Revenue Cycle Optimization Analyst

Pana Healthcare Solutions; Town of Plymouth (WI); Hybrid; USD 75,000 - 110,000; Full time

Job summary

panaHEALTH, a Panacea Healthcare Solutions company, is seeking an analytical Revenue Cycle Process Improvement Analyst to support the optimization of healthcare revenue cycle operations.

You will analyze billing, coding, claims, denials, AR, and payments data to identify gaps, recurring issues, and opportunities for improvement, working with RCM, billing, coding, AR, denial management, and leadership teams to develop data-driven solutions that improve efficiency and revenue cycle performance.

Qualifications

• 3+ years of experience in healthcare Revenue Cycle Management or process improvement.
• Strong knowledge of medical billing, claims, denials, AR, and reimbursement.
• Experience with root cause analysis and identifying improvement opportunities.
• Advanced Microsoft Excel skills for data analysis and reporting.
• Familiarity with CPT/ICD-10-CM/HCPCS and payer requirements.

Responsibilities

• Analyze revenue cycle performance across billing, coding, claims, denials, AR, and payments.
• Monitor KPIs: denial rates, AR aging, clean claim rates, collections, and turnaround times.
• Conduct root cause analysis to identify billing errors and process inefficiencies.
• Develop Excel-based reports, dashboards, and trackers.
• Translate data into actionable recommendations for management.
• Collaborate with cross-functional teams to validate findings and implement actions.
• Document workflows and improvement initiatives; monitor post-implementation results.

Skills

Healthcare RCM

Analytical thinking

Data analysis

Critical thinking

Communication skills

Microsoft Excel

Project management

Cross-functional collaboration

Education

Healthcare certifications (CRCR, CPC, CPB, CCS)

Tools

Power BI

Epic or EHR/EMR

RCM systems

Billing software

Job description

panaHEALTH, a Panacea Healthcare Solutions company, is seeking an analytical Revenue Cycle Process Improvement Analyst to support the optimization of healthcare revenue cycle operations.

You will analyze billing, coding, claims, denials, AR, and payments data to identify gaps, recurring issues, and opportunities for improvement, working with RCM, billing, coding, AR, denial management, and leadership teams to develop data-driven solutions that improve efficiency and revenue cycle performance.