Revenue Cycle Analyst - Optimization - Patient Financial Services * Days - 40hrs/wk
- Bachelor's degree in Business, Healthcare Administration, Science, Economics, Finance or related field.
- Master's degree in Business, Healthcare Administration, Science, Economics, Finance or related field – preferred.
- Coding Certification – preferred.
- 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
- Experience with Tableau dashboards – preferred.
- 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.
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