REVENUE CYCLE SYSTEMS ANALYST

Montefiore Medical Center; United States; On-site; USD 80,000 - 100,000; Full time

Job summary

Montefiore Medical Center in Tarrytown, NY is seeking a Revenue Cycle Systems Analyst to support the Epic billing platform, resolve denials, and optimize revenue capture. The role collaborates with operations, IT, and clinical departments to implement system enhancements and ensure regulatory compliance.

The ideal candidate has 3–5 years in Revenue Cycle, Epic experience, and strong data analysis skills. Day shift, on-site at Montefiore sites with opportunities for process improvements and

Qualifications

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

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 resolve system-related issues.
• Analyze revenue cycle workflows and recommend process improvements for billing accuracy.
• Work with Epic analysts and technical teams to design, test, validate, and implement system build modifications.
• Monitor billing system performance and identify issues affecting revenue capture and compliance.
• Investigate denials and variances to identify trends and corrective actions.
• Develop and execute test plans for system enhancements, upgrades, and regulatory changes.
• Validate system functionality after updates or fixes.
• Maintain revenue cycle policies and documentation for 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 for revenue cycle systems and workflows.
• Ensure compliance with billing regulations and standards.

Skills

Revenue cycle

Epic PB/HB

Excel

Analytical skills

Communication

Education

Bachelor's degree in Healthcare Administration

Equivalent combination of education/experience

Tools

Epic Resolute PB

Epic Hospital Billing

Claims module

Charge Router

Job description

City/State:
Tarrytown, New York
Grant Funded:
No
Department:
REV - RC 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

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: $ 75-100K

Montefiore Medical Center is an equal employment opportunity employer. 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.