Epic Resolute Professional Billing (PB) is Epic’s solution for managing professional billing for ambulatory and physician services. It supports end-to-end workflows including charge capture, claim generation, edits and scrubbing, follow-up, payment posting, denials, and patient responsibility management, helping organizations improve reimbursement and billing accuracy.
This certification-oriented training focuses on core concepts and practical workflows such as:
- Overview of Epic revenue cycle and the role of Resolute PB.
- Patient registration, scheduling touchpoints, and billing integration.
- Charge capture, charge review, and workqueues.
- Claim creation, edits, scrubbing, and submission.
- Follow-up workflows, denials, and appeal processes.
- Payment posting, adjustments, and write-offs.
- Reporting, workqueue configuration basics, and productivity tracking.
- Basic understanding of healthcare revenue cycle concepts (charges, claims, payments, adjustments).
- Familiarity with medical billing workflows (CPT, ICD, payers, EOB/ERA).
- Experience in a clinic, hospital billing office, or revenue cycle role is an advantage.
- Exposure to Epic or other EMR/PM systems is helpful but not mandatory.
- Understanding of the end-to-end professional billing workflow in Epic.
- Hands-on experience with charge review, claim edit workqueues, and follow-up workqueues.
- Ability to work with payers, remittances, and resolve denials using Epic Resolute PB tools.
- Familiarity with key Epic PB master files, build concepts, and configuration basics (at an overview level).
- Stronger readiness for Epic Resolute Professional Billing certification tracks (as per your organization’s access to Epic).
- Billing analysts and revenue cycle specialists.
- Epic PB analysts and configuration/IT staff.
- Medical billers and AR follow-up teams.
- Healthcare operations professionals moving into Epic roles.
- Consultants working on Epic revenue cycle implementations.
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