RCM Analysts

The Los Angeles Cancer Network•Glendale, CA

About The Position

The RCM Analysts play a critical role in maximizing financial health, improving cash flow, and ensuring revenue and data integrity. This role directly influences operational efficiency, profitability, and compliance with industry standards. An RCM Analyst manages, monitors, and optimizes the revenue cycle to ensure accurate billing, timely payments, and improved financial performance. Develop and implement strategies to optimize revenue cycle processes, reduce errors, and improve cash flow. Work closely with finance, RCM teams, healthcare providers, IT, and other departments to ensure seamless integration of systems and effective communication of findings. Assimilate data from multiple systems/sources and assist with analysis and interpretation of complex datasets using qualitative and quantitative methods. This role will aid in the automation, development, implementation, maintenance, and delivery of revenue cycle reports, dashboards and reporting packages to the revenue cycle and finance teams. The Chief Operating Officer will work to enhance the utilization of existing reporting tools and develop new tools to aid the organization in recognizing and maximizing revenue and reimbursement opportunities. RCM Analysts has a thorough understanding of healthcare revenue cycle and financial analytics and be able to provide data driven insights and actionable information to drive improvement, increase efficiency, and implement best practices.

Requirements

Ability to manipulate large sets of data in multiple databases is required.
Ability to utilize Microsoft Excel and Power BI on a routine basis and will need to be an advanced user of these products.
Ability to collaborate across all business functions.
Outstanding verbal and written communication skills.
Ability to multi-task and meet deliverables timely.
Knowledge of State, Medicare, and other external regulatory and accreditation agencies.
Reasoning skills and ability to articulate logic behind decisions.
Bachelor’s degree in accounting, finance, mathematics, data science, statistics, business administration, or a related field.
3+ years of experience in revenue cycle management and financial analysis.
Experience in hospital/physician billing for in and out-of-network facilities, and strong knowledge of Medicare preferred.
Experience with relational databases and knowledge of query tools and statistical software is required.
Great Customer Service Skills.
Experience in healthcare billing, preferably within community-based services in California.
Familiarity with revenue recognition principles and audit support.
Able to travel to satellite clinics when necessary.

Nice To Haves

Master’s Degree is preferred.
Knowledge of GoRev, Collaborate MD, NexGen, Centricity, Evident, is a plus.
Experience working with multi-location organizations preferred.

Responsibilities

Model and track impact of payor contracts; model and track impact of charge master updates; create recommendations and provide insight into potential changes.
Assess productivity and effectiveness of third-party revenue cycle vendors and provide actionable insights into critical deficiencies and areas of improvement.
Collaborate with Chief Operating Officer and billing teams to develop monthly revenue reporting.
Analyze complex financial and operational data, track key performance indicators (KPIs), and generate reports to identify trends, inefficiencies, and opportunities for revenue enhancement.
Analyze variances to compare actual to expected reimbursement, and benchmarking.
Help update and maintain various fee schedules and reimbursement models for Medicare and commercial insurance payers.
Complete financial reporting and analysis related to reimbursement, service line profitability, and patient level reporting.
Assist with annual budget and monthly forecasting and closing process.
Prepare, interpret and analyze financial data, business metrics, and report on KPI.
Gather operational and workflow requirements to document, implement and monitor workflow processes.
Ability to understand operational business processes and build technology and reports to track key performance indicators, model changes in key variables and analysis that impact on revenue.
Prepare financial and statistical reports and monitor trends and variances.
Manage and manipulate data as required to maintain financial models.
Reviews and understanding fluctuations across the organization delivering cost of care and variations in cost of care.
Differentiates impact of rate versus utilization variations.
Analyze data for reasonableness and integrity.
Create dashboards with RCM, operations, clinical and financial reporting.
Complete special projects and provide support as requested.