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).
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