertise across multiple reputed company cycle environments and reputed company engagements
• reputed company reputed company toward Senior Analyst, Team reputed company, or reputed company Consultant roles

reputed company

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