Bachelor's degree in Business Administration, IT, or related field; MBA or MHA preferred.
Minimum 5 years of experience in business analysis or related field.
Experience managing complex projects and utilizing data analytics tools.
Advanced proficiency in Microsoft Power BI, Tableau, SQL, and Microsoft 365.
Advanced proficiency in Epic Revenue Cycle applications including Hospital Billing (HB) and Professional Billing (PB).
Certification in Epic Resolute Hospital Billing, Epic Resolute Professional Billing, or similar.
Responsibilities
Provide advanced functional support for Epic Hospital Billing, Professional Billing, and Claims.
Act as primary liaison between Revenue Cycle leadership and IT for system-related matters.
Support Professional Billing workflows, ensuring efficient charge capture and claim processes.
Troubleshoot complex revenue cycle issues across various billing and payment operations.
Collaborate with Epic Community Connect partners for system modifications and testing.
Lead revenue cycle optimization efforts focused on improving billing accuracy and reimbursement outcomes.
Engage in reporting and data analysis to inform operational strategies.
Benefits
Comprehensive benefits package including health and dental coverage.
Retirement savings plan with employer matching.
Professional development opportunities and training.
Flexible work arrangements and work-life balance support.
Full Job Description
Summary
The Epic Revenue Cycle Systems Analyst is a Revenue Cycle-embedded analyst responsible for the functional support, optimization, and issue resolution of Epic Hospital Billing (HB), Professional Billing (PB), and Claims workflows. This role reports directly to the Senior Director of Revenue Cycle and operates as a trusted subject matter expert (SME) within the Revenue Cycle organization, while maintaining strong partnership with Information Technology.
This position provides both hands-on functional support and strategic advisory services across HB and PB, including provider-based billing, claims processing, and reimbursement workflows. The analyst partners closely with Revenue Cycle leadership, Revenue Integrity, Patient Access, Patient Financial Services, HIM, Compliance, and IT to ensure Epic revenue cycle applications are aligned with operational needs, regulatory requirements, and organizational financial goals.
Essential Duties and Responsibilities
These duties and responsibilities described below represent the general tasks performed on a daily basis; other tasks may be assigned.
Epic Revenue Cycle Application Support
Provide advanced functional support for Epic HB, PB, and Claims, including configuration and advisory guidance.
Serve as the primary liaison between Revenue Cycle leadership and IT for system issues, enhancements, and initiatives.
Support Professional Billing workflows, including charge capture, claim edits, and reimbursement processes.
Troubleshoot complex end-to-end revenue cycle issues across billing, claims, and payment processes.
Coordinate with Epic Community Connect partners for build requests, testing, and system changes.
Revenue Cycle Optimization & Process Improvement
Partner with leadership to improve billing accuracy, claim timeliness, denial prevention, and reimbursement outcomes.
Analyze front-end, mid-cycle, and back-end workflows to align Epic functionality with best practices.
Support initiatives focused on clean claims, DNFB reduction, denial management, and payer compliance.
Participate in system upgrades, projects, and optimization efforts impacting revenue cycle performance.
Claims & Compliance Support
Support Claims functionality, including edits, clearinghouse processes, payer rules, and ERA workflows.
Ensure compliance with Medicare, Medicaid, and commercial payer requirements.
Collaborate with HIM, Compliance, and Revenue Integrity to align documentation, coding, and billing.
Develop and deliver reports and insights to support operational and executive decision-making.
Stakeholder Engagement & Training
Act as a trusted advisor; lead workflow reviews, facilitate sessions, and provide end-user training and support.
Qualifications
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Education and Experience
Minimum Required Education
Bachelor's degree in Business Administration, Information Systems, Computer Science, or a related field. MBA or MHA preferred. Seven years of experience in Revenue Cycle and/or IT will be considered in lieu of degree.
Experience
Minimum of 5 years of experience in business analysis or a related field, with a proven track record in managing complex projects and using data analytics tools.
Technical Skills
Advanced proficiency in Microsoft Power BI, Tableau, SQL, and other relevant data analysis and project management software. Proficient in the use of Microsoft 365 suite of software (Outlook, Word, Excel, and PowerPoint).
Advanced proficiency in Epic Revenue Cycle applications:
Cadence
Charge Master
Clarity
Cogito / Caboodle
Grand Central
Hello World
HIM
Hospital Billing
Identity
MyChart
Prelude
Professional Billing
Referrals and Authorizations
Certificates, Licenses, Registrations
One of the following certifications required:
Epic Resolute Hospital Billing (HB)
Epic Resolute Professional Billing (PB)
Epic Prelude
Epic Health Information Management (HIM)
Epic Cogito / Caboodle
Epic Cadence
Epic Clarity
Epic Grand Central
Physical Demands & Work Environment
The physical demands and work environment characteristics described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
A separate sheet documenting the description of physical demands and working conditions must be included/attached as the last page of the finalized job description.
