Revenue Cycle Analyst - Denials & Appeals
New
J
JobgetherHealthcare Finance
Remote position within the United States.Full-TimeMiddle
Salary65,400 - 95,200 USD per year
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Job Details
- Experience
- 4–6 years
- Required Skills
- Project ManagementSQLData AnalysisMicrosoft Power BIMicrosoft Excel
Requirements
- 4–6 years of experience in medical billing, denials management, insurance collections, or revenue cycle operations.
- Bachelor’s degree in Business, Healthcare Administration, or a related field preferred.
- Strong understanding of the appeals lifecycle from submission through resolution.
- Familiarity with commercial and non-commercial payer plans, appeal processes, and payer portals.
- Advanced knowledge of CPT/HCPCS, ICD-10, modifier selection, and UB revenue codes.
- Advanced Microsoft Excel skills with experience working with large datasets.
- Basic SQL experience and Power BI knowledge preferred.
- Strong ability to convert analytical findings into practical operational recommendations.
- Excellent communication and presentation skills for collaboration with onshore and offshore teams.
- Strong project management and problem-solving skills in high-volume, SLA-driven environments.
- Exceptional attention to detail regarding sensitive healthcare and payer information.
Responsibilities
- Serve as the primary analytical resource for post-appeal and unresponded payer activity.
- Monitor key performance indicators including backlog aging, SLA adherence, and team productivity.
- Lead or support recurring performance reviews to identify workflow gaps and improvement opportunities.
- Analyze large datasets to identify root causes of backlog growth and payer-specific delays.
- Partner with operational leadership to translate findings into actionable workflow recommendations.
- Support configuration and validation of billing systems and payer portal workflows.
- Collaborate with Denials & Appeals teams to quantify error trends and provide feedback.
- Track onshore and offshore team performance and provide reporting to leadership.
- Research payer-specific appeal requirements and reimbursement policy changes.
- Develop and maintain project plans for workflow enhancements and backlog reduction.
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