Analyzes revenue cycle operations, metrics, productivity, and performance gaps; builds dashboards; conducts root cause analysis; and designs, tests, and implements Epic edits, workflows, queues, and processes to improve revenue recovery, regulatory compliance, and team efficiency.
The Revenue Cycle Operations Analyst works closely with the function line manager to drive initiatives and projects. Consults and advises on functional unit operations and improvement opportunities. Focuses on metrics and resolving gaps in actual results vs targets. Creates weekly dashboard for status of various projects, initiatives and metrics. Support department objectives with analytical support, root cause analysis, user requirements for updating edits / process flows / queue updates in Epic.
Responsibilities- Executes Revenue Cycle Business Office Operations and functions
- Generates, analyzes and presents operational metrics for area being supported; could include things such as Billing, T Status, AR, Cash Balance, CFB, etc
- Designs, tests, and implements new system edits or workflow or queue changes.
- Designs, tests, and implements new processes to support regulatory or system changes.
- Identifies improvement opportunities to drive more revenue and recovery by the department.
- Monitors Productivity
- Monitors productivity of team members to ensure unit is operating efficiently and effectively; Looks for patterns and communicates any issues to manager for resolution.
- Identifies and rationalizes time gaps in team members work, communicating any issues to manager for resolution.
- Identifies process and system improvements to drive productivity to target levels
- Other Duties as assigned
- General support tasks as needed
5 years experience in performing Revenue Cycle / Hospital Business Office functions (Customer Service, Billing, Follow-up)
Related certification program in areas such as billing, medical office, coding and accounting can be substituted for 1 year of experience, such as CPC, CCS or equivalent
Bachelor's degree
Critical thinking, project management, data analysis, problem solving, systems interaction process implementation
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