Revenue Cycle Analyst: Data-Driven Billing & Denials Expert

Shield HealthCare, Inc.; Washington (IL); 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, Inc. is seeking a Revenue Cycle Analyst to optimize the medical claims billing process, reduce payer rejections, and support cross-functional teams on revenue improvement. This on-site role is based in Valencia, CA.

Responsibilities include creating Excel reports and Power BI models, querying AS400/SQL databases, analyzing reimbursement trends, and communicating findings to management. Qualifications: Bachelor’s in Business/Finance and 3–5 years of analytics in finance or

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.

Responsibilities

• Create advanced Microsoft Excel reports/models that highlight reimbursement results and trends.
• Gather and extract data from databases using AS400 queries, SQL queries, and Microsoft 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.

Skills

Advanced Excel

Data analysis

Communication

Problem solving

SQL queries

Education

Bachelor's in Business/Finance

Tools

SQL

AS400

Power BI

Excel

Job description

Shield HealthCare, Inc. is seeking a Revenue Cycle Analyst to optimize the medical claims billing process, reduce payer rejections, and support cross-functional teams on revenue improvement. This on-site role is based in Valencia, CA.

Responsibilities include creating Excel reports and Power BI models, querying AS400/SQL databases, analyzing reimbursement trends, and communicating findings to management. Qualifications: Bachelor’s in Business/Finance and 3–5 years of analytics in finance or