Denials Prevention Revenue Cycle Analyst

• Perform in-depth analysis of claims, payments, and account reconciliations
• Ensure accuracy and compliance across the revenue cycle
• Identify trends in underpayments, denials, and revenue leakage
• Evaluate root causes and recommend corrective actions
• Review and validate claim and payment data
• Interpret contract reimbursement terms
• Prepare detailed reports
• Work assigned underpayment projects
• Collaborate with cross-functional teams
• Escalate complex issues
• Support continuous improvement initiatives to optimize processes and reduce cycle times
• Provide revenue cycle operations reporting and analysis
• Escalate service-level issues and concerns to leadership
• Analyze historical data and staffing to forecast future requirements
• Support review, recommendation, and implementation of metrics and reporting
• Assist in strategic planning and ongoing process improvement evaluation
• Provide exceptional service to internal and external stakeholders

• 1 to 3 years of experience
• Demonstrated advanced usage of AI
• Experience managing teams using AI
• Experience exploring, experimenting with, and applying AI for process and technological improvements
• Strong analytical capabilities
• Attention to detail
• Ability to communicate findings effectively to stakeholders
• Bachelor's Degree or Equivalent Experience
• Willingness and ability to travel to and work onsite at client, temporary, or corporate office locations as business needs require

Demonstrates strong analytical capabilities and attention to detail in performing in-depth analysis of claims and payments while ensuring compliance across the revenue cycle. Proficient in utilizing AI for process improvements and effectively communicating findings to stakeholders.

• Advanced AI Usage
• Revenue Cycle Analysis
• Team Management Using AI
• Process Improvement
• Stakeholder Communication

• Claims Analysis
• Payments Reconciliation
• Data Validation
• Contract Reimbursement Interpretation
• Reporting and Analysis
• Trend Identification
• Root Cause Evaluation
• Forecasting
• Metrics Implementation
• Continuous Improvement

• Attention to Detail
• Effective Communication
• Collaboration
• Problem-Solving
• Service Orientation

• Bachelor's Degree or Equivalent Experience

• Revenue Cycle
• Underpayments
• Denials
• Revenue Leakage
• Cross-Functional Collaboration
• Service-Level Issues
• Process Optimization
• Stakeholder Engagement