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