RCM AR Denials & Performance Analyst

Radiology Imaging Associates

  • Englewood, CO
  • $26.00-35.00 per hour
  • Permanent
  • Full-time
  • 2 days ago
Description :RCM AR Denials & Performance Analyst | Englewood, CO
Reports to RCM DirectorEmployment Type: Full TimeRadiology Imaging Associates (RIA) is comprised of over 115 radiologists. All with exceptional skill and expertise, most are fellowship-trained in their field of specialty for additional certification. We are dedicated to accurate and efficient patient diagnosis no matter their condition. Our interventional radiologists perform some of the most leading-edge treatments available today. We partner with primary care physicians and hospitals across Colorado, Nebraska, and Hawaii to provide a resource for both patients and physicians.Position Summary: The A/R Denials & Performance Analyst is responsible for analyzing payer denials, building dashboards, and monitoring revenue cycle performance across multiple sites and clients. Reporting directly to the Director of Revenue Cycle Management, this role focuses on auditing outsourced billing workflows, reconciling payments, and providing actionable insights to improve collections and reduce controllable denials. Unlike traditional denial roles, this position does not work appeals directly; instead, the analyst develops innovative reporting, trend analysis, and performance metrics that guide the outsourced billing company and internal RCM teams toward corrective action.Key Responsibilities:Denial & A/R Analytics
  • Analyze denial and aging reports across all sites/clients, identifying trends, root causes, and payer-specific issues.
  • Build and maintain a Denials Dashboard that tracks denial categories, controllable vs. uncontrollable denials, and resolution progress.
  • Develop and manage an A/R Dashboard to monitor outstanding balances, aging buckets, and payer collection performance.
  • Collaborate with the RCM Denials Lead to prioritize denial categories, escalate systemic issues, and develop prevention strategies.
Performance & Collections Monitoring
  • Model and report on collections vs. expected reimbursement, highlighting gaps between contractually expected and actual payments.
  • Build an RCM Performance Dashboard to monitor KPIs across multiple imaging centers and physician groups (e.g., clean claim rate, cash collections, denial rates, days in A/R).
  • Provide performance benchmarking by site/location to highlight variances and opportunities for improvement.
  • Support the Director of RCM and RCM Manager in evaluating outsourced billing vendor performance against expectations.
Auditing & Oversight
  • Audit outsourced billing workflows for accuracy, compliance, and timeliness.
  • Provide detailed audit findings with recommendations for next steps to outsourced billing partners.
  • Partner with the RCM Manager to design reporting structures that measure outsourced vendor accountability.
  • Ensure payer policy updates and audit findings are reflected in team workflows.
Innovation & Strategy
  • Drive innovation in denial and performance reporting, creating dashboards and tools that move beyond static reporting into actionable insights.
  • Recommend process improvements and workflow adjustments to prevent recurring denials and payment gaps.
  • Stay current on payer trends, industry benchmarks, and best practices to enhance reporting and collections monitoring.
  • Provide leadership with forward-looking analyses that support strategic decision-making.
QualificationsEducation & Experience
  • Bachelor’s degree in Healthcare Administration, Finance, Business, or related field preferred.
  • 4+ years of experience in revenue cycle analytics, A/R management, or denial analysis.
  • Prior experience in imaging, radiology, or specialty physician revenue cycle strongly preferred.
  • Demonstrated experience building dashboards (Excel, Power BI, Tableau, or similar).
  • Strong understanding of payer contracts, reimbursement methodologies, and denial management.
Skills & Competencies
  • Advanced Excel and data analysis skills required; experience with visualization tools strongly preferred.
  • Strong ability to translate complex billing/denial data into clear, actionable reporting.
  • Excellent organizational and communication skills with the ability to present to leadership.
  • Innovative mindset, with a focus on developing new approaches to denial prevention and revenue optimization.
  • Detail-oriented, with a strong commitment to accuracy and compliance.
  • Ability to manage multiple projects and deadlines in a fast-paced environment.
Compensation for this role between $26.00 to $35.00 per hour.In accordance with Colorado law, the range provided is Radiology Imaging Associate’s reasonable estimate of the base compensation for this role, and is based on non-discriminatory factors such as experience, knowledge, skills, and abilities. This position will receive applications on an ongoing basis and will remain open until filled.Radiology Imaging Associates offers a comprehensive benefits package including medical, dental, vision, term life insurance, AD&D, EAP, Short Term Disability, Long Term Disability, PTO and holiday pay for eligible employees. There are also options for voluntary income protection benefits i.e. supplemental life insurance, accident, and critical illness, profit sharing 401(k) retirement plan, and tuition reimbursement. Part-time employees may have access to some of these benefits, which may be on a pro-rated basis. Full-time employees will become eligible for benefits on the first day of the month following 30 days of employment.

Radiology Imaging Associates