Revenue Cycle Analyst

Job Title: Revenue Cycle Analyst

About the Company:

Our client is a leading healthcare organization backed by a private equity firm, committed to operational excellence and delivering exceptional patient care. To support their mission, they are seeking a skilled Revenue Cycle Analyst to monitor, analyze, and improve revenue cycle performance. This role is critical in providing data-driven insights that enhance billing accuracy, streamline reimbursement, and optimize overall financial outcomes.

Position Overview:

The Revenue Cycle Analyst will play a key role in evaluating and improving the company’s revenue cycle processes, including billing, collections, claims, and denial management. This analytical position requires a detail-oriented professional with a solid background in healthcare revenue cycle operations and a strong command of data analysis. The Analyst will collaborate closely with revenue cycle leadership, finance, and clinical teams to support revenue optimization efforts.

Key Responsibilities:

• Data Analysis & Reporting: Gather and analyze revenue cycle data to identify trends, monitor KPIs, and generate reports to support performance improvement initiatives.
• Revenue Optimization: Identify areas for revenue cycle enhancement, including opportunities for reducing denials, improving collection rates, and enhancing billing accuracy.
• Claims and Denial Management: Analyze claims and denial data, providing insights to revenue cycle teams to reduce denial rates and ensure timely reimbursement.
• Process Improvement: Collaborate with revenue cycle and operational teams to streamline processes, reduce inefficiencies, and improve overall cycle times.
• Compliance Monitoring: Ensure revenue cycle activities adhere to healthcare regulations and payer requirements, providing recommendations to enhance compliance where needed.
• Stakeholder Communication: Communicate findings, trends, and recommendations to revenue cycle leadership and other stakeholders through regular reports and presentations.
• Revenue Cycle Performance Tracking: Continuously track key metrics such as days in A/R, denial rates, and collection efficiency to support revenue cycle goals and provide actionable insights.

Qualifications:

• Bachelor’s degree in Finance, Healthcare Administration, Business, or a related field.
• 3+ years of experience in healthcare revenue cycle analysis, with knowledge of billing, collections, and reimbursement processes.
• Strong analytical skills, with proficiency in Excel, data visualization tools (e.g., Tableau, Power BI), and healthcare billing software.
• Solid understanding of healthcare regulations, including Medicare, Medicaid, and private payer requirements.
• Detail-oriented with excellent problem-solving abilities and a proactive approach to identifying and addressing issues.
• Effective communication skills, with experience presenting complex data to various stakeholders.
• Ability to work independently in a remote environment, with occasional travel as needed for team meetings or training sessions.

Compensation and Benefits:

• Competitive base salary with performance-based incentives.
• Comprehensive benefits package, including health, dental, and vision insurance.
• Retirement plan options.
• Opportunities for professional development and growth within a high-performance, private equity-backed healthcare organization.
• Fully remote work arrangement with occasional travel for team meetings or organizational events.