Business Analyst-Revenue Cycle and BAR-8135

Position Title: Business Analyst-Revenue Cyle/BAR-8135 Position Code: BARCAR-8135

Oracle Code: BARCAR-8135

Department: Information Systems Safety Sensitive: ☒ Yes ☐ No

Reports to: Chief Information Officer/Manager Exempt Status: ☒ Yes ☐ No

Position Purpose:

All KHI employees are expected to perform their respective tasks and duties in such a way that supports KHI’s vision to be among the kindest, highest quality health systems in the country.

The Revenue Cycle Billing and Accounts Receivable (BAR) Analyst is responsible for managing patient accounts throughout the post-service revenue cycle, including billing, claims management, denial resolution, accounts receivable follow-up, and reimbursement optimization. This role utilizes the MEDITECH electronic health record (EHR) and Patient Accounting (PA/RCG) applications to ensure accurate claim submission, timely collections, and compliance with payer and regulatory requirements.

The BAR Analyst collaborates with Registration, HIM/Coding, Case Management, Clinical Operations, and Patient Financial Services teams to identify and resolve billing issues that impact reimbursement and revenue integrity.

Key Responsibilities

Billing and Claims Management

• Utilize MEDITECH Patient Accounting and Revenue Cycle applications to review, edit, and process claims.
• Ensure accurate claim generation and electronic claim submission to Medicare, Medicaid, commercial payers, and managed care organizations.
• Validate patient demographics, insurance coverage, authorization requirements, and charge capture information prior to claim submission.
• Coordinate with HIM and Coding staff to resolve coding and documentation deficiencies impacting reimbursement.

Accounts Receivable Follow-Up

• Manage assigned insurance and patient A/R accounts using MEDITECH work queues and follow-up functionality.
• Investigate unpaid, denied, partially paid, or rejected claims.
• Work denial management queues and submit appeals with supporting documentation.
• Identify root causes of denials and recommend workflow improvements.
• Maintain account documentation and follow-up activities within MEDITECH.

Revenue Integrity and Optimization

• Review reimbursement variances and payment discrepancies.
• Monitor claim status through clearinghouses and payer portals.
• Analyze denial trends and recurring claim edit issues.
• Assist with implementation of corrective actions to improve clean claim rates and reduce A/R days.
• Support revenue cycle performance initiatives and key performance indicators (KPIs).

MEDITECH System Responsibilities

• Serve as a subject matter resource for MEDITECH Patient Accounting and Revenue Cycle workflows.
• Troubleshoot billing, charging, and reimbursement issues within MEDITECH; support implementation and maintenance of MEDITECH dictionaries, billing rules, claim edits, and payer configurations as appropriate.
• Participate in revenue cycle system enhancement projects and end-user training; assist with testing, upgrades, optimization efforts, and workflow improvements.

Qualifications

Education: Bachelor’s degree in Business or a Healthcare related field strongly preferred. Certification or experience will be considered in lieu of a degree.

Experience: 5 years of healthcare billing, accounts receivable, patient financial services, or revenue cycle experience; experience with hospital billing, professional billing, or both; familiarity with Medicare, Medicaid, commercial insurance, and managed care reimbursement methodologies.

Preferences

Education: N/A

Experience:

• Experience working within MEDITECH Patient Accounting and Revenue Cycle applications preferred; experience supporting revenue cycle workflows across Registration, HIM, Abstracting, Charging, Billing and Collections; experience building and maintaining revenue cycle dictionaries and billing parameters.
• Familiarity with MEDITECH Expanse Revenue Cycle implementation or optimization experience; MEDITECH NPR and Data Repository reporting.
• Knowledge of MEDITECH BAR, Claims Management, Insurance Follow-Up, and Denial Management worklists.

Special Position Requirements

Exposure Categories: Category III: Expected duties do not have potential for exposure to blood, body fluids or tissues.

Work Requirements

• Working knowledge of insurance eligibility and authorization processes; working knowledge of ICD-10-CM, CPT, and HCPCS coding structures.
• Ability to sit for six to seven hours daily; occasionally lift and carry up to ten pounds of files/boxes
• Ability to maintain composure in difficult and stressful situations.

ACKNOWLEDGEMENT:

This job description applies to all KHI facilities and is representative of the essential job duties this position will perform. Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

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Date Staff Position Description Created / Revised: 10/8/2026