RCM Financial Analyst

US Eye•University Park, FL

9d•Hybrid

About The Position

An RCM (Revenue Cycle Management) Financial Analyst optimizes financial performance by analyzing the full billing cycle—from patient registration to final payment. Identify rules that can be created to reduce denials. As well as potential process lags and opportunities to improve cash flow. Monitors and identifies the full revenue cycle, creates financial reports, and develops dashboards to ensure accurate, timely charge capture, collections and reimbursements. Key tasks include analyzing variances, supporting revenue forecasting, and ensuring compliance.

Requirements

Bachelor’s degree in Finance, Accounting, Health Administration, or a related field preferred.
3+ years in healthcare revenue cycle management and financial analysis.
Advanced proficiency in Microsoft Excel (VLOOKUPs, pivot tables), SQL, and data visualization tools like Power BI.
Strong understanding of medical billing (CMS-1500, UB-04), CPT/ICD-10 coding, and payer contracts (Medicare/Medicaid/Commercial).
Ability to interpret complex datasets and make data-driven recommendations.
Ensuring accuracy in financial reporting and billing compliance.
Presenting financial data to leadership to guide strategic decision-making.

Responsibilities

Reviewing daily/monthly revenue metrics, identifying trends in denials, and conducting variance analysis between actual and expected reimbursements.
Assess productivity and effectiveness of third-party revenue cycle vendors and provide actionable insights on critical deficiencies and areas of improvement.
Process Optimization - Identifying bottlenecks in the revenue cycle (from patient intake to final payment) and implementing improvements.
Track KPIs, like Days in Accounts Receivable (DAR), Charge Lag, TOS Collections, Net Collection Rates, Denial Ratios, clean claim rates, etc.
Collaborate with RCM leadership to develop monthly operational reporting.
Analyze key financial 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, physician charge capture 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 revenue.
Prepare financial and statistical reports and monitor trends and variances.
Analyze data for reasonableness and integrity.
Collaborates on creation of dashboards with the RCM leadership team.
Working with billing, coding, and clinical teams to resolve coding errors or documentation issues impacting revenue.
Complete special projects and provide support as requested.