We are seeking a Revenue Cycle Analyst who combines strong analytical skills with a passion for improving operational performance. In this role, you will analyze payer data, resolve claim denials, and transform insights into actionable strategies that drive revenue growth.
The Revenue Cycle Analyst is responsible for coordinating the analysis and effective resolution of denied claims with the goal of reducing denials and increasing revenue. This includes interpreting payment and denial data at the line-item level, identifying payer and coding trends, risks, and opportunities, and implementing operational or system improvements.
This is a full-time, remote position with ownership of an assigned payer portfolio.
Education
- Bachelor's degree in Healthcare Administration, Business, Analytics, or equivalent experience.
Experience
- 4+ years of experience in healthcare revenue cycle analytics, financial analysis, or operational data analysis.
- Direct experience with claims analytics, denial management, and payer performance reporting.
- Experience with laboratory billing preferred.
Knowledge and Skills
- Knowledge of insurance billing, Medicare claims, audit processes, compliance standards, and HIPAA regulations.
- Strong analytical skills with the ability to translate data into insights and operational recommendations.
- Solid understanding of healthcare revenue cycle management processes, including insurance verification, coding, billing, payment posting, and A/R follow-up.
- Clear, concise communication skills for explaining complex findings to non-technical stakeholders.
- Highly organized, adaptable, and comfortable in a dynamic, fast-growing environment.
- Basic understanding of EHR systems and functionality.
- Ability to perform analysis and retrieve data using analysis tools.
Technical Requirements
- Advanced skills with Microsoft applications such as Outlook, Word, Excel, Smartsheet, PowerPoint, and other web-based applications.
- Ability to create SOPs and process flow mappings using Visio.
- Familiarity with the Xifin billing system is a plus.
Location
Tennessee, US
Employment Type
Full-time
Experience Level
Intermediate Level
Remote work allowed
Yes
Posted
1 month ago