Revenue Cycle Analyst
Omada Health
Omada Health is on a mission to inspire and engage people in lifelong health, one step at a time. Job overview Omada Health is seeking a Revenue Cycle Analyst to execute, document, and continuously improve Omada’s Revenue Cycle Management (RCM) function. The Analyst will be expected to understand Omada’s RCM framework and work with the RCM team in developing effective methods and tools to process data and drive cash collections. You will work directly with both internal and external stakeholders to ensure robust billing and efficient collection processes are in place to support our mission. Your work will ensure that Omada recovers its claims in a timely fashion, our payers are impressed with our service, and our participants can focus on improving their health. This position will be at the forefront of refining the company’s processes and practices to further Omada’s financial growth. Your impact Process and Systems Implementation Assist team on a smooth end-to-end billing process Assist with any new RCM payer implementations Assist with communication to Omada’s clearinghouse on new connections and any claims management issues Participate in cross-functional efforts to increase efficiency and effectiveness of RCM systems and processes Identify and propose enhancements to workflows based on data, trends, and user feedback Support testing, validation, and rollout of new or updated RCM processes to ensure accuracy and compliance Documentation, training, and ongoing communication Work with payers to integrate with Omada’s unique billing model and educate internal stakeholders Maintain clear, up-to-date process documentation and standard operating procedures (SOPs) for RCM workflows Ensure all policies, procedures and initiatives are handled in a HIPAA-compliant fashion Respond to operational questions across email, Slack, and ticketing tools Ensure cross-functional teams have the support they need to complete requests RCM Operations Investigate, document, and follow up on denials and underpayments Investigate, document, and execute refunds Assist with achieving team Accounts Receivable and Bad Debt Reserve goals Perform weekly bank and claim reconciliation Complete monthly revenue integrity checks Complete recurring work queues on a monthly basis Qualifications Passion for Omada’s mission 1 - 3 years’ experience executing revenue cycle management in a healthcare setting Knowledge of the US healthcare system, industry terminology (e.g., CPT and ICD-10 diagnosis codes), and best practices Advanced proficiency in Excel Excellent written and verbal communication skills and comfort working with both technical and non-technical stakeholders Ability to juggle both proactive scheduled tasks along with reactive escalations Experience working with or for a healthcare clearinghouse Understanding of Accounting principles Knowledge of digital health and/or a startup work environment Experience in SQL or Tableau Competitive salary with generous annual cash bonus Remote first work from home culture Flexible Time Off to help you rest, recharge, and connect with loved ones Generous parental leave Health, dental, and vision insurance (and above market employer contributions) 401k retirement savings plan Lifestyle Spending Account (LSA) Mental Health Support Solutions …and more! About Omada Health Omada Health (Nasdaq: OMDA) is reverse engineering the way healthcare is delivered in America, putting the space between doctor visits—where health is won or lost—at the center of care. Today's healthcare system poorly serves chronic conditions that require ongoing support outside of the exam room, like obesity, diabetes, hypertension, cholesterol, and musculoskeletal conditions. Omada’s virtual‑first model combines human‑led care teams, connected devices, and AI‑enabled technology to deliver personalized care at scale, including support for GLP‑1 therapy. Omada has served more than two million members since launch across 2,000+ employers, health plans, pharmacy benefit managers, and health systems. Learn more at omadahealth.com. Equal Opportunity and Diversity We carefully hire the best talent we can find, which means actively seeking diversity of beliefs, backgrounds, education, and ways of thinking. We strive to build an inclusive culture where differences are celebrated and leveraged to inform better design and business decisions. Omada is proud to be an equal opportunity workplace and affirmative action employer. We are committed to equal opportunity regardless of race, color, religion, sex, gender identity, national origin, ancestry, citizenship, age, physical or mental disability, legally protected medical condition, family care status, military or veteran status, marital status, domestic partner status, sexual orientation, or any other basis protected by local, state, or federal laws. Voluntary Self Identification At Omada, we’re working every day to build a team where people from all backgrounds can thrive. To help us learn more about how we can increase diversity in our candidate pool, we invite you to provide demographic information in a confidential survey. Your responses will not be associated with your specific application and will not in any way be used in the hiring decision. Do you currently live in the United States? * (Select) We are unable to employ candidates residing outside of the US. Due to the nature of our work, data, specifically personal health information may not be accessed, disclosed or used outside of the U.S. Please note that the U.S. is limited to the 50 states of the United States. #J-18808-Ljbffr
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