Revenue Cycle Performance Analytics Manager

Role Description

As a Revenue Cycle Performance Analytics Manager, candidate will be responsible for supporting revenue cycle leadership by completing deep data analysis to identify key trends and issues to improve revenue cycle processes within our organization. This role is critical to ensuring data-driven decision-making that supports financial sustainability and enhances the patient financial experience.

• Lead and manage the analysis of data and trends to identify revenue cycle bottlenecks, issues, and opportunities for improvement.
• Develop and maintain Revenue Cycle Performance metrics, reports, and dashboards to track key performance indicators.
• Conduct thorough analysis of the revenue cycle processes, including financial clearance, billing, coding, collections, denials, etc.
• Summarize information, data, and recommendations, and prepare presentation materials for RCM leadership.
• Identify areas for efficiency and improvement; collaborating and recommend strategies to optimize revenue cycle performance, including but not limited to reducing denials and improving cash flow, to senior leadership.
• Drive implementation of optimized process planning.
• Collaborate with cross-functional teams, including financial clearance, finance, billing, coding, and compliance, to ensure accurate and timely revenue cycle operations.
• Provide training and mentorship to revenue cycle staff on data tools and best practices.

Qualifications

• High proficiency in Excel (advanced formulas, pivot tables, lookups)
• Experience working with RCM data elements and a general understanding of RCM functions and/or workflows
• Experience working with Denials Data, understanding of CARC/RARC category assignments
• Strong analytical skills: ability to interpret transaction, claims, and denial data and identify trends
• Familiarity with data visualization/reporting tools such as Tableau, PowerBI, etc.
• Familiarity with SQL, Snowflake, or other data warehousing tools
• Effective communication skills for collaborating with cross-functional departments and presenting findings to executive and clinical leadership
• Ability to synthesize data to escalate trends, issues, or opportunities to leadership
• Detail-oriented with the ability to manage multiple priorities and drive initiatives forward
• Athenahealth or other EMR systems experience (preferred)

Requirements

• Bachelor’s degree in Health Administration, Finance, Business, Data Analytics, or related field
• 5+ years of experience in healthcare revenue cycle, data analysis, or a related role
• Knowledge of healthcare revenue cycle operations and payer reimbursement models

Benefits

• Health insurance
• Dental insurance
• Life insurance
• Access to a 401k plan