The PBS Reporting Analyst analyzes and interprets patient billing, claims, reimbursement, and revenue cycle performance data to support decision-making and strategic initiatives.
This role develops and maintains financial reports, dashboards, scorecards, and data visualizations, and presents actionable insights to leadership and stakeholders. It monitors key performance indicators, identifies revenue trends, variances, denials, underpayments, workflow errors, and potential revenue leakage, then recommends data-driven process improvements to support timely reimbursement, revenue integrity, compliance, and operational performance.
The position works closely with billing, coding, finance, IT, clinical operations, and application teams to support reporting accuracy, system optimization, and alignment with payer requirements and regulatory standards.
Experience
- Minimum 10 years of experience in patient account billing and collections
- At least 5 years of analytical and reporting experience in healthcare revenue cycle billing, claims processing, reimbursement, medical billing, healthcare financial analytics, or related business services
- Strong understanding of healthcare revenue cycle operations, including patient billing, collections, claims submission, payment posting, denials, accounts receivable, reimbursement, charge capture, insurance clearinghouses, HCFA-1500 forms, 835/837 EDI files, CPT/ICD-10 coding, payer requirements, regulatory requirements, contract terms, and healthcare audit guidelines
- Advanced proficiency with Microsoft Excel, SQL, database management tools, billing systems, EHR systems, and business intelligence tools such as Power BI or Tableau
- Experience with Python or other data manipulation tools preferred
- Experience designing queries, manipulating large volumes of data, validating data accuracy, and transforming complex revenue cycle information into reports, dashboards, visualizations, and leadership presentations
- Knowledge of EHR and billing applications such as Epic, NextGen, QNXT, or comparable healthcare information systems preferred
- Experience extracting and analyzing data from Epic Clarity, Resolute, Cogito, or equivalent reporting environments preferred
- Ability to analyze trends, identify root causes, recommend corrective actions, and support workflow optimization or process improvement initiatives
- Lean or Six Sigma experience is a plus
- Strong analytical, problem-solving, and trend identification skills with exceptional attention to detail and accuracy
- Excellent written and verbal communication skills
- Ability to translate complex technical, financial, and cross-platform data into clear, actionable insights for technical and non-technical audiences
- Proactive mindset with the ability to manage multiple projects effectively and work collaboratively in a dynamic environment
Education
- Bachelor’s degree in healthcare administration, Health Informatics, Finance, Data Analytics, Business Intelligence, Statistics, or a related field preferred
- Relevant certifications in data analytics or business intelligence preferred
Benefits
- Full-time position
- Predominantly remote work schedule
- Health insurance plan options
- Additional compensation may be available, including shift differentials, extra shift incentives, and bonus opportunities
- Access to MemorialCare benefits and rewards
Location
California, US
Employment Type
Full-time
Experience Level
Senior
Remote work allowed
Yes
Posted
1 month ago