Revenue Cycle Management Analyst

RVO Health

4d•Remote

About The Position

The Revenue Cycle Management (RCM) Analyst is our financial detective, diving into the entire billing cycle—from patient registration all the way to final payment—to crack the code on reducing denials, boost revenue, and keep everything compliant. By tracking key performance indicators (KPIs) like days in A/R, spotting claim trends, and streamlining workflows, they ensure the financial health of the medical practice!

Requirements

Bachelor's degree in Finance, Health Administration, Business, or a related field
2+ years in revenue cycle management and healthcare billing using a medical billing software or EMR
Strong proficiency in Excel
Strong verbal and written communication skills
Ability to multitask, manage competing priorities, and maintain accurate records.
Deep understanding of ICD-10, CPT coding, payer policies

Responsibilities

Data Analysis & Reporting: Create reporting to monitor denial rates, charge capture, and accounts receivable (A/R) metrics, providing actionable insights.
Denial Management: Identify root causes of rejected claims, collaborate with billing teams to correct errors, and implement preventive measures.
Revenue Optimization: Analyze billing procedures to increase collections, improve cash flow, and minimize financial loss.
Compliance & Auditing: Ensure all claims comply with federal/state regulations (e.g. HIPAA)
System Maintenance: Work with IT to manage, test, and upgrade EMR (electronic medical record) or other billing software systems
Timely Filing and Claims Processing: Ensure claims are submitted to payors timely and claims are processed efficiently