Wellness Equity Alliance · 14 hours ago
Revenue Cycle Management (RCM) Analyst
Wellness Equity Alliance (WEA) is a national public health organization focused on addressing healthcare disparities among underrepresented communities. The Revenue Cycle Management (RCM) Analyst is responsible for optimizing the organization's financial performance through data analysis, claims management, and process improvement within the revenue cycle.
Health Care
Responsibilities
Analyze billing, claims, and payment data to identify trends, risks, and opportunities for revenue optimization
Develop and maintain reports and dashboards to track key revenue cycle performance indicators (e.g., denial rates, days in A/R, clean claim rates)
Provide actionable insights and recommendations to revenue cycle leadership and cross-functional teams
Review, audit, and analyze denied or rejected insurance claims to identify root causes
Partner with billing teams to correct errors, resubmit claims, and prevent recurring issues
Track denial trends and support strategies to reduce future denials
Identify workflow inefficiencies or bottlenecks across front-end and back-end revenue cycle processes
Support the development and implementation of process improvements to enhance efficiency, accuracy, and reimbursement timelines
Assist with documentation of workflows, policies, and standard operating procedures
Ensure adherence to HIPAA, CMS, payer-specific requirements, and other applicable regulations
Support internal audits and compliance reviews related to billing and revenue cycle operations
Monitor data accuracy and integrity across revenue cycle systems
Collaborate with front-end teams (registration, eligibility, authorization) and back-end teams (billing, coding, collections)
Serve as a liaison between departments to resolve revenue-impacting issues
Support training efforts by sharing insights and best practices related to revenue cycle performance
Qualification
Required
Minimum of 3+ years of experience in healthcare billing, revenue cycle, finance, or health information systems
Strong analytical and problem-solving skills with high attention to detail
Ability to interpret complex data sets and translate findings into clear recommendations
Knowledge of medical billing and coding concepts (ICD-10, CPT, HCPCS)
Proficiency in Microsoft Excel (pivot tables, formulas, data analysis)
Experience working with Electronic Health Record (EHR) and billing systems (e.g., Epic, Athena, NextGen, Cerner, or similar)
Strong written and verbal communication skills
Ability to work independently while collaborating across teams
Preferred
Bachelor's degree in Business, Finance, Health Administration, Information Systems, or a related field (preferred)
Experience supporting hospital, clinic, or multi-site healthcare operations strongly preferred
Experience with revenue cycle analytics, reporting tools, or business intelligence platforms
Familiarity with payer contracts, reimbursement methodologies, and value-based care models
Experience working in multi-site or multi-state healthcare organizations
Certification in medical billing, coding, or revenue cycle management (e.g., CPB, CPC, CRCR) is a plus
Company
Wellness Equity Alliance
Our mission is to bring together accomplished clinicians who leverage existing healthcare, political, and financial resources, or create new ones.