Revenue Cycle Operations Analyst

Bayhealth; Dover (DE); Presencial; USD 65.000 - 101.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Paid time off

401(k) plan

Health insurance

Disability insurance

On-site child care

Educational reimbursement

FSA accounts

Voluntary benefits

Descripción de la vacante

Bayhealth is seeking a Revenue Cycle Operations Analyst to join the Physician Revenue Cycle team in Dover, DE. The role focuses on analytics, reporting, and denial management to improve revenue performance.

The analyst will develop Epic-based reports, monitor accounts receivable, and support leadership with data-driven insights for practice-level optimization. Strong communication with stakeholders is essential.

Formación

• Five (5) years Physician Revenue Cycle Experience or Data Analytics and Report Writing.
• Epic experience is required to enable optimal report writing.
• Master Degree is preferred; certifications related to revenue cycle are a plus.

Responsabilidades

• Provides utilization, profitability, yield analysis and bad debt reporting for physician practices and care centers.
• Tracks trends and validates claim and denial volumes, monthly by type and payer.
• Performs root-cause analysis and supports mitigation efforts with leadership.
• Produces denial and eligibility reports and time-to-payment reports for contracted payers.
• Benchmarks productivity against budgets and industry standards; helps refine labor standards.
• Delivers monthly AR aging and revenue reports to practice leadership.

Conocimientos

Physician Revenue Cycle Experience

Data Analytics

Report Writing

Epic experience

Educación

Master Degree

Certified Revenue Cycle Professional

Epic revenue cycle certifications

Herramientas

Epic

Descripción del empleo

Revenue Cycle Operations Analyst(Job Id 17934)

Location US:DE:Dover

Post Date 11/5/2026

Employment Type Employee

Description

If you care about the opportunity to grow, to make a difference, to build a future and a life, then we just might have the career for you. Care to talk?

Bayhealth Medical Center is Central and Southern Delaware’s healthcare leader with hospitals in Dover and Milford, a s well as stand -alone Emergency Department in Smyrna and a hybrid E mergency Department and Urgent Care in Milton . We offer various practice settings throughout Kent and Sussex Counties. Bayhealth Medical Center Kent Campus is 90 minutes from Philadelphia, Washington, DC and Baltimore . Our Sussex Campus is 30 minutes to the Delaware beaches and relaxation in the sand!

• Generous Paid Time Off and Paid Holidays
• Matching 401(k)/403(b) Plans
• Excellent Health, Dental, and Vision
• Disability and Life Insurance options
• On Site Child Care
• Educational Reimbursement
• Health Care and Dependent Care Flex Spending Accounts
• Plus, an array of Voluntary Benefits to include Critical Care Coverage and more!

Location: Kent Campus Hospital, Dover Delaware

Status: Full Time 80 Hours Biweekly (Exempt)

Shift: Days

SALARY RANGE: 65,000.00 - 100,734.40 YEARLY

General Summary

The Revenue Cycle Operations Analyst supports the employed physician Patient Financial Services team in claims, accounts receivable, underpayment and denial management reporting analytics. Develop reports in Epic to monitor physician accounts receivable and payer performance at the practice level to track revenue, denial, and overall financial performance. Analyzes large datasets to identify trends, variances, and opportunities for revenue enhancement. Supports analytics with account review findings to identify root cause and validate issues. Benchmarks revenue department performance against like departments/practices.

The ideal candidate is a detail-oriented data analyst who can turn data into actionable information providing all reporting in a timely manner to leadership to support business decisions and prioritize needs. Epic experience is required to enable optimal report writing within the Epic framework and have a willingness to continuously develop and acquire new technical skills. Must be able to communicate effectively with stakeholders to prioritize work efforts.

Responsibilities

• Provides utilization, profitability, yield analysis, and bad debt for all physician practices and care centers. Develops and produces a quarterly practice scorecard for all practice locations.
• Tracks, trends, and validates all claim and denial volumes, payment timeliness monthly by claim type and payer. Analyzes root cause of denials and communicates with respective leadership supporting mitigation efforts. Produces Access denial scorecard by hospital department/physician practice trending eligibility, authorization and coordination of benefit denials. Produces medical necessity denial report by ordering physician. Trends ABN overrides by department/procedure. Produces time-to-payment report for all contracted payers.
• Reconciles surgeon RVUs and hospital denial losses and provides report to Revenue Cycle and Finance leadership.
• Provides payment variance reporting, including, but not limited to: Provides monthly report of underpayments for contracted payers by payer, provides monthly report trending ER visit downgrades by payer, provides monthly report trending evaluation and management visit downgrades by payer. Validates all findings and recommends changes based on payer behavior to better identify payment variances.
• Productivity Benchmarking, including, but not limited to: Tracks productivity based on accounts worked/touched in Epic against hours worked and budgeted FTEs for physician revenue cycle team. Compare performance to departmental and industry benchmarks. Works with management to develop and refine departmental labor standards.
• Produces monthly point of service collection report by practice and distributes it to practice leadership.
• Produces monthly reporting package by clinical division for leadership, includes, but isn't limited to: Accounts receivable aging report, Denial reports by reason code and payer, Revenue and payment reports by practice.
• All other duties as assigned within the scope and range of job responsibilities.

Required Education, Credential(s) and Experience

• Education:
• Credential(s): None Required
• Experience:
• Required: Five (5) years Physician Revenue Cycle Experience or Data Analytics and Report Writing
• Preferred: Medical Revenue Cycle Analytics Experience

Preferred Education, Credential(s) and Experience

• Education: Master Degree
• Credential(s): Certified Revenue Cycle Professional Certification related to the position, if applicable. Epic revenue cycle and/or reporting writing certifications
• Experience:

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