Bachelor's degree in business or health care administration
2-3 years operational experience within revenue cycle
Proficiency with epic systems including cadence adt resolute
The Revenue Cycle Process Improvement Systems Analyst serves as an internal consultant supporting the implementation of revenue cycle improvement initiatives using a structured industry-approved approach
Job Summary
The Revenue Cycle Process Improvement Systems Analyst serves as an internal consultant supporting the implementation of revenue cycle improvement initiatives using a structured industry-approved approach.
This position is responsible for providing higher-level reviews of medical necessity and authorization denials to determine root causes and formulating strategic plans for appealing those denials.
Candidates must possess expert knowledge of payer authorization requirements and proficiency with systems such as Epic, Microsoft Office, and Qlik to analyze data and resolve billing issues.
Matching Summary
The Revenue Cycle Process Improvement Systems Analyst serves as an internal consultant supporting the implementation of revenue cycle improvement initiatives using a structured industry-approved approach.
Skills & Requirements
Must-have
Bachelor's degree in Business or Health Care Administration
2-3 years operational experience within Revenue Cycle
Proficiency with Epic systems including Cadence ADT Resolute
Knowledge of DMAIC process and lean tools concepts
Expertise in payer authorization requirements and medical necessity
Nice-to-have
Master's degree in business or Operational Efficiency
Lean/Six Sigma certification and/or experience
Excellent analytical skills and communication abilities
Experience with Midas system modules
Ability to train onboarding peers
Key Requirements
Bachelor's Degree in Business or Health Care Administration
2-3 years of operational experience within Revenue Cycle