Revenue Cycle Operation Analyst/Full Time/Remote

Henry Ford Health
Troy, MI
With minimal supervision, actively collaborates with CBO teams and payors to enhance efficiencies, maintain system profiles, and reduce errors/denials that cause inflow and preventable loss write-offs. This role may also serve as a liaison between clinical departments, information services, the Helios team, and external vendors. Participates in and coordinates system or process improvements.

Principle Duties And Responsibilities

  • Assists internal and external customers by retrieving and analyzing data, to maximize reimbursement and improve efficiency.
  • Responsible for the surveillance of key performance indicators, Epic Watch lists and work queues.
  • Works closely with clients to establish project goals and objectives, identify important operational data, and gain a clear understanding of the processes involved in delivering high-quality, relevant data.
  • Research and analyze third party insurance company data.
  • Works effectively as part of a team in resolving issues escalated through our internal ticket system.
  • Investigates, tests, and resolves problems related to errors.
  • Identifies and escalates issues along with their root causes that impact system performance.
  • Provides preventative maintenance, troubleshooting and resolutions related to system functionality and automation.
  • Focuses on continuous improvement best practices by identifying and diagnosing improvement opportunities.
  • Collaborates across teams to develop unified approaches and standard work. Collaborates with other team members to support processes and act as a liaison to other revenue cycle departments, IT, Provider Enrollment, Helios, as well as r external vendors. Participates and coordinates system or process enhancements.
  • Creates visual aids, such as charts and diagrams, to make it easier to understand problems and suggests ideas for fixing them.
  • Analyzes root causes of specific problems through root cause data analysis, validation of data integrity and results. May use findings to develop action plans for improvement.
  • Create and maintain reporting using Epic’s internal reporting system (Slicer Dicer) along with analyzing Epic dashboards, and Epic standard reporting.

Education And Experience

  • Bachelor's Degree in Business Administration, Healthcare, Finance, IT, or related field, or a minimum of 7 years of experience in Hospital or Professional Billing, Contracting, Payment Variances, or other Healthcare Revenue Cycle experience required.
  • 2 years of health care experience required, preferably at a large, complex, integrated healthcare organization.
  • Outstanding analytical, communication and interpersonal skills are required.
  • Knowledge of Medicare & Medicaid guidelines, and other third-party billing rules.
  • EPIC experience preferred. Excellent oral and written communication skills.
  • Excellent analytical and critical thinking skills. Ability to manage complex, simultaneous assignments with potentially conflicting priorities and deadlines.
  • All-inclusive decision-making skills. Strong diplomacy and collaboration skills.
  • Strong knowledge of Microsoft Office, particularly Excel.
  • Has experience in gathering and organizing data from different sources and presenting findings to leadership in a way that is useful for decision support.

Additional Information

  • Organization: Corporate Services
  • Department: CBO - Transaction Flow
  • Shift: Day Job
  • Union Code: Not Applicable
Posted 2025-09-20

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