Revenue Cycle Analyst - Remote

Overview

The Revenue Cycle Analyst plays a vital role in supporting both medical and pharmacy revenue operations by analyzing billing performance, monitoring KPIs, identifying trends in payer behavior, and producing actionable insights that drive operational improvements.

In Short

• Track key revenue cycle metrics including AR days, clean claim rate, denial rate, payment lag, and net collection rate.
• Monitor payer mix, reimbursement trends, and denial volumes to identify systemic issues or inefficiencies.
• Evaluate trends in medical and pharmacy billing and proactively recommend solutions to increase collections and reduce payment delays.
• Develop actionable insights and strategies to support revenue cycle improvements across departments.
• Support the creation of appeals, workflows, and edits based on recurring denials or underpayments.
• Build and maintain real-time dashboards using tools like Power BI, Tableau, and Epic Reporting Workbench.
• Generate monthly, quarterly, and ad hoc reports to guide leadership decision-making.
• Present root cause analyses and financial trends in concise, visual formats tailored to varied stakeholders.
• Analyze operational bottlenecks in charge entry, coding, claim submission, and denial workflows.
• Utilize Epic EHR and pharmacy billing platforms to extract, validate, and analyze billing data.

Requirements

• 1–3 years of experience in revenue cycle analytics, revenue integrity, or healthcare billing and reporting roles.
• Hands-on experience with Epic and pharmacy billing systems.
• Familiarity with healthcare billing standards, payer reimbursement methodologies, denial management, and claims processing.
• Ability to work harmoniously with diverse colleagues, patients, clients, and vendors.

Benefits

• Competitive salaries.
• Comprehensive medical and dental insurance plans.
• Generous paid time off.
• Commuter benefits.