About The Position

The Revenue Cycle Analyst partners with revenue cycle and clinical operations to optimize financial performance and maximize revenue opportunities. This role brings deep expertise and a holistic understanding of clinical and financial workflows to perform root cause analysis, identify process gaps, and drive workflow and technology-enabled improvements. The Analyst proactively monitors performance, analyzes results, and delivers actionable, data-driven insights to support revenue optimization, reduce avoidable write-offs, and improve operational efficiency across the Region.

Requirements

  • Bachelor's degree in Business, Healthcare Administration, Science, Economics, Finance or related field.
  • Minimum 5 years of Healthcare Revenue Cycle / Finance experience required.
  • Strong verbal, written and interpersonal communication skills.
  • Strong organization and time management skills and ability to handle multiple priorities.
  • Strong critical thinking, analytical and problem solving skills with a focus on supporting process improvements
  • Ability to work in a collaborative team environment.
  • Advanced knowledge of clinical operations and revenue cycle operations with ability to translate information
  • Ability to lead meetings
  • Advanced knowledge in payer reimbursement and compliance guidelines
  • Proficiency with Microsoft Office products, Excel, Word, PowerPoint.
  • Ability to lead projects, optimize systems, and drive organizational change.
  • Expert knowledge of Epic charging workflows, payer reimbursement, and regulatory compliance
  • Advanced knowledge of Epic clinical and revenue applications, reports, and system capabilities.
  • Demonstrated ability creating SBARs, power point slides, root cause analysis including recommendations and outcomes
  • Strong analytical skills including demonstrated experience using Slicer Dicer and other reporting tools.
  • Desire to continuously learn and apply new improvement methodologies, and to spread successful innovation through the institution.
  • In-depth knowledge of hospital and professional billing processes including payer behavior

Nice To Haves

  • Master's degree in Business, Healthcare Administration, Science, Economics, Finance or related field
  • Coding Certification
  • Experience with Tableau dashboards

Responsibilities

  • Conducts in-depth root cause analysis of revenue leakage, avoidable write-offs, and performance variation, summarizing findings and recommending actionable improvements to support leadership decision-making and process improvement.
  • Develops and proposes mitigation strategies, including workflow redesign, education, and technology-enabled solutions, to address systemic issues.
  • Leads and supports initiatives to reduce avoidable write-offs across UMH Sparrow and UMH West.
  • Facilitates and leads stakeholder meetings, providing high-level problem solving with consideration of revenue, compliance, and operational impacts.
  • Partners with payers to address policy changes, claim processing issues, and systemic drivers of write-offs.
  • Educates clinical and operational teams on workflows, payer requirements, and process improvements to improve outcomes and mitigate write-offs.
  • Leverages technology, analytics tools, and software solutions to track performance, monitor progress, and support improvement initiatives.
  • Partners with Regional IT to design and implement Epic build changes, enhanced functionality, and new or optimized workflows.
  • Translates complex quantitative and qualitative data into clear, actionable insights through written summaries, dashboards, and presentations for leadership.
  • Monitors trends, variances, and outliers to proactively identify revenue risk, opportunity, and performance improvement areas.
  • Serves as a senior analytical resource and escalation point for complex reporting, metrics, and analytical questions.
  • Participates in regional and systemwide initiatives by providing analytical expertise and reporting support.
  • Mentors and supports Analyst I and II staff in reporting standards, best practices, and analytical techniques, fostering strong analytical capability across the team.
  • Builds and maintains strong regional partnerships with clinical, revenue cycle, IT, and payer stakeholders.
© 2024 Teal Labs, Inc
Privacy PolicyTerms of Service