Revenue Cycle Analyst (On-site)

Shield California Health • Santa Clarita, CA

3d • $30 - $45 • Onsite

About The Position

Shield HealthCare is looking for a Revenue Cycle Analyst to analyze the medical claims billing process, looking for ways to solve payer rejections and denials. Requires collaboration with cross departmental teams and strong problem solving/research skills. Assists with distributing department workflow, prioritizing projects, and achieving positive financial outcomes. This is an on-site position in Valencia, CA.

Requirements

• Bachelor’s Degree in Business/Finance or equivalent work experience
• 3-5 years’ experience in an analytical role within finance, claims management, or medical billing preferred
• Familiarity with various medical insurance payer guidelines/billing requirements is a plus
• Proven ability to communicate results of analyses to management with great impact
• Proficiency in Microsoft Office and advanced level of proficiency in Microsoft Excel
• Strong analytical, organizational, and communication skills
• Proven ability to research and solve problems

Responsibilities

• Create advanced Microsoft Excel reports/models that highlight reimbursement results and trends
• Gather and extract data from databases using AS400 queries, SQL queries, and Microsoft Power BI
• Utilize trend and comparative analyses to address revenue cycle challenges, looking for ways to solve payer rejections, denials, and underpayments
• Present quantitative and qualitative findings in a clear and concise manner
• Collaborate with staff across the organization to solve problems and improve internal efficiencies
• Establish positive relationships with third-party payers and clearinghouses to resolve billing issues
• Quantify impact of new insurance payer contracts and billing requirement changes
• Handle multiple priorities with aggressive deadlines, ensuring appropriate follow-up and closure
• Prepare variety of ad-hoc reports and analyses as requested
• Evaluate department processes for efficiency and accuracy
• Share responsibility for effectively managing accounts receivable (A/R)

Benefits

• Medical, Dental, and Vision
• 401(k) with Company Match
• Sick and Vacation Days
• Flexible Spending Account
• Life & Disability Insurance
• Education Assistance
• Employee Referral Program

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level