Revenue Cycle Analyst

We are Emerus, the leader in small-format hospitals. We partner with respected and like-minded health systems who share our mission To provide the care patients need, in the neighborhoods they live, by teams they trust. Our growing number of amazing partners includes Allegheny Health Network, Ascension, Baptist Health System, Baylor Scott & White Health, Christiana Care, Dignity Health St. Rose Dominican, The Hospitals of Providence, INTEGRIS Health, Multi Care and Well Span.

Our innovative hospitals are fully accredited and provide highly individualized care. Emerus' commitment to patient care extends far beyond the confines of societal norms. We believe that every individual who walks through our doors deserves compassionate, comprehensive care, regardless of their background, identity, or circumstances. We are committed to fostering a work environment focused on teamwork that celebrates diversity, promotes equity and ensures equal access to information, development and opportunity for all of our Healthcare Pros.

The Revenue Cycle Analyst will be an integral part of the Company’s Revenue Cycle Team and is responsible for providing strong analytical assessments, reporting, and data-driven operational support for multiple aspects of revenue cycle operations within the Centralized Billing Office (CBO). This position will collaborate with subject matter experts to support daily business operations through data-driven decisions, ensuring timely and accurate billing, performance improvement, reconciliation, benchmarking, and reporting.

• Runs, reviews, interprets, analyzes, and validates large, complex datasets from various health information sources (e.g., claims, contracts, operational data).
• Analyzes reimbursement by utilizing knowledge of group payer contracts, payer policies, member benefits, and comparing actual to expected reimbursement.
• Reviews, analyzes, interprets, and reconciles “Explanation of Benefits” (EOBs) and payer remittances to identify denial trends and reduce controllable rejections.
• Analyzes data trends, conducts root cause analysis, and performs denials analysis to identify solutions and reduce rejections.
• Gathers and analyzes revenue cycle data to provide ad hoc information to internal and external stakeholders.
• Ensures data integrity across the revenue cycle and organization to support decision-making and actionable insights.
• Applies knowledge of hospital billing, medical coding, and contractual terms to analyze claim denials and communicate insurance policy changes to stakeholders.
• Updates and maintains fee schedules and reimbursement models for Medicare and commercial insurance payers.
• Conducts revenue cycle analysis and provides trends as needed by Revenue Cycle leadership team to identify improvement opportunities.
• Contributes to internal initiatives and projects related to Revenue Cycle data, analytics, and reporting.
• Performs data extraction and manipulation using BI tools, Excel, and other query tools within practice management systems.
• Has detailed knowledge of core Revenue Cycle systems and all bolt-on software solutions.
• Assist in creating and monitoring models that connect strategies to measures of performance that ensure successful reporting of revenue cycle data. Collaborate with various IT departments, Reporting teams, Revenue Recognition, and Managed Care to develop dashboards and metrics tracking.
• Independently performs complex research, compiles financial analyses, and develops detailed spreadsheets; prepares in‑depth analyses focused on accuracy, reliability, and timeliness; provides/presents interpretation of findings to revenue cycle leaders.
• Develops analyses and reports to support key initiatives, including identification and recommendation of improvements to existing processes, with timely follow‑through as appropriate.
• Participate in cross-functional business projects and perform ad hoc analysis as required
• Attend staff meetings or other company sponsored or mandated meetings as required
• Perform additional duties as assigned
• Bachelor’s degree or an equivalent combination of education and experience may be considered, required.
• 3+ years of related analyst experience…