Resolute Professional Billing Claims and Remittance Analyst

Our client, PA Health Center Technology Alliance, a subsidiary of the Pennsylvania Association of Community Health Centers (PACHC), serves as the technology partner for community health centers across Pennsylvania.

Position Overview:
The Resolute Professional Billing Claims and Remittance Analyst bridges operational finance and technical system configuration to ensure all professional services are captured, coded, billed, and collected accurately. This role also manages shared revenue configurations that affect both Federally Qualified Health Centers (FQHCs) and Professional Billing (PB) environments, contributing to unified billing strategies.

This is a primarily remote/hybrid position. Applicants must be located in Pennsylvania or surrounding states and able to travel to health center locations within PA for training and mandatory in-person meetings.

Key Responsibilities:

• Set up professional billing fee schedules, provider records, and department entries in Epic
• Design, configure, and maintain work queues for charge review, claim lead, and follow-up to optimize claim processing and reduce revenue leakage
• Develop and test rule logic for billing triggers, including Best Practice Advisories (BPAs) and Extension Records (LPRs)
• Configure electronic claim forms (CMS-1500 or 837P) and automate remittance posting (835)
• Support Single Billing Office (SBO) functionality for consolidated statements and payment plans
• Collaborate with finance teams, clinical departments, and IT to align operational and technical goals
• Troubleshoot denied claims and identify system build or data migration errors
• Maintain compliance with relevant coding, billing, and regulatory standards

Qualifications:

• Bachelor’s degree in computer science, IT, health informatics, or related field
• 3–5 years’ healthcare IT experience, with a focus on data migration or interface development
• Working knowledge of HL7 v2.x interface messaging, FHIR APIs, X12 (837/835), and CCD/C-CDA standards
• Strong analytical and troubleshooting skills for claims and remittance workflows
• Thorough understanding of coding standards (CPT/HCPCS, ICD-10, modifiers)
• Ability to explain technical billing concepts to clinical and financial stakeholders
• Epic certification in Resolute Professional Billing and Shared Revenue Administration (SRA) preferred; if not certified, must obtain Epic certification within six months of employment
• Commitment to maintaining certification through New Version Training (NVT) annually

Apply today to join a growing progressive organization!

Pay: $85,000.00 - $105,000.00 per year

Benefits:

• Dental insurance
• Employee assistance program
• Health insurance
• Life insurance
• Paid time off
• Retirement plan
• Vision insurance

Work Location: Hybrid remote in Lemoyne, PA 17043