HB Claims Analyst II

HB Claims Analyst II

Work where every moment matters. Every day, more than 40,000 Hartford HealthCare colleagues come to work with one thing in common: pride in what they do, knowing every moment matters here. We invite you to become part of Connecticut's most comprehensive healthcare network. The creation of the HHC System Support Office recognizes the work of a large and growing group of employees whose responsibilities are continually evolving so that we and our departments now work on behalf of the system as a whole, rather than a single member organization. With the creation of our new umbrella organization we now have our own identity with a unique payroll, benefits, performance management system, service recognition programs and other common practices across the system.

Position Summary: The Epic Hospital Billing Claims and Remittance Analyst II is responsible for supporting and optimizing Epic's Resolute Hospital Billing (HB) module, focusing on claims processing and remittance workflows. This role ensures accurate and timely claim submissions, compliance with payer requirements, and effective collaboration across departments to resolve billing issues.

Key Responsibilities:

• Configure and maintain Epic HB Claims and Remittance workflows.
• Process and manage hospital billing claims using Epic Resolute HB.
• Monitor claim edits, rejections, and denials; implement solutions to improve clean claim rates.
• Collaborate with Revenue Cycle, IT, Compliance, and clinical teams to optimize billing operations.
• Analyze trends in claim denials and reimbursement delays.
• Support system upgrades, testing, and documentation of Epic build changes.
• Ensure data integrity using tools like Experian or clearinghouse platforms.
• Provide training and support to end-users and operational teams.
• Participate in operational meetings and provide subject matter expertise.

Qualifications:

Required Qualifications:

• Epic Certification in Resolute Hospital Billing Claims and Remittance Administration.
• 46 years of experience in Epic HB Claims.
• Strong understanding of hospital billing operations, claims submission, and remittance processes.
• Experience with 837/835 files, payer configurations, and clearinghouse workflows.
• Ability to work independently and manage multiple priorities.
• Excellent analytical and problem-solving skills.

Preferred Qualifications:

• Experience in large hospital or integrated health systems.
• Familiarity with Behavioral Health or Ambulatory billing workflows.
• Knowledge of Epic reporting tools (e.g., Reporting Workbench, Clarity).
• Bachelor's degree in Healthcare Administration, IT, Business, or related field.

Work Environment:

• Remote or hybrid work options depending on employer.
• Occasional after-hours support may be required.
• Frequent use of computers and communication tools.

We take great care of careers. With locations around the state, Hartford HealthCare offers exciting opportunities for career development and growth. Here, you are part of an organization on the cutting edge helping to bring new technologies, breakthrough treatments and community education to countless men, women and children. We know that a thriving organization starts with thriving employees-- we provide a competitive benefits program designed to ensure work/life balance. Every moment matters. And this is your moment.

Other Locations: Connecticut-Newington-Curtis-181 Patricia Genova Dr (10016) Regular Standard Hours Per Week: 40 Schedule: Full-time (40 hours)