Denials Prevention Revenue Cycle Analyst
New
Based in the United StatesFull-TimeMiddle
Salary62,500 - 79,800 USD per year
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Job Details
- Experience
- 1–3 years
- Required Skills
- Data AnalysisProcess improvement
Requirements
- 1–3 years of experience in revenue cycle, healthcare analytics, billing, or related healthcare financial operations.
- Bachelor’s degree or equivalent experience in healthcare administration, finance, business, or related field.
- Strong analytical skills with the ability to interpret claims, payment, and reimbursement data.
- Understanding of revenue cycle processes including denials management, underpayments, and contract reimbursement structures.
- Experience working with reporting tools, spreadsheets, and data analysis systems.
- Strong attention to detail with the ability to identify trends, anomalies, and root causes in complex datasets.
- Excellent communication skills with the ability to present findings clearly to stakeholders.
- Ability to work independently in a remote environment while collaborating effectively across teams.
- Demonstrated interest or experience in using AI tools to improve analysis, workflows, or operational efficiency is a plus.
Responsibilities
- Perform detailed analysis of claims, payments, denials, and underpayments to identify revenue leakage and process breakdowns.
- Evaluate root causes of denials and reimbursement variances, and recommend corrective actions to improve revenue cycle performance.
- Review and validate claim and payment data to ensure accuracy, compliance, and alignment with payer contract terms.
- Develop and maintain revenue cycle reporting, dashboards, and performance metrics to support operational decision-making.
- Support underpayment projects, audits, and reconciliation activities across assigned accounts.
- Collaborate with cross-functional teams to escalate and resolve complex revenue cycle issues in a timely manner.
- Assist in forecasting, trend analysis, and capacity planning based on historical revenue cycle data.
- Contribute to continuous improvement initiatives aimed at reducing denial rates and optimizing end-to-end revenue cycle workflows.
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