Bachelor's degree in business or health care administration
2-3 years operational experience within revenue cycle
Proficiency with epic systems (cadence, adt, resolute)
The Revenue Cycle Process Improvement Systems Analyst serves as an internal consultant driving 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 driving implementation of revenue cycle improvement initiatives using a structured industry-approved approach.
This position acts as an expert in understanding payer requirements to identify and resolve billing and compliance issues prior to billing or after a denial is received.
The role requires analyzing data to identify historic trends, determining root causes for medical necessity denials, and formulating strategic plans for appealing those denials.
Matching Summary
The Revenue Cycle Process Improvement Systems Analyst serves as an internal consultant driving 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 (Cadence, ADT, Resolute)
Knowledge of DMAIC process and lean tools
Expertise in payer authorization requirements and denials
Nice-to-have
Master's degree in business or Operational Efficiency
Lean/Six Sigma certification
Experience with Qlik data visualization tools
Process mapping and value stream mapping skills
Key Requirements
Bachelor's Degree in Business or Health Care Administration
2-3 years of operational experience within the Revenue Cycle
Familiarity with the DMAIC process and lean tools
Proficient with computer information systems including Epic and Microsoft Office