
Revenue Cycle Performance Analytics Manager
- New Jersey
- $95,000-125,000 per year
- Permanent
- Full-time
- Lead and manage the analysis of data and trends to identify revenue cycle bottlenecks, issues, and opportunities for improvement.
- Develop and maintain Revenue Cycle Performance metrics, reports, and dashboards to track key performance indicators.
- Conduct thorough analysis of the revenue cycle processes, including financial clearance, billing, coding, collections, denials, etc.
- Summarize information, data, and recommendations, and prepare presentation materials for RCM leadership.
- Identify areas for efficiency and improvement; collaborating and recommend strategies to optimize revenue cycle performance, including but not limited to reducing denials and improving cash flow, to senior leadership.
- Drive implementation of optimized process planning.
- Collaborate with cross-functional teams, including financial clearance, finance, billing, coding, and compliance, to ensure accurate and timely revenue cycle operations.
- Provide training and mentorship to revenue cycle staff on data tools and best practices.
- High proficiency in Excel (advanced formulas, pivot tables, lookups)
- Experience working with RCM data elements and a general understanding of RCM functions and/or workflows
- Experience working with Denials Data, understanding of CARC/RARC category assignments
- Strong analytical skills: ability to interpret transaction, claims, and denial data and identify trends
- Familiarity with data visualization/reporting tools such as Tableau, PowerBI, etc.
- Familiarity with SQL, Snowflake, or other data warehousing tools
- Effective communication skills for collaborating with cross-functional departments and presenting findings to executive and clinical leadership
- Ability to synthesize data to escalate trends, issues, or opportunities to leadership
- Detail-oriented with the ability to manage multiple priorities and drive initiatives forward
- Athenahealth or other EMR systems experience (preferred)
- Bachelor’s degree in Health Administration, Finance, Business, Data Analytics, or related field
- 5+ years of experience in healthcare revenue cycle, data analysis, or a related role
- Knowledge of healthcare revenue cycle operations and payer reimbursement models