Position Summary
The Sr. Business Analyst, Revenue Cycle is responsible for development and management of key revenue cycle management metrics for the practice. In addition, this teammate will be responsible for providing analytical support to various ongoing special projects. As a senior member of the Revenue Cycle Management team, you will also lead individual projects and mentor other team members. This role will also play a key part in identifying, developing, and implementing automation and artificial intelligence (AI) solutions that improve revenue cycle efficiency, accuracy, and performance.
Responsibilities
- Design, prepare, modify, and develop selected recurring and ad-hoc revenue cycle reports
- Review, process, and analyze large amounts of information related to claims submission and revenue
- Design queries and manipulate large volumes of data to create reporting to identify and interpret revenue trends
- Analyze detailed datasets, transforming them into meaningful financial information in preparation for revenue review
- Communicate across teams, providing analytical overviews on key metrics
- Identify opportunities to automate manual revenue cycle workflows (e.g., claim status checks, eligibility verification, payment posting, denial routing) and build or support automated solutions using tools such as Power Automate, RPA platforms, Python, or SQL
- Leverage AI and machine learning tools to support predictive analytics, including denial prediction, underpayment detection, cash forecasting, and work queue prioritization
- Evaluate, pilot, and help implement AI-enabled revenue cycle technologies in partnership with IT, operations, and vendors; measure and report on their ROI and performance
- Develop automated dashboards and reporting pipelines to reduce manual effort and deliver timely, self-service insights
- Ensure automation and AI solutions comply with HIPAA, data security, and company data governance standards
- Conduct research and ad-hoc analysis to support revenue cycle goals
- Design, prepare, modify, and develop selected recurring and ad-hoc revenue cycle reports
- Review, process, and analyze large amounts of information related to claims submission and revenue
- Design queries and manipulate large volumes of data to create reporting to identify and interpret revenue trends
- Analyze detailed datasets, transforming them into meaningful financial information in preparation for revenue review
- Communicate across teams, providing analytical overviews on key metrics
- Identify opportunities to automate manual revenue cycle workflows (e.g., claim status checks, eligibility verification, payment posting, denial routing) and build or support automated solutions using tools such as Power Automate, RPA platforms, Python, or SQL
- Leverage AI and machine learning tools to support predictive analytics, including denial prediction, underpayment detection, cash forecasting, and work queue prioritization
- Evaluate, pilot, and help implement AI-enabled revenue cycle technologies in partnership with IT, operations, and vendors; measure and report on their ROI and performance
- Develop automated dashboards and reporting pipelines to reduce manual effort and deliver timely, self-service insights
- Ensure automation and AI solutions comply with HIPAA, data security, and company data governance standards
- Conduct research and ad-hoc analysis to support revenue cycle goals
Qualifications
- Bachelor’s degree with emphasis in business, healthcare, and/or accounting preferred
- 4+ years of experience in healthcare billing, healthcare reimbursement and healthcare revenue cycle management preferred
- 5+ years of professional experience working in an analytical role, preferably within healthcare
- Comprehensive knowledge of all Microsoft Office applications, including Word, Excel and PowerPoint
- SQL, Python, Tableau, Power BI experience preferred
- Strong research, problem-solving, and analytical skills; understanding of business intelligence tools
- Experience designing and implementing process automation (e.g., Power Automate, UiPath, Automation Anywhere, or scripting) strongly preferred
- Hands-on experience applying AI tools, including generative AI (e.g., Microsoft Copilot, Claude, ChatGPT) and/or machine learning models, to business or healthcare data preferred
- Ability to translate business needs into automation and AI use cases, and to evaluate the accuracy, risk, and value of AI-generated outputs
- Working knowledge of HIPAA and responsible data use practices when applying automation and AI to protected health information
- Strong ability to independently drive results and meet deadlines
- Highly analytical with proven ability to extract, manipulate, and interpret data strongly preferred
- Understanding of (or desire and ability to learn) healthcare claim data and payor contracts
- Ability to communicate effectively with internal and external stakeholders at various cohort levels
- Flexibility and willingness to take on new tasks and challenges
- Team player that develops strong collaborative working relationships with internal partners and can effectively engage and ability to build consensus among cross-functional teams.
Company Benefits
We offer a competitive benefits package to our employees:
- Medical
- Dental
- Vision
- 401k w/ Match
- HSA/FSA
- Telemedicine
- Generous PTO Package
We also offer the following benefits for FREE:
- Employee Discounts and Perks
- Employee Assistance Program
- Group Life/AD&D
- Short Term Disability Insurance
- Long Term Disability Insurance
