RCM Analyst: Denials & Revenue Recovery Pro

Verse Medical; San Francisco (CA); On-site; USD 90,000 - 120,000; Full time

Benefits offered by this job

Competitive benefits

Professional development

Work-life balance

Job summary

Verse Medical in San Francisco is seeking a detail-driven RCM Analyst to join our revenue cycle team. You will own the denial lifecycle from root-cause identification to final resolution, translating systemic trends into process improvements and recovering revenue.

Collaborate with coders, billers, and front-end staff to reduce revenue leakage, monitor payer policy changes, and provide actionable insights to product and engineering.

Qualifications

• 3–6 years in RCM with 1–2 years in consulting/advisory
• Experience handling denials across commercial, Medicare, Medicaid
• Track record calling payers directly and managing appeals lifecycle end-to-end

Responsibilities

• Analyze denial patterns across payers, HCPCS codes, and product lines to identify systemic root causes and remediation
• Conduct direct payer outreach to uncover root causes of denials and underpaid claims
• Build and maintain denial, issue, and project tracking dashboards for leadership visibility
• Develop denial prioritization methodologies in coordination with RCM head
• Perform root cause analysis on high-volume/ high-dollar denials and present recommendations
• Collaborate with coders, billers, and front-end staff to reduce revenue leakage upstream
• Monitor payer policy changes and advise on workflow adjustments
• Collaborate with product/engineering to provide insights for solutions

Skills

Excel / Google Sheets

SQL

Payer portals (Availity)

Tools

Availity

BI tools

Job description

Verse Medical in San Francisco is seeking a detail-driven RCM Analyst to join our revenue cycle team. You will own the denial lifecycle from root-cause identification to final resolution, translating systemic trends into process improvements and recovering revenue.

Collaborate with coders, billers, and front-end staff to reduce revenue leakage, monitor payer policy changes, and provide actionable insights to product and engineering.