Associate Revenue Cycle Analyst - Billing
Core
Subject matter expert and analytical resource ensuring claims are accurately billed, submitted, received, and accepted by payers by investigating complex front-end billing issues and using data to identify root causes and recurring patterns.
Role type
Associate Revenue Cycle Analyst (Billing)
Builds
Sustainable improvements to clean claim rates and reduced avoidable rejections/denials
Domain
Healthcare Revenue Cycle Management
Deliverable
production ML models | dashboards & analysis | client delivery
Required skills
SQL, Snowflake, Microsoft Excel (pivot tables, lookup functions), medical billing and coding concepts (CPT/HCPCS, ICD-10, modifiers), payer requirements knowledge, EDI processes, data analysis, root cause investigation, project management
Preferred skills
Experience with clearinghouse processing, provider enrollment, prior authorization, AI-assisted query development
Technologies
SQL, Snowflake, Microsoft Excel
Responsibilities
Investigate EDI and clearinghouse rejections, authorization issues, provider enrollment challenges, and patient demographic errors; Analyze claim rejections and operational data to identify trends and root causes; Develop dashboards, reports, and automation tools to improve visibility into claim submission performance; Independently drive complex issue-resolution initiatives from identification through implementation and monitoring; Partner with cross-functional teams to create sustainable improvements in claim accuracy and operational efficiency; Prepare executive-ready materials covering trends, root causes, and revenue cycle impacts.
Seniority
Associate, hands-on IC
