Business Analyst, Revenue Cycle HC Analyst

Job Summary

The Business Analyst (Revenue Cycle HC Analyst
3) reports to the Director of Business Operations of the Heart & Vascular Center and is responsible for data analytics reporting of all fiscal and business-related functions of Heart & Vascular Center (HVC). This position provides support and monitors all fiscal and business-related operations across the HVC departments.

The primary functions include analysis, system/process development, problem resolution and workflow oversight. Specifically performs analysis and problem solving of issues/problems without precedent and/or structure. Provides detailed analysis and reporting of contract payer performance to include payment trends, denials, delinquencies and payment variances from expected reimbursement. Identifies and tracks issues related to denials through use of Denial Management to maximize revenue and increase efficiency.

Works with internal and external departments to formulate strategies and administer policies, processes, and resources. Ensures account information contains accurate and comprehensive data to provide timely billing and optimal reimbursement for services. Reviews processes including authorization, registration, charge capture, coding, insurance identification, data entry, billing, contract management, payment posting, refund processing, and collections. Acts as the department liaison for Contract Management system development and operation.

This position requires an intermediate level of operations and contract knowledge, organizational and priority setting abilities, a solid understanding of the overall field, the ability to work independently on low to moderately complex issues, strong analytical and problem-solving skills, and the ability to evaluate the effectiveness of workflows and systems in revenue cycle program areas to identify weaknesses and develop innovative solutions and process improvements using sound judgment.

Functions with a high degree of autonomy on low to moderately complex issues/tasks and seeks guidance on more complex assignments. #CA-SB

9/12/2026 by 11:59pm

• Bachelor’s degree in a related field and/or a combination of equivalent experience, education and/or training.
• Minimum 2 years of experience in:
• Experience working with revenue cycle information systems or system implementation teams for complex projects, application development and/or support.
• Billing and accounts receivable experience
• Experience with contracts as it pertains to division of financial responsibility and evaluating billing and reimbursement terms.
• Experience with Clearinghouse, Contract Management, and Patient Accounting systems.
• In-depth knowledge of the healthcare revenue cycle’s practices, procedures, concepts, and component operations, including billing, collections, contractual terms, third-party reimbursements, and cash management.
• Intermediate skills in report development and various software tools specific to healthcare revenue cycle management.
• Intermediate to advanced use of data mining software applications, including Microsoft Excel and the ability to create Executive-level reporting in Microsoft PowerPoint and Word.
• Knowledge of hospital billing and reimbursement procedures, for Commercial/Managed Care and Government payers and the ability to recognize when procedures are not being followed.
• Strong ability to advise management, serving as a technical leader, providing proposals for improvement and guidance on regulatory changes and industry trends and developments in revenue cycle management.
• Strong organizational and project management skills, and ability to lead a team, prioritize tasks, and see projects through from inception to completion on schedule.
• Ability to react with flexibility and patience and maintain efficiency and accuracy under sustained and immediate pressure created by heavy workload, frequent interruptions and multiple, sometimes competing requests.
• Advanced communications skills, with the ability to interpret and convey complex clinical finance information in a clear, concise manner.
• Ability to prepare compelling and informative reports and presentations to all levels of staff and management.
• Demonstrated strong written communication skills, including the ability to prepare clear and professional correspondence for both external stakeholders/parties and internal…