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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in analyzing multi-payer reimbursement data, validating payments against contracts, and managing denials within healthcare revenue cycles. Proficient in developing reports and dashboards to enhance decision-making and compliance with regulatory requirements.
Highest-signal resume keywords
Healthcare Revenue Cycle ManagementData AnalysisPayer Contract ComplianceAnalytical Problem-SolvingKPI Monitoring
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Data AnalysisReimbursement AnalysisDenial ManagementFinancial AnalysisReport DevelopmentDashboard CreationRoot Cause AnalysisProcess ImprovementCash Flow OptimizationRegulatory Compliance
Soft Skills
Effective CommunicationCollaborationAttention to DetailProblem-SolvingPriority Management
Tools & Technologies
Microsoft ExcelData Analysis Tools
Industry Keywords
HealthcarePayer ContractsRevenue CycleDenial TrendsCompliance
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/GED with 9 years’ healthcare revenue cycle environment experience
- Proficiency in Microsoft Excel and data analysis tools
- Strong analytical and problem-solving skills
- 5+ years of experience in healthcare reimbursement, revenue cycle, or financial analysis
- 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 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