Revenue Cycle Analyst (On-site)

Shield HealthCare - Medical Supplies for Care at Home Since 1957; Santa Clarita (CA); On-site; USD 41,000 - 62,000; Full time

Benefits offered by this job

Medical, Dental, 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 optimize medical claims processing and reduce payer denials. The role involves creating Excel-based models, pulling data from AS400/SQL, and using Power BI to highlight reimbursement trends.

The ideal candidate has a Bachelor’s degree in business/finance and 3–5 years of analytics experience, with strong communication and problem-solving skills. On-site employment with competitive benefits is offered.

Qualifications

• Bachelor’s degree in Business or Finance or equivalent experience.
• 3–5 years analytical experience in finance, claims, or billing preferred.
• Proficient with MS Office and advanced Excel.
• Able to communicate analyses to management with impact.

Responsibilities

• Create advanced Excel reports and models showing reimbursements and trends.
• Extract data from AS400/SQL databases and use Power BI for insights.
• Address payer rejections and denials with cross‑department collaboration.
• Present findings clearly and drive process improvements.
• Build relationships with payers and clearinghouses to resolve issues.
• Quantify impact of new payer contracts and billing changes.
• Manage multiple priorities with strict deadlines and follow‑ups.
• Prepare ad hoc reports and assess department processes for accuracy.
• Contribute to accounts receivable management.

Skills

Advanced Excel

Microsoft Office

Communication

Analytical

Problem solving

SQL

Education

Bachelor’s Degree in Business/Finance

Tools

Power BI

AS400

Job description

Since 1957, Shield Healthcare has provided high-quality healthcare services while focusing on customer satisfaction and employee achievement. We are dedicated to fulfilling the medical supply needs of consumers and the caregiving community while maintaining a 99% overall customer satisfaction rating. Over the years, Shield HealthCare has expanded nationally with current service locations in California, Colorado, Illinois, Ohio, Texas and Washington.

Shield HealthCare is looking for a Revenue Cycle Analyst to analyze the medical claims billing process, looking for ways to solve payer rejections and denials. Requires collaboration with cross departmental teams and strong problem solving/research skills. Assists with distributing department workflow, prioritizing projects, and achieving positive financial outcomes.

This is an on-site position in Valencia, CA.

Job 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
• 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)

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

Pay & Benefits

• $30-45/hour
• Medical, Dental, and Vision
• 401(k) with Company Match
• Sick and Vacation Days
• Flexible Spending Account
• Life & Disability Insurance
• Education Assistance
• Employee Referral Program

Career-minded individuals will find our business challenging and our reputation for excellence just one of the rewards we have to offer. To further enhance this tradition of excellence, our employees participate in continuous training and development programs in a variety of disciplines.

The posted range for this position is $30-45/hour which is the expected starting base salary range for an employee who is new to the role to fully proficient in the role. Many factors go into determining employee pay withing the posted range including education, prior experience, training, current skills, certifications, location/labor market, internal equity, etc.

Shield Healthcare, Inc. is an Equal Employment Opportunity Employer and does not discriminate against applicants or employees on the basis of race, color, religion, creed, national origin, ancestry, disability that can be reasonably accommodated without undue hardship, sex, sexual orientation, gender identity, age, citizenship, marital or veteran status, or any other legally protected status.