Denials Prevention Revenue Cycle Analyst

About the role

CAREER OPPORTUNITY OFFERING: Bonus Incentives Paid Certifications Tuition Reimbursement Comprehensive Benefits Career Advancement This position pays between $62,500.00 - $79,800.00/ based on experience The Revenue Cycle Analyst is responsible for performing in-depth analysis of claims, payments, and account reconciliations to ensure accuracy and compliance across the revenue cycle. This role identifies trends in underpayments, denials, and revenue leakage, evaluates root causes, and recommends corrective actions to improve financial performance. Key responsibilities include reviewing and validating claim and payment data, interpreting contract reimbursement terms, preparing detailed reports, and working assigned underpayment projects. The analyst collaborates with cross-functional teams, escalates complex issues, and supports continuous improvement initiatives to optimize processes and reduce cycle times. Success in this role requires strong analytical capabilities, attention to detail, and the ability to communicate findings effectively to stakeholders while driving operational excellence within the revenue cycle. Essential Job Functions: Provides service level revenue cycle operations reporting and analysis within revenue cycle services. Escalates issues and concerns with leadership to identify and resolve service level issues. Analyze and understand historical data and staffing to forecast future requirements. Supports the review, recommendation and implementation of metrics and reporting for Revenue Cycle Services. Assists in strategic planning and performs ongoing process improvement evaluation. Provides exceptional service to internal and external stakeholders. Customer Obsession : Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations. Embracing New Ideas : Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation. Striving for Excellence : Execute at a high level by demonstrating our "Best in KLAS" Ensemble Difference Principles and consistently delivering outstanding results. This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Associates may be required to perform other job-related duties as required by their supervisor, subject to reasonable accommodation. Required Experience : 1 to 3 Years experience Demonstrated advanced usage of AI and the management of teams using AI to lean into process and technological improvements, to include the exploration, experimentation, and application of AI. This is a remote position; however, candidates must be willing and able to travel to and work onsite at client, temporary, or corporate office locations as business needs require. Education Level: Bachelor's Degree or Equivalent Experience Join an award-winning company Five-time winner of "Best in KLAS" 2020-2022, 2024-2025 Black Book Research's Top Revenue Cycle Management Outsourcing Solution 2021-2024 22 Healthcare Financial Management Association (HFMA) MAP Awards for High Performance in Revenue Cycle 2019-2024 Leader in Everest Group's RCM Operations PEAK Matrix Assessment 2024 Clarivate Healthcare Business Insights (HBI) Revenue Cycle Awards for strong performance 2020, 2022-2023 Energage Top Workplaces USA 2022-2024 Fortune Media Best Workplaces in Healthcare 2024 Monster Top Workplace for Remote Work 2024 Great Place to Work certified 2023-2024 Innovation Work-Life Flexibility Leadership Purpose + Values Bottom line, we believe in empowering people and giving them the tools and resources needed to thrive. A few of those include: Associate Benefits - We offer a comprehensive benefits package designed to support t

Benefits

Additional Information

Thank you for considering a career at Ensemble! Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country. Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference! O.N.E Purpose: Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations. Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation. Striving for Excellence: Execute at a high level by demonstrating our "Best in KLAS" Ensemble Difference Principles and consistently delivering outstanding results.

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