Revenue Cycle Management (RCM) Analyst

Data-modeling and financial analysis skills Advanced knowledge of Google Sheets and/or Microsoft Excel Ability to meet established deadlines and handle multiple customer service demands Strong understanding of healthcare reimbursement, payer contracting, and claims/denial management Excellent analytical, problem-solving, and communication skills Experience with Athenahealth or other EHR/PM systems 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 Proficiency in data visualization tools (Amazon Quicksight, Tableau, Looker, Power BI, or similar)

Partner with RCM leaders to identify trends in denials, insurance A/R, and reimbursement. Fulfill ad hoc reporting requests from internal stakeholders. Support QA of coding and claim submission processes by building sampling and audit frameworks. Develop, automate, and maintain recurring revenue cycle dashboards and KPIs. Act as the internal subject matter expert for revenue cycle data definitions, reporting standards, and data integrity. Collaborate with managers and supervisors to translate insights into actionable worklists and process improvements. Partner with payor strategy and revenue cycle teams to support payer contract rate reviews 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.