Revenue Cycle Operations Analyst

Highmark Health; United States; On-site; USD 42,733 - 66,868; Full time

Job summary

Highmark Health is seeking an Epic Revenue Cycle Analyst to support configuration, rollout, and ongoing operations of Epic-based workflows. You will perform business analysis, requirements documentation, system design, and problem resolution to sustain optimal performance across Revenue Cycle processes.

The role requires Epic proficiency or certification within a year of hire and 3–5 years of healthcare Revenue Cycle experience.

Qualifications

• Epic proficiency or certification within one year of hire date.
• 3-5 years healthcare revenue cycle experience.

Responsibilities

• Provide systematic daily support to Revenue Cycle teams (Patient Access, Patient Accounts, HIM, Finance).
• Coordinate project implementations, system upgrades, break/fix issues, training and QA processes.
• Design/build/test/implement/support Epic software for Revenue Cycle workflows; contribute to tasks independently or with teams.
• Serve as liaison between IT, vendors and Revenue Cycle departments; communicate progress to stakeholders.

Skills

Epic proficiency

Revenue cycle experience

Education

Diploma

Certified Revenue Cycle Specialist

Job description

GENERAL OVERVIEW

This job is responsible for the configuration, rollout, and support of assigned Revenue Cycle applications, with a focus on Epic systems. Responsibilities include business/systems analysis, requirements definition and documentation, system design, problem resolution, and ensuring optimal performance of revenue cycle workflows within the Epic environment. The analyst communicates with system end-users and Revenue Cycle stakeholders to understand issues, implement solutions, and drive continuous improvement.

ESSENTIAL RESPONSIBILITIES

• Must provide systematic daily support to numerous health system management teams within the Revenue Cycle. Supports the business, technical, and operational needs of the Revenue Cycle departments. Departments include but not limited to Patient Access, Patient Accounts, Health Information Management and Finance. Must focus on a balanced approach to systems that considers organization needs, human issues and technology factors. Ability to define the problem, identify requirements, visualize solutions and gain user involvement. Possess the ability to solve practical problems and deal with a variety of variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram or schedule form. (40%)
• Coordinate various aspects of project implementations, system upgrades, break/fix issues, training and quality assurance processes. Solves problems as they arise, conducting root cause analysis to arrive at independent conclusions and performing needed steps in coordination with other analysts to document and resolve problems. Assist in system functional and user acceptance testing. (20%)
• Designs/builds, tests, implements, and supports the needs of Epic software related to Revenue Cycle workflows. Contributes to small to medium tasks/projects independently and participates in larger initiatives with Senior Analysts or project teams. Updates stakeholders as appropriate on a timely basis regarding progress on assigned tasks, projects, and issues. (20%)
• Function as a liaison between Information Technology, systems vendors and Revenue Cycle departments. (10%)
• Communicates easily, accurately and confidently. Tactfully and diplomatically negotiates based on need and foresight in conflicting situations. Effectively presents information and responds to questions from groups of hospital managers, staff, QI teams, clients (i.e. physicians, clinics), coworkers and other customers and associates. Effective communication via telephone and messaging. (10%)
• Other duties as assigned or requested.

QUALIFICATIONS

Minimum

• Epic proficient or certified within one year of hire date
• 3-5 years healthcare revenue cycle experience

Preferred

• Diploma
• Certified Revenue Cycle Specialist or higher
• 1-3 years of systems administration experience within one or more modules of Epic
• Healthcare experience; system implementation; Epic or other healthcare financial information experience; electronic claims system experience

Compliance Requirement

As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. Employees must comply with HIPAA, privacy policies and all data security guidelines. All employees must also adhere to the company’s Code of Business Conduct and applicable laws.

Compensation

• Pay Range Minimum: $31.02
• Pay Range Maximum: $48.54
• Base pay is determined by a variety of factors including a candidate’s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets.

EEO Statement

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.