5,902 Revenue Cycle Analyst jobs in the United States

**Job Summary and Responsibilities**
This job is responsible for developing in‐depth and complex financial analyses in support of the Texas Division Physician Enterprise Revenue Cycle function and for the development/maintenance of advanced ad hoc reports/databases consistent with industry standards, internal policies/procedures and general requirements. Reports are produced for Revenue Cycle functions such claims submission, insurance follow‐up, cash management, credits/refunds, charge/payment posting, coding and clinic customer service. An incumbent interprets/analyzes report content and develops presentations for key stakeholders, including providers, clinic management and organizational leadership. Strong communication, analytical and critical thinking skills are required for timely report generation/distribution through use of computer‐based applications and data. Work also includes: 1) developing/maintaining Key Performance Indicator (KPI) dashboards, reimbursement and payer mix analyses and clinic/business operational reports; 2) interpreting/explaining report findings to clinic management/organizational leadership and recommending process improvements; 3) serving as principle liaison between business operations leaders and Information Technology (IT), facilitating technology/tools enhancements and system maintenance/modification; and 4) providing training/guidance to other Revenue Cycle staff with regard to reporting, analytics and related tools.
1. Gathers information for various financial projects, including payer contract negotiations, payment variance analysis, and reimbursement analysis; runs ad hoc reports as needed; performs in‐depth analysis; summarize results and recommendations.
2. Identifies, researches and resolves (within position scope) unusual, complex or escalated issues through critical thinking and problem solving skills; notifies Manager/Director of ongoing issues and concerns.
3. Independently performs complex research, compiles financial analyses, and develops detailed spreadsheets and presentations; prepares in‐depth analyses focused on accuracy, reliability, and timeliness; provides/presents interpretation of findings to senior leaders, colleagues, clinic leaders , and/or physicians.
4. Develops analyses and reports to support key initiatives, including identification and recommendation of improvements to existing processes, with timely follow‐through as appropriate.
5. Monitors weekly performance metrics and completes root cause analyses to identify metric improvement opportunities related to regional revenue cycle activities.
6. Provides management with weekly/ monthly, quarterly, and annual updates/summaries of key performance indicators for identified departments.
7. Monitors ad hoc reporting requests and responds to/fulfill requests within pre‐determined service timeframes.
8. Analyzes department/team activities and trends and compares findings against the service standards and industry best practices.
9. Consolidate and analyze financial data to do comparative analyses (forecasting and variance analysis) taking into account company's goals and revenue cycle financial standing.
10. Maintain department standard of productivity metrics related to claims processed, claims rejected, claims denied, collection volume and rates relative to fee schedules, patient payments, account write‐offs due to contractual issues and collections problems.
11. Provide assistance in creating and monitoring models that connect strategies to measures of performance that ensure successful reporting of revenue cycle AR Work with IT, Financial Data Warehouse, and Managed Care to develop dashboards and metrics tracking.
Other duties as assigned by management.
**Job Requirements**
**_Required Education and Experience_**
Bachelor's degree from an accredited University
*5+ years accounting, finance, finance analytics or similar experience with 3 years of experience in healthcare financial and revenue cycle analysis. Experience in Financial Reporting System ‐ People Soft, SQL, Essbase, Tableau, Lawson and Baseware.
**_Required Minimum Knowledge, Skills, Abilities_** **_and Training_**
Strong Data Mining/ Business Systems proficiency
Multidimensional Billing systems technology platforms - example: EPIC and Centricity experience.
3 plus years of work analysis experience supporting larger groups.
Ability to review and manage project based assignments.
Strong analytical and organizational skills.
Quantitative, with strong attention to detail and high degree of comfort with large data volumes.
**Where You'll Work**
CommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health. With more than 700 care sites across the U.S. & from clinics and hospitals to home-based care and virtual care services CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our communities need caring and our families need protection. With our combined resources CommonSpirit is committed to building healthy communities advocating for those who are poor and vulnerable and innovating how and where healing can happen both inside our hospitals and out in the community.
**Pay Range**
$28.10 - $41.80 /hour
We are an equal opportunity/affirmative action employer.

**Current Saint Francis Employees - Please click HERE ( **to login and apply.**
Full Time
Days
Schedule: Monday - Friday | 8:00am - 5:00pm
**_*Please note: This position is onsite in Tulsa, Oklahoma and is NOT eligible for remote work._**
Job Summary: The Revenue Cycle Analyst supports the financial performance of the organization by analyzing, collecting, and interpreting data related to the revenue cycle. This role focuses on identifying opportunities for process improvement, optimizing billing and collection workflows. They ensure accurate revenue capture through detailed reporting and collaboration with internal stakeholders.
Minimum Education: High School Diploma or GED. Bachelor's degree in Business, Finance, Healthcare Administration, or a related field, preferred.
Licensure, Registration and/or Certification: None. Certified Revenue Cycle Representative (CRCR) from Healthcare Financial Management Association (HFMA) and Epic Certifications (Access Data Model or Revenue Data Model), preferred.
Work Experience: Minimum 3 years experience in Healthcare Revenue Cycle, Financial Analysis, or Medical Billing.
Knowledge, Skills, and Abilities: Knowledge of Microsoft 365 and other applicable software. Strong knowledge in Epic, including basic reporting tools, system navigation, and workflows. Basic knowledge of insurance payer portals for eligibility and claim status. Knowledge of healthcare regulatory requirements. Strong organizational skills and attention to detail. Excellent communication skills, both written and verbal that present clear and concise information. Sound ability to analyze financial and operational data to support decisions. Ability to work independently and collaboratively in a fast-paced environment, managing multiple priorities with competing deadlines.
Essential Functions and Responsibilities: Performs daily, weekly, and monthly revenue cycle reporting. Monitors Key Performance Indicators (KPIs) such as denial rates, Accounts Receivable (AR) days, and clean claim rates. Conducts root cause analysis and provides data driven recommendations for revenue cycle departments. Supports operational teams with data extracts, dashboards, and workflow metrics. Communicates findings and trends to management and relevant departments. Maintains knowledge of payer policies and compliance requirements.
Decision Making: Independent judgment in planning sequence of operations and making minor decisions in a complex technical or professional field.
Working Relationships: Works directly with patients and/or customers. Works with internal and/or external customers via telephone or face to face interaction. Works with other healthcare professionals and staff.
Special Job Dimensions: None.
Supplemental Information: This document generally describes the essential functions of the job and the physical demands required to perform the job. This compilation of essential functions and physical demands is not all inclusive nor does it prohibit the assignment of additional duties.
Patient Accounting - Yale Campus
Location:
Tulsa, Oklahoma 74136
**EOE Protected Veterans/Disability**

At Houston Methodist, the Revenue Cycle Analyst position is responsible for facilitating (gathering, trending, reporting, monitoring, analyzing) data and analytics and various data driven initiatives pertinent to the revenue cycle within the organization, acting as a bridge between the client, stakeholders and assigned team. The Revenue Cycle Analyst is assigned to projects of intermediate complexity and scope and is responsible for identifying the business needs of clients and stakeholders to optimize reimbursement. Duties involve producing, analyzing, validating and documenting business, organizational and/or operational requirements.
**PEOPLE ESSENTIAL FUNCTIONS**
+ Bridges communication channels between the department, the Business Office, the Single Billing Office (SBO), and other respective stakeholders.
+ Works closely with the operations teams to identify and eliminate barriers to account resolution that directly impact optimal reimbursement.
+ Engages customers and acts as liaison between operations and the technical team. Utilizes revenue cycle knowledge base to meet and develop business intelligence and document business case/scope/plan. Sets expectations and coordinates team members utilizing teamwork and collaborative skills.
**SERVICE ESSENTIAL FUNCTIONS**
+ Participates in various initiatives as a revenue cycle subject matter expert. Gathers and assimilates data and provides insight to leaders, committees and task forces.
+ Assists in the development, maintenance, and distribution of ad-hoc reports and financial models as needed.
+ Analyzes complex data sets to identify trends and variances to support optimal reimbursement. Communicates complex analytic findings and conclusions in an easy-to-understand manner.
**QUALITY/SAFETY ESSENTIAL FUNCTIONS**
+ Extracts data, develops and presents logical and comprehensive analyses and/or summaries on key metrics, identifies trends, presents opportunity areas, and prioritizes initiatives for performance improvement in a variety of areas, such as claim submission, insurance and self-pay collections, refunds and write-off approvals. Performs data analysis on an independent basis and consults with management as necessary.
+ Performs required testing and quality assurance to ensure solutions delivered are defect free and of high quality.
+ Ensures the quality and integrity of data collected for decision making and works with the other areas of the organization to ensure consistency as applicable. Ensures information is consistent, accurate, relevant and timely.
**FINANCE ESSENTIAL FUNCTIONS**
+ Supports financial strategy and analysis activities including business analysis, financial metrics, and project management.
+ Utilizes department resources and supplies effectively and practices good time management. Helps minimize excess cost(s) by assisting and recommending solutions in achieving organizational objectives.
**GROWTH/INNOVATION ESSENTIAL FUNCTIONS**
+ Continuously seeks new and creative technologies and innovations that help identify and guide improvement opportunities.
+ Stays current on revenue cycle and industry trends. Actively engages in personal assessment and expands learning beyond baseline competencies with a focus on continual development (i.e., participates in training opportunities, focal point review activity, etc.). Applies new learning.
+ Proactively manages own professional development.
This job description is not intended to be all-inclusive; the employee will also perform other reasonably related business/job duties as assigned. Houston Methodist reserves the right to revise job duties and responsibilities as the need arises.
**EDUCATION**
+ Bachelor's degree (preferably in business administration, finance, healthcare administration, or related discipline) or additional four years of experience (in addition to the minimum experience requirements listed below) in lieu of degree
**WORK EXPERIENCE**
+ Three years of experience supporting revenue cycle functions
**LICENSES AND CERTIFICATIONS - REQUIRED**
+ N/A
**KNOWLEDGE, SKILLS, AND ABILITIES**
+ Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through on-going skills, competency assessments, and performance evaluations
+ Sufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially with regard to activities impacting patient or employee safety or security
+ Ability to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principles
+ Ability to complete sophisticated analytical, consultative, and information support through analysis and report preparation
+ General knowledge of Performance Improvement methodologies
+ Skill in general use of spreadsheet, database and word-processing software
+ Ability to independently analyze and solve problems
+ Interpersonal skills for interfacing with all levels of customers and collaborating across clinical and non-clinical departments
+ Ability to multi-task with good attention to detail
+ Ability to enhance reporting effectiveness and efficiency
**SUPPLEMENTAL REQUIREMENTS**
**WORK ATTIRE**
+ Uniform No
+ Scrubs No
+ Business professional Yes
+ Other (department approved) Yes
**ON-CALL***
_*Note that employees may be required to be on-call during emergencies (ie. DIsaster, Severe Weather Events, etc) regardless of selection below._
+ On Call* No
**TRAVEL***
_**Travel specifications may vary by department**_
+ May require travel within the Houston Metropolitan area Yes
+ May require travel outside Houston Metropolitan area No
**Company Profile:**
Houston Methodist is one of the nation's leading health systems and academic medical centers. Houston Methodist consists of eight hospitals: Houston Methodist Hospital, its flagship academic hospital in the heart of the Texas Medical Center, and seven community hospitals throughout the greater Houston area. Houston Methodist also includes an academic institute, a comprehensive residency program, a global business division, numerous physician practices and several free-standing emergency rooms and outpatient facilities. Overall, Houston Methodist employs more than 27,000 employees and is supported by a wide variety of business functions that operate at the system level to help enable clinical departments to provide high quality patient care.
Houston Methodist is an Equal Opportunity Employer.

At Houston Methodist, the Revenue Cycle Analyst position is responsible for facilitating (gathering, trending, reporting, monitoring, analyzing) data and analytics and various data driven initiatives pertinent to the revenue cycle within the organization, acting as a bridge between the client, stakeholders and assigned team. The Revenue Cycle Analyst is assigned to projects of intermediate complexity and scope and is responsible for identifying the business needs of clients and stakeholders to optimize reimbursement. Duties involve producing, analyzing, validating and documenting business, organizational and/or operational requirements.
**PEOPLE ESSENTIAL FUNCTIONS**
+ Bridges communication channels between the department, the Business Office, the Single Billing Office (SBO), and other respective stakeholders.
+ Works closely with the operations teams to identify and eliminate barriers to account resolution that directly impact optimal reimbursement.
+ Engages customers and acts as liaison between operations and the technical team. Utilizes revenue cycle knowledge base to meet and develop business intelligence and document business case/scope/plan. Sets expectations and coordinates team members utilizing teamwork and collaborative skills.
**SERVICE ESSENTIAL FUNCTIONS**
+ Participates in various initiatives as a revenue cycle subject matter expert. Gathers and assimilates data and provides insight to leaders, committees and task forces.
+ Assists in the development, maintenance, and distribution of ad-hoc reports and financial models as needed.
+ Analyzes complex data sets to identify trends and variances to support optimal reimbursement. Communicates complex analytic findings and conclusions in an easy-to-understand manner.
**QUALITY/SAFETY ESSENTIAL FUNCTIONS**
+ Extracts data, develops and presents logical and comprehensive analyses and/or summaries on key metrics, identifies trends, presents opportunity areas, and prioritizes initiatives for performance improvement in a variety of areas, such as claim submission, insurance and self-pay collections, refunds and write-off approvals. Performs data analysis on an independent basis and consults with management as necessary.
+ Performs required testing and quality assurance to ensure solutions delivered are defect free and of high quality.
+ Ensures the quality and integrity of data collected for decision making and works with the other areas of the organization to ensure consistency as applicable. Ensures information is consistent, accurate, relevant and timely.
**FINANCE ESSENTIAL FUNCTIONS**
+ Supports financial strategy and analysis activities including business analysis, financial metrics, and project management.
+ Utilizes department resources and supplies effectively and practices good time management. Helps minimize excess cost(s) by assisting and recommending solutions in achieving organizational objectives.
**GROWTH/INNOVATION ESSENTIAL FUNCTIONS**
+ Continuously seeks new and creative technologies and innovations that help identify and guide improvement opportunities.
+ Stays current on revenue cycle and industry trends. Actively engages in personal assessment and expands learning beyond baseline competencies with a focus on continual development (i.e., participates in training opportunities, focal point review activity, etc.). Applies new learning.
+ Proactively manages own professional development.
This job description is not intended to be all-inclusive; the employee will also perform other reasonably related business/job duties as assigned. Houston Methodist reserves the right to revise job duties and responsibilities as the need arises.
**EDUCATION**
+ Bachelor's degree (preferably in business administration, finance, healthcare administration, or related discipline) or additional four years of experience (in addition to the minimum experience requirements listed below) in lieu of degree
**WORK EXPERIENCE**
+ Three years of experience supporting revenue cycle functions
**LICENSES AND CERTIFICATIONS - REQUIRED**
+ N/A
**KNOWLEDGE, SKILLS, AND ABILITIES**
+ Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through on-going skills, competency assessments, and performance evaluations
+ Sufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially with regard to activities impacting patient or employee safety or security
+ Ability to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principles
+ Ability to complete sophisticated analytical, consultative, and information support through analysis and report preparation
+ General knowledge of Performance Improvement methodologies
+ Skill in general use of spreadsheet, database and word-processing software
+ Ability to independently analyze and solve problems
+ Interpersonal skills for interfacing with all levels of customers and collaborating across clinical and non-clinical departments
+ Ability to multi-task with good attention to detail
+ Ability to enhance reporting effectiveness and efficiency
**SUPPLEMENTAL REQUIREMENTS**
**WORK ATTIRE**
+ Uniform No
+ Scrubs No
+ Business professional Yes
+ Other (department approved) Yes
**ON-CALL***
_*Note that employees may be required to be on-call during emergencies (ie. DIsaster, Severe Weather Events, etc) regardless of selection below._
+ On Call* No
**TRAVEL***
_**Travel specifications may vary by department**_
+ May require travel within the Houston Metropolitan area Yes
+ May require travel outside Houston Metropolitan area No
**Company Profile:**
Houston Methodist Continuing Care Hospital is a long-term acute care hospital that proudly serves the Greater Houston area, focused on the needs of patients requiring extended hospitalization. Located in Katy, west of the Texas Medical Center, Houston Methodist Continuing Care is committed to providing patients with the Houston Methodist standard of unparalleled quality and safety, focusing on the patient and family. The facility offers both inpatient and outpatient services, including hemodialysis or peritoneal dialysis, infectious disease management, intensive care, pain management, postsurgical complication management, pulmonary care management, trauma and neurological injury management, and outpatient rehabilitation therapies.
Houston Methodist is an Equal Opportunity Employer.

**Job Description**
Align yourself with an organization that has a reputation for excellence! Cedars-Sinai was awarded the National Research Corporation's Consumer Choice Award 19 years in a row for providing the highest-quality medical care in Los Angeles. We offer an outstanding benefits package that includes health care, paid time off, and a 403(B). Join us! Discover why U.S. News & World Report has named us one of America's Best Hospitals.
**What will you be doing in this role?**
The Revenue Cycle Analyst is responsible for the development, assessment and quantification of trends. This will require direct working relationships with management and key staff members, in addition to key members of Finance and Medical Network and Medical Center Departments. The primary duties of this role include:
+ Analyzing trends to determine where variances are occurring and develop reports to assess these variances.
+ Summarizing information, data, and recommendations, and preparing presentation materials. May present findings to management.
+ Making recommendations based upon overall analysis to effectively monitor areas of opportunity/risk.
+ Creating/developing regular and ad-hoc reports.
+ Payor Policy analysis and review.
+ Using independent judgment to resolve issues.
+ Completing complex/special assignments.
**Qualifications**
**Requirements:**
+ High School Diploma or GED required. Bachelor's degree in finance, economics, business or a related major preferred.
+ A minimum of 1 year of proven experience as an analyst (revenue cycle, data, financial, business, or related) required.
+ A minimum of 5 years of proven experience in PB & HB Revenue Cycle highly preferred.
+ Revenue Cycle experience highly preferred
+ Tableau experience highly preferred.
+ SQL certificate, knowledge & experience highly preferred.
+ Epic Clarity database querying and report writing experience preferred.
+ Experience working with KPIs highly preferred.
+ Excel work experience, to include using advanced functions, preferred.
**Why Work Here?**
We take pride in hiring the best employees. Our dedicated staff reflects the culturally and ethnically diverse community we serve. They are proof of our dedication to creating a dynamic, inclusive environment that fuels innovation and the gold standard of patient care we strive fo
**Req ID** : 12552
**Working Title** : Revenue Cycle Analyst (Remote)
**Department** : CSRC Support Services
**Business Entity** : Cedars-Sinai Medical Center
**Job Category** : Patient Financial Services
**Job Specialty** : Revenue Integrity
**Overtime Status** : EXEMPT
**Primary Shift** : Day
**Shift Duration** : 8 hour
**Base Pay** : $77,096.46 - $119,390.00
Cedars-Sinai is an EEO employer. Cedars-Sinai does not unlawfully discriminate on the basis of the race, religion, color, national origin, citizenship, ancestry, physical or mental disability, legally protected medical condition (cancer-related or genetic characteristics or any genetic information), marital status, sex, gender, sexual orientation, gender identity, gender expression, pregnancy, age (40 or older), military and/or veteran status or any other basis protected by federal or state law.

**Job Type:** Regular **Time Type:** Full time **Work Shift:** Day (United States of America) **FLSA Status:** Exempt **When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives.** Under the direction of the Harvard Medical Faculty Physicians (HMFP) at BIDMC Director of Strategic Financial Planning Analytics, the Revenue Cycle Analyst will be responsible for: improving revenue cycle workflow, efficiency, accuracy, reimbursement, and overall revenue control through operational and system enhancements and/or modifications. In addition, the RCA will identify issues, trends, and provide solutions as well as develop an environment of customer service, continued learning and increased communication within revenue cycle and between departments. **Job Description:** **Primary Responsibilities, but not limited to** : + Provides in depth knowledge and determines best Epic system build options and functionality that will help improve revenue cycle operational workflows and system usage, and understand the choices involved in complex application configuration. + Collects and reports information to Revenue Cycle Leadership regarding potential system enhancement needs and system breaks/fix issues. + Analyzes complex revenue cycle data to identify trends, outliers, key drivers, and provide analysis. + Develop, trend, and report monthly and annual statistical reporting dashboard to coincide with departmental and organizational KPIs (Key Performance Indicator). + Work collaboratively with HMFP enterprise revenue cycle team on improvement initiatives to maximize revenue via analyzing RCM metrics, KPIs, and standardized service level agreements (SLAs) against budget, targets, and benchmarks; and identify variances, trends, and performance issues. + Provide reporting and analytics support for RCM audits, tracking, trending, and monitoring functions + Uses various software applications to assemble, manipulate and/or format complex data. Maintain data models and produce both standard and ad-hoc reports. + Participate in enterprise revenue cycle management and department meetings and provide reporting and analytics updates - as needed. + Advanced written and verbal communication skills with the ability to translate complex data into clear and meaningful reports. + Demonstrate collaboration skills to create productive partnerships with clients. Actively participate in cross-functional groups to solve problems across projects. + Other tasks and work as assigned. **Qualifications:** + Bachelor's degree in Business / Finance / Accounting or Healthcare Administration; Master's degree preferred. + 5-8 years of experience working in revenue cycle mandatory. + Ability to spearhead independent projects, utilizing critical thinking to achieve significant results with minimal oversight. + Experience working with Epic software including: Cubes, Slicer Dicer, Dashboards, Workbench Reports, and Clarity Reports mandatory. + Proficiency in Epic Professional Billing (PB); Certification preferred. + Comprehensive working knowledge of revenue cycle analytics, medical billing practices, billing software, healthcare insurance, and CMS regulations. + Knowledge of CPT, HCPCS, and ICD-10 coding principles preferred. + Strong understanding of professional billing (PB) end-to-end revenue cycle management processes and functions. + Ability to effectively communicate and present findings. + Ability to transform raw data into actionable information, facilitating informed decision-making. + Advanced skills in Microsoft applications: Outlook, Excel, Word, and Teams. **Competencies** + Strong interpersonal, communication, problem solving, and analytical skills + Excellent attention to detail with proven ability to work across multiple projects. + Implements quality control processes and monitors quality standards. + Embraces change and seeks to understand its impact. + Ability to identify both patterns and anomalies across multiple data sources. + Ability to read, analyze and interpret financial reports. + Ability to define problems, collect data, establish facts, draw conclusions, and make sound recommendations. **Social/Environmental Requirements:** Work requires periods of close attention to work without interruption. Concentrated effort of up to 4 hours without break may be required. Work is varied every day and the employee needs to be adaptable to respond to these changes and use independent judgment and manage priorities. No substantial exposure to adverse environmental conditions. **Health Care Status** : NHCW: No patient contact. **Sensory Requirements:** Close work (paperwork, visual examination), Color vision/perception, Visual monotony, Visual clarity > 20 feet, Visual clarity <3 feet, Conversation, Telephone. **Physical Requirements:** Sedentary work: Exerting up to 10 pounds of force occasionally in carrying, lifting, pushing, pulling objects. Sitting most of the time, with walking and standing required only occasionally. This job requires constant sitting, fine manipulation using both hands and keyboard use. About the organization: **Harvard Medical Faculty Physicians at Beth Israel Deaconess Medical Center (HMFP)** is one of New England's premier physician-led organizations, dedicated to excellence in clinical care, education, research, career advancement, inclusivity, and well-being. HMFP employs more than 2,200 renowned and dedicated physicians and serves the more than 1.3 million patients at BIDMC and across the Beth Israel Lahey Health (BILH) system, as well as other hospitals. A majority of physicians are teaching faculty affiliated with Harvard Medical School (HMS), as well as international leaders in their clinical specialties. In addition, 700+ community-based physicians deliver world-class healthcare through Associated Physicians of Harvard Medical Faculty Physicians (APHMFP). **As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment.** **More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger.** **Equal Opportunity** **Employer/Veterans/Disabled**

UPMC is looking to hire a Senior Revenue Cycle Analyst to join the Revenue Cycle Physician Enhancement! The position will work Monday through Friday during business hours. This role will work out of the Quantum One Building in Pittsburgh, PA.
In this role. you will conduct complex and detailed analysis and/or evaluation of department financial and operational key performance indicators. Effectively deliver financial, statistical, and operational reporting projects as assigned. As the Senior Analyst, you will provide detailed written analysis, financial and statistical reports and proposals outlining solutions and enhancements for assigned projects. Audit revenue cycle operations (including detailed review of accounts receivable) and work with assigned departments to resolve all outstanding revenue cycle-related issues. Provide support to senior management and staff throughout revenue cycle analysis/auditing.
Responsibilities:
+ Effectively manage the reporting team request intake process, including timely acceptance of assignments, appropriate prioritization of project requests, and feedback to requestor regarding status/delivery date.
+ Participate in meetings with senior Revenue Cycle leaders, Finance and Clinical Administration leadership to present key metrics, review key drivers of Revenue Cycle outcomes and develop action plans to address identified issues. Demonstrate the ability to effectively lead discussion topics for assigned areas of work.
+ Promote a culture of collaborative, customer-focused service delivery with both internal and external team resources.
+ Ensure that all financial/operational reporting processes follow the prescribed data integrity & controllership protocols, including adherence and compliance with Sarbanes Oxley controls.
+ Create high-quality, executive-level presentation material summarizing key projects, issues, and/or reporting metrics.
+ Develop and implement new self-service and/or visualization tools designed to more effectively deliver enhanced reporting solutions.
+ Collaborate with Revenue Cycle operational teams to review business processes and identify opportunities for improved outcomes. Additionally, facilitate audits of revenue cycle operations to ensure compliance of published revenue cycle protocols.
+ Lead or support efforts to prepare complex financial/operational reporting metrics, validating the quality and accuracy of the data, and ensuring that reports are published according to pre-defined delivery dates. Accurately classify and record financial transactions and events in accordance with generally accepted accounting principles, where appropriate.
+ Stay current with changing payer and/or market drivers affecting Revenue Cycle and proactively evaluate impact on reporting needs.
+ Lead or support efforts to extract and analyze complex financial/operational data set(s) for assigned book of business, including proactive determination of root cause drivers of significant variance. Analyze and identify trends and issues and work with appropriate personnel/departments to resolve.
+ Bachelor's degree in accounting or related business field required.
+ Minimum of three years of related work experience required.
+ OR High School Diploma/GED and five years of related work experience.
+ Microsoft Office spreadsheet application required
+ PeopleSoft General Ledger proficiency preferred.
Licensure, Certifications, and Clearances:
+ ACT 34
UPMC is an Equal Opportunity Employer/Disability/Veteran

**Current Saint Francis Employees - Please click HERE ( **to login and apply.**
Full Time
Days
Schedule: Monday - Friday | 8:00am - 5:00pm
**_*Please note: This position is onsite in Tulsa, Oklahoma is NOT eligible for remote work._**
Job Summary: The Senior Revenue Cycle Analyst leads advanced analytics, reporting, and strategic support for revenue cycle operations. This role serves as a subject matter expert in Epic and data visualization platforms and provides mentorship to junior staff. Collaborates cross-functionally to drive improvements in billing, collections, denials, and financial performance.
Minimum Education: High School Diploma or GED. Bachelor's degree in Business, Finance, Healthcare Administration, or a related field, preferred.
Licensure, Registration and/or Certification: Epic reporting certification (e.g., Clarity, Cognito, Slicer Dicer, Workbench). Certified Revenue Cycle Representative (CRCR) from the Healthcare Financial Management Association (HFMA), preferred.
Work Experience: Minimum 5 years experience in Analytics, Healthcare, and Revenue Cycle Reporting.
Knowledge, Skills, and Abilities: Advanced knowledge in Microsoft 365, Epic, Power Business Intelligence (BI), Structured Query Language (SQL), and other applicable software. Strong understanding of Epic workflows and reporting tools (e.g., Clarity, Slicer Dicer, Workbench). Knowledge of healthcare regulatory requirements. Understanding of revenue cycle operations. Effective organizational skills and attention to detail. Sound analytical skills and ability to think strategically. Strong ability to lead complex data projects and communicate results to stakeholders. Ability to work independently and collaboratively in a fast-paced environment, managing multiple priorities with competing deadlines.
Essential Functions and Responsibilities: Designs and leads development of complex reports, dashboards, and analyses. Provides data-driven recommendations to leadership on revenue cycle strategies. Mentors analysts and support staff across departments in reporting best practices. Collaborates with cross-functional teams to improve processes and reduce denials. Develops and maintains Epic dashboards, SQL queries, and performance metrics. Serves as a key analytics partner for operational leaders.
Decision Making: Independent judgment in making decisions involving non-routine problems under general supervision.
Working Relationships: Leads others in same work performed (does not supervise). Works directly with patients and/or customers. Works with internal and/or external customers via telephone or face to face interaction. Works with other healthcare professionals and staff. Works frequently with individuals at Director level or above.
Special Job Dimensions: None.
Supplemental Information: This document generally describes the essential functions of the job and the physical demands required to perform the job. This compilation of essential functions and physical demands is not all inclusive nor does it prohibit the assignment of additional duties.
Patient Accounting - Yale Campus
Location:
Tulsa, Oklahoma 74136
**EOE Protected Veterans/Disability**

McKesson is an impact-driven, Fortune 10 company that touches virtually every aspect of healthcare. We are known for delivering insights, products, and services that make quality care more accessible and affordable. Here, we focus on the health, happiness, and well-being of you and those we serve we care.

What you do at McKesson matters. We foster a culture where you can grow, make an impact, and are empowered to bring new ideas. Together, we thrive as we shape the future of health for patients, our communities, and our people. If you want to be part of tomorrows health today, we want to hear from you.

As a Pharmacy AR Billing and Collections Specialist, you will be at the heart of our financial operations, managing accounts receivable with precision and care. Your expertise will ensure that we maintain a healthy revenue cycle, minimize financial risks, and foster seamless collaboration with patients and partners.

Key Responsibilities

• AR Management: Oversee open accounts receivable daily to meet key revenue cycle performance indicators.

• Strategic Collections: Analyze and address complex AR accounts outstanding over 31 days, employing effective collection strategies. Managing between 50-80 claims a day.

• Account Adjustments: Process approved adjustments and promptly issue overpayment refunds.

• Claims Expertise: Research and resolve denials, underpayments, and rejections; handle claims appeals efficiently.

• Collaborative Resolution: Work with internal teams on account resolution and claims resubmission within timely filing guidelines.

• Patient & Payer Communication: Respond to inquiries regarding claims and account status with clarity and professionalism.

• Data Management: Maintain payer files, compile claims data, and produce comprehensive tracking and trending reports.

• Regulatory Compliance: Stay updated on third-party payers and CMS reimbursement requirements, adhering to all guidelines and procedures.

• Team Participation: Engage actively in billing and collection meetings, contributing to ongoing account resolutions.

• Operational Excellence: Demonstrate a strong commitment to operational excellence and continuous improvement.

• Additional Duties: Undertake other responsibilities as assigned by the supervisor and manager.

Minimum Requirement

Typically requires 5+ years of related experience.

Education

Associate degree in healthcare administration, business, or a related field and/or relevant certifications or training in medical billing, insurance collections, payer policies, or reimbursement processes are preferred.

Critical Skills

• Prior experience managing a high volume of accounts receivable activities, including collections and follow-up, with attention to accuracy and timeliness in resolving reimbursement issues.

• Strong understanding of health insurance coverage and reimbursement processes, including knowledge of NDC/HCPCS coding and billing practices. Familiarity with oncology therapies and the associated reimbursement landscape is a plus.

• Advanced knowledge of Medicare/Medicaid and commercial insurance billing and reimbursement policies/guidelines

• Demonstrated experience performing detailed account research, analyzing EOBs and remittance advice and ability to effectively problem solve high dollar claims for quick resolution

• Exceptional written and verbal communication skills, along with collaboration skills and ability to influence others; ability to build credible relationships across multi-business units.

• Excellent verbal and written communication skills, with the ability to effectively communicate with third party payers and insurance companies.

• Ability to work effectively in a team-oriented environment, collaborating with colleagues to achieve common goals.

• Proficiency in Microsoft Office Suite, including Word, Excel, and PowerPoint

• 3+ years high volume collections experience within specialty pharmacy, medical/infusion office, or other relevant industry services.

Specialized Knowledge and Skills

• Experience specifically related to specialty pharmacy is highly desirable.

• Strong prioritization and time management skills

• Ability to manage complex issues, function independently, demonstrate flexibility, as well as the ability to work effectively with remote internal and external teams.

• Strong analytical and problem-solving skills, with the ability to identify and resolve issues related to insurance reimbursement.

Job Working Conditions

Hybrid Office environment

We are proud to offer a competitive compensation package at McKesson as part of our Total Rewards. This is determined by several factors, including performance, experience and skills, equity, regular job market evaluations, and geographical markets. The pay range shown below is aligned with McKesson's pay philosophy, and pay will always be compliant with any applicable regulations. In addition to base pay, other compensation, such as an annual bonus or long-term incentive opportunities may be offered. For more information regarding benefits at McKesson, pleaseclick here.

Our Base Pay Range for this position

$19.87 - $33.11

McKesson is an Equal Opportunity Employer

McKesson provides equal employment opportunities to applicants and employees and is committed to a diverse and inclusive environment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability, age or genetic information. For additional information on McKessons full Equal Employment Opportunity policies, visit our Equal Employment Opportunity page.

Join us at McKesson!