Remote Revenue Cycle Analyst — Denials, Analytics & Growth

PathGroup; Brentwood (TN); Remote; USD 70,000 - 98,000; Full time

Job summary

PathGroup is seeking a Revenue Cycle Analyst to analyze payer data, resolve claim denials, and transform insights into actionable strategies that drive revenue growth. You will own a payer portfolio in a fully remote capacity.

Responsibilities include monitoring claims and denials, tracking key metrics, and collaborating with internal stakeholders to improve clean-claim rates and streamline workflows. A Bachelor’s degree and 4+ years in healthcare analytics are required.

Qualifications

• Bachelor’s degree in Healthcare Administration, Business, Analytics, or equivalent experience.
• 4+ years of healthcare revenue cycle analytics or related data analysis.
• Experience with claims analytics, denial management, and payer reporting.
• Knowledge of HIPAA, Medicare claims, and insurance billing.
• Experience with laboratory billing is a plus.

Responsibilities

• Analyze revenue cycle data across payer portals to identify trends and gaps.
• Monitor claims, denials, and cash collections with regular reports.
• Track KPIs like days in A/R and denial rates and payer policies.
• Develop and implement denial resolutions and appeal opportunities.
• Create SOPs, process flows, and documentation for denial processing.
• Collaborate with Managed Care on payer negotiations and behavior.
• Support ad hoc data requests for revenue cycle leadership.
• Prepare management reports on appeals success and root-cause analyses.

Skills

Revenue cycle analytics

Denial management

Data analysis

Excel

PowerPoint

Visio

Communication

Education

Bachelor's degree in Healthcare Administration, Business, Analytics, or equivalent experience

Tools

Visio

Xifin

Microsoft Excel

Smartsheet

Job description

PathGroup is seeking a Revenue Cycle Analyst to analyze payer data, resolve claim denials, and transform insights into actionable strategies that drive revenue growth. You will own a payer portfolio in a fully remote capacity.

Responsibilities include monitoring claims and denials, tracking key metrics, and collaborating with internal stakeholders to improve clean-claim rates and streamline workflows. A Bachelor’s degree and 4+ years in healthcare analytics are required.