Behavioral Health Claims Analyst

Revenue Cycle Management

• Lead and manage the end-to-end revenue cycle process, including patient registration, charge capture, coding, billing, collections, payment posting, and denial management.
• Monitor key revenue cycle metrics and implement strategies to improve cash flow and reduce accounts receivable days.
• Ensure compliance with payer regulations, contractual requirements, and industry standards.
• Oversee claim submission processes and resolve billing issues, denials, and underpayments.
• Conduct regular audits of billing and coding activities to ensure accuracy and compliance.

Data Analytics & Reporting

• Design, develop, and maintain dashboards, reports, and performance scorecards for revenue cycle operations.
• Analyze financial, operational, and claims data to identify trends, risks, and improvement opportunities.
• Monitor key performance indicators (KPIs) such as clean claim rate, denial rate, collection rate, net collection percentage, and days in accounts receivable.
• Perform root cause analysis on denials, payment variances, and revenue shortfalls.
• Create predictive models and forecasting reports to support strategic decision-making.
• Extract, validate, and analyze data from billing systems, EHRs, and other databases.
• Present analytical findings and recommendations to leadership teams.
• Support process improvement initiatives through data-driven insights.

Leadership & Process Improvement

• Supervise and mentor revenue cycle staff, providing training and performance management.
• Establish departmental goals and monitor progress toward organizational objectives.
• Lead revenue cycle improvement projects and system optimization initiatives.
• Identify automation opportunities to improve operational efficiency and reporting accuracy.

Preferred Qualifications

Education

• Bachelor's degree in Healthcare Administration, Business Administration, Finance, Accounting, Data Analytics, Information Systems, or a related field.

Experience

• 5+ years of experience in revenue cycle management, healthcare finance, medical billing, or related fields.
• 2+ years of experience in data analytics, business intelligence, or reporting.
• Experience managing teams and cross-functional projects.
• Strong understanding of healthcare reimbursement methodologies, payer regulations, and revenue cycle operations.

Technical Skills

• Advanced proficiency in Microsoft Excel.
• Knowledge of healthcare billing systems, EHR platforms, and practice management software.
• Strong analytical, problem-solving, and reporting skills.

Benefits

• Competitive salary
• Health, dental, and vision insurance
• Paid time off and holidays
• 401(k) with employer match
• Opportunities for professional growth

Job Type: Full-time

Pay: Starting at $53,000/ year

Schedule: Monday - Friday