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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in healthcare revenue cycle management, including reimbursement analysis, compliance with payer contracts, and data analytics. Proficient in developing reports and dashboards to enhance decision-making and optimize cash flow.
Highest-signal resume keywords
Healthcare Revenue Cycle ManagementData AnalysisMicrosoft ExcelPayer Contract ComplianceAnalytical Problem-Solving
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Reimbursement AnalysisData AnalyticsFinancial AnalysisKPI MonitoringDenial Management
Soft Skills
Effective CommunicationCollaborationAttention to DetailProblem-SolvingPriority Management
Tools & Technologies
Data Analysis ToolsReporting Dashboards
Industry Keywords
Payer ContractsRegulatory RequirementsHealthcare ComplianceRevenue RisksClean Claim Rates
About the role
Key responsibilities & impact- Analyze multi-payer reimbursement data to identify variances, denial trends, and revenue risks
- Validate payments against payer contracts, fee schedules, and regulatory requirements
- Investigate and resolve complex payer issues and escalate high-risk concerns as needed
- Manage denials and accounts receivable within assigned payer portfolios to optimize cash flow
- Identify denial root causes and implement corrective actions to improve clean claim rates
- Develop reports and dashboards to support leadership visibility and decision-making
- Ensure compliance with payer contracts, policies, and regulatory requirements
- Drive process improvements to reduce denials and enhance reimbursement accuracy
- Collaborate with billing, coding, finance, and operations to resolve issues and improve workflows
- Monitor and report on KPIs, providing insights to support performance improvement
Requirements
What you’ll need- Bachelor’s degree with 5 years’ healthcare revenue cycle environment experience, or Associate degree with 7 years’ healthcare revenue cycle environment experience, or HS diploma or GED with 9 years’ healthcare revenue cycle environment experience
- 5+ years of experience with Microsoft Excel and data analysis tools
- 5+ years of experience in healthcare reimbursement, revenue cycle, or financial analysis
- 5+ years of experience with data analytics
- Strong analytical and problem-solving skills
- Ability to manage priorities and meet deadlines in a fast-paced environment
- Effective communication and collaboration skills
- Attention to detail with a focus on accuracy and compliance
- Work schedule availability Monday–Friday, 8:00am–5:00pm EST
Benefits
Comp & perks- Medical insurance
- Dental insurance
- Vision insurance
- Life insurance
- Short-term disability (STD)
- Long-term disability (LTD)
- 401(k)
- Paid Time Off (PTO) or Flexible Time Off (FTO)
- Tuition Reimbursement
- Employee Stock Purchase Plan