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RCM Business Analyst

$68k - $80k

The Emily Program

Our vision is a world of peaceful relationships with food, weight, and body image, where everyone with an eating disorder can experience recovery. We believe that exceptional, individualized care leads to lasting recovery from eating disorders. That’s why our teams are comprised of compassionate, dedicated professionals from a variety of backgrounds who collaborate to provide the very best evidence-based care for our clients at all levels of care. Position Summary The RCM System Analyst – Revenue Cycle Management (RCM) provides real-time operational and technical support to the RCM team to ensure optimal billing performance, revenue integrity, and system functionality. This role serves as a key liaison between Revenue Cycle, EHR, IT, and external vendors to troubleshoot claim and remittance issues, support system upgrades, and drive process improvements. Schedule M-F 8-5PM - Remote Compensation $68,000- $80,000 (Depending on State) Location Remote, must be US Based and have the right to work for any employer in the US without restrictions How RCM System Analysts Empower Recovery Provide real-time support to the RCM team to resolve production billing issues. Address billing discrepancies identified through claim remittances and clearinghouse status reports. Serve as the primary point of contact for EHR billing corrections and system-related revenue issues. Research system functionality to support enhancements, new workflows, and billing optimization initiatives. Maintain accurate documentation of system configuration changes within the EHR platform. Revenue Cycle Analytics & Performance Monitoring Analyze complex data sets to identify revenue leakage, denial trends, billing errors, and reimbursement variances. Develop and maintain dashboards, KPIs, and standardized reporting to support operational and strategic decision-making. Monitor performance metrics across the full revenue cycle, including patient access, coding, billing, denials, and A/R. Assist with ad hoc and routine reporting needs as required. Systems & Technical Collaboration Translate business requirements into clear technical specifications for IT and data teams. Play a lead role in billing support and optimization within the EHR system. Assist with system upgrades and ensure billing configurations remain intact during implementations. Participate in validation testing for new design/build initiatives related to Practice Management functionality. Assist in writing business requirements for new system builds and reporting enhancements. Partner with EHR training teams to ensure billing-related training materials remain current and accurate. Cross-Functional Collaboration Collaborate with Patient Access, HIM, Billing, Collections, and other departments to streamline workflows and resolve systemic issues. Support projects related to EHR upgrades, payer contract changes, and revenue integrity initiatives. Monitor regulatory and payer policy changes impacting reimbursement. Participate in cross-functional meetings and provide analytical insight to support revenue-related initiatives. Keep management informed of workflow disruptions, risks, or emerging concerns. Process Improvement & Optimization Evaluate business processes and recommend automation and efficiency improvements. Support revenue optimization strategies and continuous improvement efforts. Contribute to the development and implementation of standardized, streamlined billing content and workflows. Education High School Diploma or equivalent required Associate degree or bachelor’s degree in information systems, Business Administration, Healthcare Administration, Finance, or related field preferred Professional Qualifications Minimum of 5 years of Revenue Cycle experience in a healthcare environment Strong knowledge of end-to‑end revenue cycle processes, including: Charge Capture Coding Claims (837I/837P loops and segments) Denials management Cash posting and A/R follow‑up Knowledge of CMS billing regulations and reimbursement methodologies Understanding of claim remittance codes, posting codes, and service codes Experience working with clearing houses and payer systems Proficiency in Microsoft Office (Excel, Word, Outlook) Experience with data visualization and reporting tools (e.g., Excel, SQL, Tableau, Power BI, Smart Sheets) preferred Experience with major EHR systems (e.g., Epic, Cerner, Meditech, NX Avatar) preferred Familiarity with DRG, APC, CPT/HCPCS methodologies preferred Lean Six Sigma or process improvement certification preferred Experience in predictive analytics or healthcare data modeling preferred Strong written and verbal communication skills Demonstrated ability to communicate effectively with peers, leadership, providers, and vendors Experience in predictive analytics or machine learning models in healthcare preferred Strong customer service and communication skills Ability to communicate effectively with peers, senior management and providers. Core Competencies Strong analytical and problem‑solving skills Exceptional attention to detail and commitment to quality Excellent time management and ability to manage multiple assignments simultaneously Ability to work independently and exercise sound judgment Strong interpersonal skills with the ability to build productive relationships Adaptability in a fast‑paced, changing environment Customer service–oriented mindset Demonstrated initiative and accountability Requires long periods of sitting (95% sitting, 5% standing) Accanto’s Commitment to Equal Opportunity Accanto is an Equal Opportunity Employer. Employment decisions are made without regard to race, color, religion, national origin, gender, sexual orientation, gender identity, age, physical or mental disability, genetic factors, military/veteran status, or other characteristics protected by law. Employee Benefits HSA and PPO insurance with HSA or FSA options (Blue Cross Blue Shield) Vision insurance (EyeMed) Short‑term and long‑term disability insurance Company‑paid life insurance Company 401(k) matching for up to 50% of your contribution, up to 6% of your compensation Paid time off is a crucial part of maintaining work and life balance. Our generous PTO plan accrues annually and begins with your first whole pay period. Eligible employees enjoy seven paid holidays and one floating holiday in addition to their regular PTO. #J-18808-Ljbffr The Emily Program

Vacancy posted 2 days ago
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