Revenue Cycle Analyst - IS, Full Time
About The Position
The Revenue Cycle Systems Analyst supports Oracle Health (Cerner) CommunityWorks through application support, troubleshooting, configuration, testing, and optimization of systems and workflows that support the healthcare revenue cycle. The analyst works with Information Systems, Patient Access, HIM, Patient Financial Services, clinical departments, Oracle Health, and other vendors to identify system issues, improve workflows, and support accurate and efficient billing and reimbursement. The role follows transactions through the revenue cycle to identify system or process failures, determine underlying causes, and implement sustainable solutions. The position helps improve reimbursement, productivity, compliance, and overall revenue cycle performance. It also maintains compliance with HIPAA, organizational policies, and applicable healthcare regulations. The schedule is Monday through Friday, 8:00 AM to 5:00 PM, with call.
Requirements
- Associate’s or bachelor’s degree in Information Systems, Healthcare Administration, Health Information Management, Computer Science, or a related field, or equivalent experience.
- Three or more years of healthcare revenue cycle, hospital information systems, or healthcare application support experience preferred.
- Experience with Oracle Health (Cerner), preferably CommunityWorks.
- Knowledge of patient registration, charge capture, coding, billing, claims, reimbursement, and revenue cycle workflows.
- Strong analytical, troubleshooting, communication, and problem-solving skills.
- Ability to manage multiple priorities and work effectively with technical and operational teams.
Nice To Haves
- Hands-on Oracle Health (Cerner) CommunityWorks experience.
- Hospital and/or physician billing experience.
- Knowledge of UB-04, CMS-1500, Medicare, Medicaid, and commercial payer requirements.
- Experience with healthcare EDI transactions, including 837 and 835.
Responsibilities
- Support and troubleshoot Oracle Health (Cerner) CommunityWorks revenue cycle applications and workflows.
- Investigate system issues affecting registration, charge capture, billing, claims, reimbursement, and accounts receivable.
- Support patient access, insurance, authorization, payer, encounter, and billing configurations.
- Troubleshoot claim edits, billing holds, work queues, rejected claims, and delayed accounts.
- Support charge capture, reconciliation, CPT/HCPCS, revenue codes, modifiers, and related billing configurations.
- Assist with 837 claims, 835 remittances, clearinghouse processes, and payer-specific requirements.
- Identify root causes and develop sustainable solutions that reduce manual processes, denials, and billing delays.
- Perform system configuration, testing, upgrades, and change management activities.
- Collaborate with Revenue Cycle leadership, operational departments, Oracle Health, and other vendors on system improvements.
- Maintain compliance with HIPAA, organizational policies, and applicable healthcare regulations.
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What This Job Offers
Job Type
Full-time
Education Level
Associate degree
