The Revenue Cycle Operations Analyst is responsible for monitoring, analyzing, and supporting Epic revenue cycle work queues to ensure timely resolution of accounts, reduction of denials, and optimization of billing workflows. This role serves as a subject matter expert in Epic work queues (HB/PB) and works closely with operational staff, coding, billing, and IT teams to maintain smooth revenue cycle operations and maximize reimbursement.
Monitor and manage Epic work queues daily (Hospital Billing, Professional Billing, Claims, Follow-Up, Denials, Charge Review, and Coding).
Identify recurring issues, trends, or bottlenecks in work queue activity and escalate as needed.
Ensure timely resolution of accounts to meet organizational KPIs for AR days, denial rates, and clean claim submission.
Collaborate with end users to troubleshoot errors and support process improvements.
Generate and analyze Epic reports on work queue performance, aging, and productivity.
Recommend workflow changes and process improvements to reduce backlogs and improve efficiency.
Partner with revenue integrity, coding, and finance teams to ensure compliance with payer rules and billing regulations.
Assist in developing strategies to reduce denials and enhance charge capture accuracy.
Act as a liaison between revenue cycle operations and Epic application analysts.
Work with IT and analysts to modify, test, and validate work queue build and configuration as needed.
Provide training and education to revenue cycle staff on work queue use, best practices, and error prevention.
Support leadership in preparing presentations and performance summaries for executive review.
Participate in Epic upgrade and enhancement projects, testing changes that affect revenue cycle work queues.
Stay current with Epic functionality, payer requirements, and industry best practices.
Develop dashboards or tools to track key revenue cycle metrics tied to work queue efficiency.
Education: Bachelor’s degree in Healthcare Administration, Business, IT, or related field (or equivalent experience).
Experience:
2–4 years of revenue cycle operations experience required.
Prior hands-on experience with Epic revenue cycle modules (Resolute HB, PB, Claims, Charge Router, Denials).
Strong understanding of billing, collections, denial management, and charge capture workflows.
Certifications (Preferred): CRCR, Epic Revenue Cycle certifications, or other professional coding/billing certifications (CPC, CCS).
...Summary Description: The Adjunct Instructor for Social Sciences and Sociology reports to the Chair of Social Sciences and Humanities and... ...Criminology Psychology Counseling Social Science Research Methods Government: US, State & Local, US Legal System, Policy...
...Highlights -Excellent salary, details provided during the interview -Cutting-edge NGL curriculum and modern materials -Teach online based in the vibrant capital city of Beijing Online ESL Jobs Based in Beijing We are now looking for enthusiastic, positive and...
...content in 9 markets; and numerous streaming and digital platforms. CMG's TV portfolio includes multiple primary affiliates of ABC, CBS, FOX, NBC, Telemundo and MyNetworkTV, as well as several valuable news and independent stations. For more information about CMG, visit...
...MEMCO is hiring COMMERCIAL Drywall Mechanics/Hangers in Atlanta! Pay: $20 - $25/hr based on prior construction experience Benefits: Limited Health Care Plan available after 30 days of employment Shift: 7-5pm; Monday-Friday Job Overview : We are hiring...
...with equipment they are qualified to operate such as hand tools, power tools and heavy equipment. This position requires the ability to... ...area* Work on the Rig floor* Operate high pressure power washing equipment* Set well equipment at well locations* Load/unload...