Denials Prevention Revenue Cycle Analyst

Jobtailor

Kentucky

On-site

USD 60,000 - 90,000

Full time

9 days ago

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Job summary

Jobtailor is seeking a Revenue Cycle Analyst to drive in-depth analysis of claims, payments, and account reconciliations across the revenue cycle. You will identify trends in underpayments and denials, evaluate root causes, and collaborate with cross-functional teams to implement corrective actions and process improvements.

The ideal candidate has 1–3 years of experience, strong analytical skills, attention to detail, and proven ability to communicate findings to stakeholders.

Qualifications

  • 1 to 3 years of experience in revenue cycle or related field.
  • Demonstrated advanced usage of AI.
  • Experience managing teams using AI.
  • Strong analytical capabilities and attention to detail.
  • Ability to communicate findings effectively to stakeholders.
  • Willingness to travel and work onsite as needed.

Responsibilities

  • Perform in-depth analysis of claims, payments, and account reconciliations.
  • Ensure accuracy and compliance across the revenue cycle.
  • Identify trends in underpayments, denials, and revenue leakage.
  • Evaluate root causes and recommend corrective actions.
  • Review and validate claim and payment data.
  • Prepare detailed reports for leadership.
  • Collaborate with cross-functional teams and escalate complex issues.
  • Support continuous improvement initiatives to optimize processes and reduce cycle times.
  • Provide revenue cycle operations reporting and analysis.

Skills

Advanced AI Usage
Revenue Cycle Analysis
Team Management Using AI
Process Improvement
Stakeholder Communication
Attention to Detail

Education

Bachelor's Degree or Equivalent Experience

Job description

  • Perform in-depth analysis of claims, payments, and account reconciliations
  • Ensure accuracy and compliance across the revenue cycle
  • Identify trends in underpayments, denials, and revenue leakage
  • Evaluate root causes and recommend corrective actions
  • Review and validate claim and payment data
  • Interpret contract reimbursement terms
  • Prepare detailed reports
  • Work assigned underpayment projects
  • Collaborate with cross-functional teams
  • Escalate complex issues
  • Support continuous improvement initiatives to optimize processes and reduce cycle times
  • Provide revenue cycle operations reporting and analysis
  • Escalate service-level issues and concerns to leadership
  • Analyze historical data and staffing to forecast future requirements
  • Support review, recommendation, and implementation of metrics and reporting
  • Assist in strategic planning and ongoing process improvement evaluation
  • Provide exceptional service to internal and external stakeholders
Requirements
  • 1 to 3 years of experience
  • Demonstrated advanced usage of AI
  • Experience managing teams using AI
  • Experience exploring, experimenting with, and applying AI for process and technological improvements
  • Strong analytical capabilities
  • Attention to detail
  • Ability to communicate findings effectively to stakeholders
  • Bachelor's Degree or Equivalent Experience
  • Willingness and ability to travel to and work onsite at client, temporary, or corporate office locations as business needs require
Core Competencies

Demonstrates strong analytical capabilities and attention to detail in performing in-depth analysis of claims and payments while ensuring compliance across the revenue cycle. Proficient in utilizing AI for process improvements and effectively communicating findings to stakeholders.

Highest-signal resume keywords
  • Advanced AI Usage
  • Revenue Cycle Analysis
  • Team Management Using AI
  • Process Improvement
  • Stakeholder Communication
ATS Optimization Keywords
Hard Skills
  • Claims Analysis
  • Payments Reconciliation
  • Data Validation
  • Contract Reimbursement Interpretation
  • Reporting and Analysis
  • Trend Identification
  • Root Cause Evaluation
  • Forecasting
  • Metrics Implementation
  • Continuous Improvement
Soft Skills
  • Attention to Detail
  • Effective Communication
  • Collaboration
  • Problem-Solving
  • Service Orientation
Certifications & Qualifications
  • Bachelor's Degree or Equivalent Experience
Industry Keywords
  • Revenue Cycle
  • Underpayments
  • Denials
  • Revenue Leakage
  • Cross-Functional Collaboration
  • Service-Level Issues
  • Process Optimization
  • Stakeholder Engagement
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