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Wellness Equity Alliance logo
Wellness Equity Alliance

We envision a future in which equitable, effective, and locally nuanced healthcare delivery supports a healthy populous.

Revenue Cycle Management Analyst

AnalystAnalystOtherRemoteSeniorTeam 51-200H1B No SponsorCompany SiteLinkedIn

Location

California

Posted

171 days ago

Salary

$55K - $75K / year

Seniority

Senior

Bachelor Degree3 yrs expEnglish

Job Description

Revenue Cycle Management Analyst

Wellness Equity Alliance

• Analyze billing, claims, and payment data to identify trends, risks, and opportunities for revenue optimization. • Develop and maintain reports and dashboards to track key revenue cycle performance indicators (e.g., denial rates, days in A/R, clean claim rates). • Provide actionable insights and recommendations to revenue cycle leadership and cross-functional teams. • Review, audit, and analyze denied or rejected insurance claims to identify root causes. • Partner with billing teams to correct errors, resubmit claims, and prevent recurring issues. • Track denial trends and support strategies to reduce future denials. • Identify workflow inefficiencies or bottlenecks across front-end and back-end revenue cycle processes. • Support the development and implementation of process improvements to enhance efficiency, accuracy, and reimbursement timelines. • Ensure adherence to HIPAA, CMS, payer-specific requirements, and other applicable regulations. • Collaborate with front-end teams (registration, eligibility, authorization) and back-end teams (billing, coding, collections).

Job Requirements

  • Bachelor’s degree in Business, Finance, Health Administration, Information Systems, or a related field (preferred).
  • Minimum of 3+ years of experience in healthcare billing, revenue cycle, finance, or health information systems.
  • Experience supporting hospital, clinic, or multi-site healthcare operations strongly preferred.
  • Strong analytical and problem-solving skills with high attention to detail.
  • Ability to interpret complex data sets and translate findings into clear recommendations.
  • Knowledge of medical billing and coding concepts (ICD-10, CPT, HCPCS).
  • Proficiency in Microsoft Excel (pivot tables, formulas, data analysis).
  • Experience working with Electronic Health Record (EHR) and billing systems (e.g., Epic, Athena, NextGen, Cerner, or similar).

Benefits

  • Work From Home Flexibility

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