This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Denials Prevention Revenue Cycle Analyst based in the United States.
This role plays a critical part in strengthening revenue cycle performance by identifying, analyzing, and preventing claim denials and revenue leakage across healthcare operations. You will work closely with claims, billing, and reimbursement data to uncover root causes of underpayments and denials, translating complex datasets into actionable insights that improve financial outcomes. The position sits within a collaborative, fast-paced environment where accuracy, analytical thinking, and process improvement directly impact organizational performance. You will also support reporting, forecasting, and operational optimization initiatives that help improve cycle times and reduce avoidable revenue loss. Working cross-functionally with internal teams and external stakeholders, you will help ensure compliance with payer requirements and contract reimbursement rules. This is a highly analytical role ideal for someone who thrives on solving complex revenue integrity challenges and driving measurable improvement.
Accountabilities:
- Perform detailed analysis of claims, payments, denials, and underpayments to identify revenue leakage and process breakdowns.
- Evaluate root causes of denials and reimbursement variances, and recommend corrective actions to improve revenue cycle performance.
- Review and validate claim and payment data to ensure accuracy, compliance, and alignment with payer contract terms.
- Develop and maintain revenue cycle reporting, dashboards, and performance metrics to support operational decision-making.
- Support underpayment projects, audits, and reconciliation activities across assigned accounts.
- Collaborate with cross-functional teams to escalate and resolve complex revenue cycle issues in a timely manner.
- Assist in forecasting, trend analysis, and capacity planning based on historical revenue cycle data.
- Contribute to continuous improvement initiatives aimed at reducing denial rates and optimizing end-to-end revenue cycle workflows.
Requirements:
- 1–3 years of experience in revenue cycle, healthcare analytics, billing, or related healthcare financial operations.
- Bachelor’s degree or equivalent experience in healthcare administration, finance, business, or related field.
- Strong analytical skills with the ability to interpret claims, payment, and reimbursement data.
- Understanding of revenue cycle processes including denials management, underpayments, and contract reimbursement structures.
- Experience working with reporting tools, spreadsheets, and data analysis systems.
- Strong attention to detail with the ability to identify trends, anomalies, and root causes in complex datasets.
- Excellent communication skills with the ability to present findings clearly to stakeholders.
- Ability to work independently in a remote environment while collaborating effectively across teams.
- Demonstrated interest or experience in using AI tools to improve analysis, workflows, or operational efficiency is a plus.
Benefits:
- Competitive salary range ($62,500 – $79,800 depending on experience)
- Bonus incentives and performance-based recognition programs
- Comprehensive medical, dental, and vision insurance
- Paid certifications and tuition reimbursement opportunities
- Career advancement within a leading revenue cycle organization
- Remote work flexibility with occasional onsite or client travel as needed
- Paid time off and employee wellness programs
- Inclusive, collaborative culture focused on innovation and continuous improvement