REVENUE CYCLE SYSTEMS ANALYST

3000 Montefiore Medical Center

South Broadway (WA)

On-site

USD 80,000 - 100,000

Full time

3 days ago
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Benefits offered by this job

Comprehensive benefits
Insurance options
Discount programs

Job summary

Montefiore Medical Center is seeking a Revenue Cycle Systems Analyst to support and enhance Epic billing workflows across the organization. This role collaborates with Revenue Cycle Operations, IT, and clinical departments to resolve denials, improve billing accuracy, and drive revenue integrity.

The ideal candidate will have 3–5 years of Revenue Cycle experience, strong analytical skills, and proficiency with Microsoft Excel.

Qualifications

  • Bachelor's degree in a related field required.
  • Minimum 3–5 years in Revenue Cycle or related healthcare operations.
  • Experience with Epic Revenue Cycle applications strongly preferred.

Responsibilities

  • Support implementation, testing, and maintenance of Epic billing system updates.
  • Perform root cause analyses of charging, coding, billing, denial issues.
  • Collaborate with Revenue Cycle, IT, and departments to resolve system issues.
  • Analyze revenue cycle workflows and recommend process improvements.
  • Design, test, and implement system build modifications with Epic teams.
  • Monitor system performance and identify issues impacting revenue capture.

Skills

Analytical thinking
Communication skills
Problem solving

Education

Bachelor's degree in Healthcare Administration, Health Informatics, Information Systems, Business Administration, Finance, or related field

Tools

Microsoft Excel
Epic PB/HB

Job description

City/State: Tarrytown, New York
Grant Funded: No
Department: REV - HB Revenue Cycle Systems
Work Shift: Day Work Days: MON-FRI Scheduled Hours: 9 AM-5 PM Scheduled Daily Hours: 7.5 HOURS Pay Range: $80,000.00-$100,000.00

Job Summary

The Revenue Cycle Systems Analyst supports Revenue Cycle operations by implementing billing system enhancements, maintaining revenue integrity, and ensuring compliant billing practices across the organization. This role serves as a liaison between Revenue Cycle Operations, Information Technology, and other stakeholders to identify, analyze, and resolve charging, coding, billing, and denial-related issues. The Analyst conducts root cause analysis, develops recommendations, and collaborates with operational and technical teams to implement Epic system build changes and workflow improvements that optimize revenue cycle performance.

Essential Duties and Responsibilities
  • Support the implementation, testing, and maintenance of Epic billing system updates and enhancements.
  • Perform root cause analysis of charging, coding, billing, claim edits, denials, and reimbursement issues.
  • Collaborate with Revenue Cycle Operations, Patient Financial Services, Health Information Management, Compliance, Clinical Departments, and IT teams to identify and resolve system-related issues.
  • Analyze revenue cycle workflows and recommend process improvements to enhance operational efficiency and billing accuracy.
  • Work with Epic analysts and technical teams to design, test, validate, and implement system build modifications.
  • Monitor billing system performance and proactively identify issues impacting revenue capture, reimbursement, or regulatory compliance.
  • Investigate claim denials and payment variances to identify trends and recommend corrective actions.
  • Develop and execute test plans for system enhancements, upgrades, and regulatory changes.
  • Validate system functionality following implementation of updates or corrective actions.
  • Assist in maintaining revenue cycle policies, procedures, and documentation related to system workflows and billing processes.
  • Produce reports and data analysis to support operational decision-making and revenue cycle initiatives.
  • Participate in projects related to regulatory requirements, payer changes, workflow optimization, and revenue integrity programs.
  • Provide end-user support, troubleshooting, and training related to revenue cycle systems and workflows.
  • Ensure compliance with federal, state, payer, and organizational billing regulations and standards.
Qualifications

Education Bachelor's degree in Healthcare Administration, Health Informatics, Information Systems, Business Administration, Finance, or a related field required. Equivalent combination of education and relevant experience may be considered.

Experience

Minimum of three (3) to five (5) years of experience in Revenue Cycle, Healthcare Information Systems, Patient Financial Services, Revenue Integrity, or related healthcare operations required. Experience supporting Epic Revenue Cycle applications strongly preferred. Experience with hospital and physician billing workflows preferred. Experience performing data analysis, system testing, and process improvement initiatives preferred.

Knowledge, Skills, and Abilities

Strong understanding of healthcare revenue cycle processes, including registration, charge capture, coding, claims processing, reimbursement, denials management, and collections. Knowledge of healthcare billing regulations and payer requirements. Familiarity with Epic Resolute Professional Billing (PB), Hospital Billing (HB), Claims, Charge Router, or related Epic modules preferred. Strong analytical and problem-solving skills with the ability to conduct root cause analysis and identify effective solutions. Ability to interpret billing, reimbursement, and financial data. Proficiency with Microsoft Excel, reporting tools, and data analysis techniques. Excellent communication and interpersonal skills with the ability to interact effectively with operational and technical teams. Strong organizational skills and ability to manage multiple priorities in a fast-paced environment. Ability to work independently and collaboratively on cross-functional projects.

Preferred Certifications

Epic Certification in Resolute Professional Billing (PB), Hospital Billing (HB), Claims, or Revenue Cycle applications preferred. Certified Revenue Cycle Representative (CRCR) or related healthcare revenue cycle certification preferred.

Salary

Salary $75-100K

Montefiore Medical Center will recruit, hire, train, transfer, promote, layoff and discharge associates in all job classifications without regard to their race, color, religion, creed, national origin, alienage or citizenship status, age, gender, actual or presumed disability, history of disability, sexual orientation, gender identity, gender expression, genetic predisposition or carrier status, pregnancy, military status, marital status, or partnership status, or any other characteristic protected by law.

Since its inception in 1884, Montefiore’s mission has been to heal, to teach, to discover and advance the health of the communities we serve.

Montefiore's state-of-the-art facilities include the internationally-recognized Children’s Hospital at Montefiore and our Notable Centers of Excellence - Montefiore Einstein Center for Cancer Care, Montefiore Einstein Center for Heart and Vascular Care, Montefiore Einstein Center for Transplantation.

Combined with a growing number of locations for primary and specialty care throughout the Bronx and Westchester County, Montefiore is the ideal organization to apply and hone your expertise.

An assortment of insurance products and discount programs through Voluntary Benefits.

Check out our comprehensive benefits available to you when you join our outstanding team!

To heal, to teach, to discover and to advance the health of the communities we serve. To be a premier academic medical center that transforms health and enriches lives.

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