Senior Revenue Cycle Analyst

Clearway Pain Solutions; Annapolis (MD); On-site; USD 95,000 - 115,000; Full time

Job summary

A leading healthcare company is seeking a Senior Revenue Cycle Analyst to enhance revenue cycle performance through strategic insights and data analysis. The role involves generating reports, improving collection processes, and collaborating with various teams to resolve issues. Ideal candidates will have a degree and relevant experience in revenue cycle management, along with strong communication and analytical skills.

Benefits

PTO (Up to 96 hours in first year)

401(k) with employer match

Health benefits (Medical, Dental, Vision)

Short-Term and Long-Term Disability

Qualifications

• Bachelor's degree required with three years of related experience.
• Strong knowledge of healthcare RCM.
• Proficiency in handling large data sets and RCM reporting.

Responsibilities

• Generate and review reports on revenue cycle performance.
• Develop strategies to reduce denial rates and improve collection cycles.
• Act as a liaison between billing and clinical teams.

Skills

Data analysis

Communication

Detail-oriented

Problem-solving

Organization

Education

Bachelor’s Degree in Healthcare Administration, Business, Finance or related field

Tools

Microsoft Office

Excel

Athena EHR/EMR

Job description

The Senior Revenue Cycle Analyst (SRCA) will be responsible for generating reporting on Revenue Cycle performance and will provide actionable insights to key decision makers. The SRCA will work across teams to develop strategies to reduce denials and increase collection speed. An effective SRCA will quickly understand and be able to analyze the company’s EMR to identify inefficiencies throughout the full Revenue Cycle Process.

Essential Duties and Responsibilities:

• Generate and review regular reports on revenue cycle performance, including accounts receivable, collections, denials, charge capture, and payment posting.
• Provide data-driven insights and actionable recommendations to leadership.
• Work closely with the Denials Management team to identify root causes of claim denials and underpayments.
• Develop strategies to reduce denial rates and improve collection cycles.
• Assist in financial reporting and revenue forecasting. Help develop projections based on historical performance and industry trends.
• Lead and participate in continuous improvement initiatives to streamline and optimize the revenue cycle.
• Act as a liaison between the onshore and offshore billing teams, coding, and clinical teams to ensure proper documentation and efficient workflows.
• Review reimbursement trends across procedure codes and insurance payors to identify opportunities for increased collection rates
• Check and respond to work e-mail on a regular basis throughout the workday.
• Participate in and complete all required trainings and in-services.
• Performs other duties as assigned.

Minimum Qualifications:

• Bachelor’s Degree from an accredited college or university in Healthcare Administration, Business, Finance or related field of study WITH three (3) years of related experience; an equivalent combination of education and/or experience.
• To perform this job successfully, an individual should have knowledge of Internet and Microsoft Office software (MS Word, MS Excel, MS PowerPoint, MS Outlook). Must have a demonstrated strength in using MS Excel.
• Must have demonstrated success in handling large data sets
• Must have demonstrated experience with RCM reporting
• Must have a solid understanding of healthcare RCM
• Must be able to effectively communicate with executive and other senior leaders.
• Must have excellent written and oral communication skills, including exceptional customer service.
• Must be able to establish and maintain effective working relationships with doctors, clinical staff, other co-workers and the public.
• Must be able to work individually as well as within a team.
• Must be able to follow both verbal and written instructions.
• Must be able to work a flexible schedule.
• Must be able to respond with patience and understanding during stressful conditions.
• Must be able to multi-task and prioritize.
• Must demonstrate extreme attention to detail.
• Must possess strong organization skills.
• Must be able to problem solve and use reasoning.
• Must be able to meet predefined quality standards.
• Must maintain and project a professional attitude and appearance at all time.
• All staff are expected to have a strong desire to provide excellent customer service; to comply with the rules and regulations of those organizations to which we are accountable; to have high ethical and professional standards of conduct; and to have an attitude of wanting to continuously improve their own professional performance.

Preferred Qualifications:

• Five (5) years’ related experience in healthcare RCM
• Two (2) years’ experience with Athena EHR/EMR
• Two (2) years’ previous experience working within a private equity backed organization.

Driving/Travel:

The employee must have reliable transportation. While the primary workplace may be closest to the employee’s home, work assignments could be in any of the Company’s locations.

Compensation and Benefits:

• Pay Range: $95,000/year - $115,000/year
• PTO: Up to 96 hours in first year (pro-rated based on start date)
• Holidays: 7 (New Year’s Day, Memorial Day, Independence Day, Labor Day, Thanksgiving, Day After Thanksgiving, Christmas Day)
• Retirement: 401(k) with employer match
• Health Benefits: Medical (single and family), Dental (single and family), Vision (single and family)
• Other Company-Paid Benefits: Short-Term Disability, Long-Term Disability, Basic Life/AD&D, Employee Assistance Program
• Other Voluntary Benefits: Voluntary Life, Accident, Critical Illness, Hospital Indemnity