Revenue Cycle Management (RCM) Analyst

Revenue Cycle Management (RCM) Business Analyst: 🖥️⚙️

The RCM Business Analyst will be the insights partner for the Revenue Cycle leadership team. This role goes beyond reporting—you’ll work directly with the Head of RCM to surface key trends in revenue cycle performance, highlighting strengths, risks, and opportunities, and help set focus areas for managers and supervisors. You’ll be responsible for identifying early trends in denials, insurance A/R, reimbursement, and bad debt, while also supporting coding audits, payer rate negotiations, and cross-functional data needs. This role is ideal for someone who can toggle between high-level strategy and hands-on analytics.

This job is “HOT”: 🔥

• Partner with RCM leaders to proactively identify trends in denials, insurance A/R, and reimbursement, highlighting strengths, risks, and opportunities that shape leadership priorities

• Fulfill ad hoc reporting requests from internal stakeholders (Customer Success, Finance, Payor Strategy, Operations, etc.)

• Support QA of coding and claim submission processes by building sampling and audit frameworks.

• Develop, automate, and maintain recurring revenue cycle dashboards and KPIs for leadership and cross-functional teams.

• Act as the internal subject matter expert for revenue cycle data definitions, reporting standards, and data integrity.

Business impact: 📈

• Collaborate with managers and supervisors to translate insights into actionable worklists and process improvements.

• Partner with the payor strategy and revenue cycle teams to support payer contract rate reviews, negotiations, and reimbursement analysis.

• Conduct bad debt and patient balance analysis to inform collection strategies.

• Design and manage data pulls for coding audits, worklists, QA sampling, and other special projects.

• Other responsibilities as assigned by RCM Leadership

What you will need to succeed: ☀️💧

• Data-modeling and financial analysis skills

• Advanced knowledge of Google Sheets and/or Microsoft Excel required

• The ability to meet established deadlines and handle multiple customer service demands from internal and external customers, within set expectations for service excellence

• Strong understanding of healthcare reimbursement, payer contracting, and claims/denial management required

• Excellent analytical, problem-solving, and communication skills; able to distill complex data into clear insights for leadership.

• Experience with Athenahealth or other EHR/PM systems required

• Background in telehealth or multi-state provider organizations preferred

What does success look like:🌱

• 30 days: You’ve learned the data environment, aligned with leadership priorities, and delivered initial dashboards and ad hoc reports.

• 60 days: You’re proactively surfacing denial and insurance A/R trends and partnering with managers to translate insights into workflows.

• 90 days: You’re established as the go-to partner for RCM analytics, supporting payer negotiations, coding audits, and bad debt analysis with reliable, actionable data.

Who you are:👤

• Bachelor’s degree in Business, Finance, Healthcare Administration, Data Analytics, or related field (or equivalent experience)

• 3+ years of experience in revenue cycle, healthcare operations, or healthcare analytics.

• Proficiency in SQL and data visualization tools (Amazon Quicksight, Tableau, Looker, Power BI, or similar)

The interview process will include: 📚

• Recruiter Screen (30 min)

• Hiring Manager Screen (30–45 min)

• Technical Interview

• Cross-Functional Interviews (2 interviews, 30-45 min each)

This role is not eligible for sponsorship. Must have authorization to work in the United States now and in the future.

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