Revenue Cycle Process Improvement 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

About the Role

panaHEALTH is seeking an analytical and results-driven Revenue Cycle Process Improvement Analyst to support the optimization of healthcare revenue cycle operations.

This role will analyze billing, coding, claims, denials, accounts receivable, and payment data to identify operational gaps, recurring issues, and opportunities for improvement. The analyst will work closely with RCM, billing, coding, AR, denial management, and leadership teams to develop data-driven solutions that improve efficiency, reduce errors, and support stronger revenue cycle performance.

The ideal candidate combines healthcare RCM knowledge, analytical skills, process improvement experience, and strong communication abilities.

Key Responsibilities

• Analyze revenue cycle performance across medical billing, coding, claims, denials, AR, and payment processes.
• Monitor key performance indicators including denial rates, AR aging, clean claim rates, collections, productivity, and turnaround times.
• Conduct root cause analysis to identify billing errors, denial patterns, payer issues, and process inefficiencies.
• Review claims and reimbursement data to identify trends, anomalies, and opportunities for revenue improvement.
• Develop and maintain Excel-based reports, dashboards, and performance trackers.
• Translate complex RCM data into clear, actionable recommendations for management.
• Collaborate with billing, coding, AR, denial management, and operations teams to validate findings and implement corrective actions.
• Identify opportunities to improve workflows, reduce manual processes, and increase operational efficiency.
• Monitor the effectiveness of implemented process improvements and measure results over time.
• Analyze payer requirements and changes that may affect claims processing, reimbursement, and denial performance.
• Support quality audits and review operational data to identify recurring issues.
• Prepare monthly and quarterly RCM performance reports and management presentations.
• Document process workflows, findings, recommendations, and improvement initiatives.
• Support implementation of process improvement projects and follow up on corrective actions.
• Maintain confidentiality of healthcare information and follow HIPAA and applicable compliance requirements.

Required Qualifications

• 3+ years of experience in healthcare Revenue Cycle Management, medical billing, healthcare analytics, or process improvement.
• Strong understanding of medical billing, claims management, denial management, AR, payment posting, and reimbursement processes.
• Experience conducting root cause analysis and identifying operational improvement opportunities.
• Strong analytical and critical-thinking skills.
• Advanced proficiency in Microsoft Excel, including formulas, pivot tables, data analysis, and reporting.
• Ability to analyze large datasets and identify patterns, trends, and anomalies.
• Strong understanding of CPT, ICD-10-CM, HCPCS, payer requirements, and healthcare billing workflows.
• Experience with EHR/EMR, billing, RCM, or healthcare reporting systems.
• Strong organizational and documentation skills.
• Excellent written and verbal communication skills.
• Ability to work independently and collaborate with cross-functional teams.
• Ability to manage multiple projects and meet deadlines.

Preferred Qualifications

• Experience with Power BI or other BI/dashboard tools.
• Experience with Epic or other healthcare RCM platforms.
• CRCR, CPC, CPB, CCS, or related healthcare certification.
• Experience in healthcare process improvement or quality assurance.
• Knowledge of clearinghouses and payer portals.
• Experience preparing presentations for leadership or client stakeholders.

About panaHEALTH

panaHEALTH, a Panacea Healthcare Solutions company, provides healthcare solutions focused on Revenue Cycle Management, Medical Billing, Medical Coding, Denial Management, Accounts Receivable, Medical Documentation, Remote Medical Scribe, Virtual Medical Assistant, Credentialing, and Contact Center services.

panaHEALTH supports healthcare practices across multiple specialties, including Urgent Care, Cardiology, Gastroenterology, Radiology, Skilled Nursing, Family Medicine, Orthopedics, and Fertility Clinics.

Our goal is to help healthcare providers streamline administrative operations, improve billing and documentation accuracy, strengthen revenue cycle performance, and allow clinicians to focus more on patient care.

Why Join panaHEALTH?

• Work across the full healthcare Revenue Cycle Management process.
• Gain exposure to multiple medical specialties and payer workflows.
• Collaborate with experienced RCM and healthcare professionals.
• Contribute to measurable process and operational improvements.
• Opportunity for professional development and career growth.
• Work in a collaborative, technology-enabled healthcare environment.

Join panaHEALTH and help transform healthcare RCM through data, process improvement, and operational excellence.