Revenue Cycle Management Analyst
Wellness Equity Alliance
full-time
Posted on:
Location Type: Remote
Location: California • United States
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Salary
💰 $55,000 - $75,000 per year
About the role
- Analyze billing, claims, and payment data to identify trends, risks, and opportunities for revenue optimization.
- Develop and maintain reports and dashboards to track key revenue cycle performance indicators (e.g., denial rates, days in A/R, clean claim rates).
- Provide actionable insights and recommendations to revenue cycle leadership and cross-functional teams.
- Review, audit, and analyze denied or rejected insurance claims to identify root causes.
- Partner with billing teams to correct errors, resubmit claims, and prevent recurring issues.
- Track denial trends and support strategies to reduce future denials.
- Identify workflow inefficiencies or bottlenecks across front-end and back-end revenue cycle processes.
- Support the development and implementation of process improvements to enhance efficiency, accuracy, and reimbursement timelines.
- Ensure adherence to HIPAA, CMS, payer-specific requirements, and other applicable regulations.
- Collaborate with front-end teams (registration, eligibility, authorization) and back-end teams (billing, coding, collections).
Requirements
- Bachelor’s degree in Business, Finance, Health Administration, Information Systems, or a related field (preferred).
- Minimum of 3+ years of experience in healthcare billing, revenue cycle, finance, or health information systems.
- Experience supporting hospital, clinic, or multi-site healthcare operations strongly preferred.
- Strong analytical and problem-solving skills with high attention to detail.
- Ability to interpret complex data sets and translate findings into clear recommendations.
- Knowledge of medical billing and coding concepts (ICD-10, CPT, HCPCS).
- Proficiency in Microsoft Excel (pivot tables, formulas, data analysis).
- Experience working with Electronic Health Record (EHR) and billing systems (e.g., Epic, Athena, NextGen, Cerner, or similar).
Benefits
- Work From Home Flexibility
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
data analysisreport developmentdashboard maintenanceclaims auditingrevenue cycle managementmedical billingcoding (ICD-10, CPT, HCPCS)data interpretationprocess improvementfinancial analysis
Soft Skills
analytical skillsproblem-solvingattention to detailcommunicationcollaborationrecommendation developmentworkflow optimizationstrategic thinkingleadershipcross-functional teamwork