[Hiring] RCM Business Analyst @The Emily Program

Role Description

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.

The Analyst plays a critical role in identifying revenue leakage, resolving operational inefficiencies, ensuring billing compliance, and supporting revenue optimization initiatives. This position requires strong analytical skills, deep knowledge of revenue cycle processes, and the ability to translate business needs into technical solutions.

Schedule: M-F 8-5PM CST- 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

Responsibilities

• Operational & Billing Support
  • 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.

Qualifications

• High School Diploma or equivalent required.
• Associate degree or bachelor’s degree in information systems, Business Administration, Healthcare Administration, Finance, or related field preferred.

Requirements

• Minimum of 5 years of Revenue Cycle experience in a healthcare environment.
• Strong knowledge of end-to-end revenue cycle processes, including:
  • Patient Access
  • 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.
• Strong customer service and communication skills.

Benefits

• HSA and PPO insurance with HSA or FSA options (Blue Cross Blue Shield).
• Dental insurance (Delta Dental).
• Vision insurance (EyeMed).
• Short-term and long-term disability insurance.
• Company-paid life insurance.
• 401(k) plan available two months after start date.
• Company 401(k) matching for up to 50% of your contribution, up to 6% of your compensation.
• 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.

Company Description

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.