Description

Position Summary

Elite DNA Behavioral Health is seeking a motivated, analytical, and detail-oriented RCM Data Analyst to support the organization’s revenue cycle operations through reporting, data analysis, operational monitoring, and performance improvement initiatives. This role plays a key part in helping leadership identify trends, improve reimbursement outcomes, optimize workflows, and support strategic decision-making across the organization.

The RCM Data Analyst will be responsible for monitoring revenue cycle performance indicators, analyzing reimbursement and denial trends, maintaining operational reporting, and assisting with process improvement initiatives related to billing, collections, payer performance, and overall revenue cycle efficiency. This position will work closely with teams across Revenue Cycle, Billing, Coding, Credentialing, Finance, Operations, Compliance, and Executive Leadership.

The ideal candidate will possess strong analytical and problem-solving skills, experience working within healthcare operations or revenue cycle environments, and familiarity with healthcare EHR and practice management platforms such as Athenahealth, NextGen, Epic, or similar systems.

Key Responsibilities

• Analyze and monitor revenue cycle performance metrics, including:
  
  • Charge lag
  • Claim submission rates
  • Denial trends
  • First-pass resolution rates
  • Days in Accounts Receivable (“A/R”)
  • Net collection rates
  • Payment variances
  • Aging reports
• Develop, maintain, and distribute dashboards, scorecards, and operational reporting tools for leadership and operational teams.
• Identify reimbursement trends, underpayment patterns, workflow inefficiencies, and payer-related issues impacting revenue cycle performance.
• Assist with denial management analysis and provide recommendations aimed at improving reimbursement outcomes and reducing recurring issues.
• Support monthly, quarterly, and annual financial and operational reporting processes.
• Extract, reconcile, validate, and interpret data from EHR systems, practice management platforms, clearinghouses, payer portals, and internal reporting tools.
• Partner with operational and revenue cycle leadership to improve billing workflows, claims management processes, and overall operational efficiency.
• Assist with payer escalation tracking, reimbursement recovery efforts, and payment discrepancy analysis.
• Conduct ad hoc reporting and operational analysis related to:
  
  • Provider productivity
  • Collections performance
  • Patient balances
  • Financial trends
  • Operational KPIs
  • Reimbursement activity
• Maintain data integrity and accuracy across reporting systems, dashboards, and internal databases.
• Support reporting automation, business intelligence initiatives, and enhancements to organizational analytics capabilities.
• Prepare summaries, reports, presentations, and operational insights for leadership review and strategic planning discussions.
• Assist with identifying opportunities for process standardization, workflow optimization, and operational scalability within the revenue cycle department.