Revenue Cycle Data Analyst

Overview:

We are seeking a detail-oriented Revenue Cycle Data Analyst to join our billing team, supporting behavioral health facilities specializing in mental health and substance abuse services. This role combines expertise in medical billing, coding, and data analysis to ensure accurate reimbursement, enhance financial performance, and support payer negotiations.

You will work closely with the Chief Executive Officer and Account Executive to produce financial reports and analyze reimbursement trends that impact revenue cycle.

Key Responsibilities:

• Claims & Reimbursement Analysis: Review and interpret medical and billing data to assess reimbursement accuracy across payers. Identify underpayments and variances in expected vs. actual reimbursements.
• Payer Negotiation Support: Assist in repricing efforts and negotiations with insurance companies and third-party pricing agencies. Prepare data summaries and reimbursement rate analyses for strategic discussions.
• Financial Reporting: Generate regular and ad hoc financial and performance reports, including facility collection percentages, patient account statuses, and payer-specific trends.
• Medical Coding & Compliance: Ensure accurate documentation using ICD-10 and DSM-5 codes where applicable. Maintain compliance with DRG, CPT, and other reimbursement-related standards.
• Billing & Revenue Cycle Operations: Collaborate with billing and collections teams to streamline processes, resolve claim issues, and optimize overall revenue cycle efficiency.
• Collaboration: Partner with the COO, Account Executive, and other stakeholders to provide analytical insights that drive billing strategy and process improvements.
• Process Improvement & Training: Support the implementation of new systems and develop training resources on coding and billing accuracy.

Qualifications:

• Education: High school diploma or equivalent required; Associate’s or Bachelor's degree in Health Information Management, Healthcare Administration, Finance, or a related field preferred.
• Experience: , or revenue cycle operations. Behavioral health billing experience strongly preferred.
• Technical Skills: Proficient in Microsoft Excel (pivot tables, formulas), healthcare billing platforms, and data reporting tools (e.g., Tableau, Power BI, or SQL a plus).
• Coding Knowledge: Familiarity with ICD-9, ICD-10, CPT, DRG, and DSM coding systems. Certified Professional Coder (CPC) or equivalent certification is a plus.

Analytical & Communication Skills

Strong attention to detail, problem-solving skills, and the ability to effectively communicate findings to both internal teams and external stakeholders.

Job Type

Full-time

Pay: $50,000.00 - $65,000.00 per year

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Paid time off
• Vision insurance

Application Question(s):

• Do you have a LinkedIn account? If so, please share the link.

Ability to Commute:

• Delray Beach, FL 33484 (Required)

Ability to Relocate:

• Delray Beach, FL 33484: Relocate before starting work (Required)

Work Location: In person