On-Site Revenue Cycle Analyst: Payer Denials

Shield Healthcare; California (MO); On-site; USD 41,000 - 62,000; Full time

Benefits offered by this job

Medical, Dental, and Vision

401(k) with Company Match

Sick and Vacation Days

Flexible Spending Account

Life & Disability Insurance

Education Assistance

Employee Referral Program

Job summary

Shield HealthCare in Valencia, CA is seeking a Revenue Cycle Analyst to improve billing processes and reduce denials. The role requires analytical finance experience and strong data skills using Excel, AS400, SQL, and Power BI.

You will create reports, collaborate with cross-functional teams, support accounts receivable, and quantify the impact of payer contracts and billing changes to drive financial results. The position is on-site and offers comprehensive benefits.

Qualifications

• Bachelor's Degree in Business/Finance or equivalent work experience.
• 3-5 years' experience in an analytical role within finance, claims management, or medical billing preferred.
• Familiarity with various medical insurance payer guidelines/billing requirements is a plus.
• Proven ability to communicate results of analyses to management with great impact.
• Proficiency in Microsoft Office and advanced level of proficiency in Microsoft Excel.
• Strong analytical, organizational, and communication skills.
• Proven ability to research and solve problems.

Responsibilities

• Create advanced Excel reports/models that highlight reimbursement results and trends.
• Gather and extract data from databases using AS400 queries, SQL queries, and Power BI.
• Utilize trend and comparative analyses to address revenue cycle challenges, looking for ways to solve payer rejections, denials, and underpayments.
• Present quantitative and qualitative findings in a clear and concise manner.
• Collaborate with staff across the organization to solve problems and improve internal efficiencies.
• Establish positive relationships with third-party payers and clearinghouses to resolve billing issues.
• Quantify impact of new insurance payer contracts and billing requirement changes.
• Handle multiple priorities with aggressive deadlines, ensuring appropriate follow-up and closure.
• Prepare variety of ad-hoc reports and analyses as requested.
• Evaluate department processes for efficiency and accuracy.
• Share responsibility for effectively managing accounts receivable (A/R)

Skills

Excel proficiency

Data analysis

Communication

Problem solving

MS Office

Education

Bachelor's degree in Business/Finance

Tools

AS400 queries

SQL

Power BI

Job description

Shield HealthCare in Valencia, CA is seeking a Revenue Cycle Analyst to improve billing processes and reduce denials. The role requires analytical finance experience and strong data skills using Excel, AS400, SQL, and Power BI.

You will create reports, collaborate with cross-functional teams, support accounts receivable, and quantify the impact of payer contracts and billing changes to drive financial results. The position is on-site and offers comprehensive benefits.