Summary:
The Senior Revenue Cycle Analyst is responsible for overseeing and optimizing key aspects of the healthcare revenue cycle, with a focus on improving operational efficiency, enhancing financial performance, and ensuring compliance with regulatory standards. This senior-level role requires in-depth knowledge of revenue cycle processes, strong analytical capabilities, and the ability to support cross-functional teams in identifying and addressing process inefficiencies. The Senior Analyst plays a critical role in driving improvements, identifying strategic opportunities, and supporting organizational goals through data-driven insights and project leadership.
**This position requires approx. 50% travel**
Revenue Cycle Strategy & Performance
• Lead complex revenue cycle projects that enhance operational efficiency and financial performance.
• Conduct in-depth analysis of key performance indicators, including accounts receivable, denials, collections, billing accuracy, payment posting, and other relevant metrics.
• Provide data-driven recommendations to improve revenue cycle outcomes.
• Collaborate with leadership to develop and execute performance improvement strategies across departments.
• Ensure revenue cycle initiatives align with broader organizational goals.
• Identify automation opportunities and work with IT and operational teams to implement
solutions that improve workflow speed and accuracy.
Process Improvement
• Design and implement process improvements across revenue cycle functions, including billing, coding, collections, and denials management.
• Streamline operations, reduce costs, and support greater consistency across revenue cycle workflows.
• Lead the development and maintenance of standardized policies, procedures, and workflows to support best practices.
• Monitor compliance with applicable federal, state, and payer-specific requirements.
• Ensure adherence to coding, billing, and documentation standards.
• Identify and mitigate compliance risks within revenue cycle operations.
Data Analysis & Reporting
• Create comprehensive data analyses, financial reports, and dashboards to support performance monitoring and executive decision-making.
• Leverage advanced Microsoft Excel skills to develop financial models, pivot tables, and visualizations.
• Analyze and interpret financial data to identify discrepancies, forecast revenue, and recommend corrective actions.
• Highlight trends, risks, and opportunities for improvement through clear reporting and communication.
Leadership & Collaboration
• Serve as a subject matter expert on revenue cycle processes.
• Provide guidance and support to junior analysts and project team members as needed.
• Act as a liaison between revenue cycle teams and other departments to ensure alignment on process changes and improvement efforts.
• Support training initiatives by contributing to process documentation, presentations, and performance education.
Professional Development
• Stay current on changes in healthcare billing and regulatory requirements.
• Ensure timely updates to policies, procedures, and training materials.
• Participate in relevant training and professional development to maintain and advance technical and regulatory knowledge.
• Bachelor’s degree in Business, Healthcare Administration, Finance, or a related field.
• Minimum of 2+ years of experience in healthcare revenue cycle operations, with a focus on billing, coding, collections, and data analysis.
• Previous experience in a senior analyst role or leadership role preferred.
• Strong analytical, problem-solving, and communication skills.
• Advanced proficiency in Microsoft Excel.
• Experience with data visualization tools, such as Power BI or Tableau, is a plus.
• Familiarity with EHR systems, such as Epic, and healthcare billing platforms preferred.
• Highly organized with the ability to manage multiple projects and meet deadlines in a fast-paced environment.