RCM Systems & Enrollment Analyst

About the role

This is a Fully Remote Job

Responsibilities

• Complete EFT, ERA, EDI setup and enrollment with health plans through claims systems or payor portals under Senior Manager guidance.
• Follow up regularly with health plans on provider submission statuses.
• Address provider enrollment issues in collaboration with partners.
• Identify and resolve revenue leakage through data analysis.
• Ensure consistency of provider and practice data across EHR, credentialing, and payer systems.
• Maintain and validate enrollment tables, matrices, and system configurations.
• Review and optimize EHR rules to reduce credentialing and billing claim denials.
• Collaborate across departments to resolve data and workflow issues.
• Develop reports and dashboards tracking KPIs and revenue impact.
• Document and share processes, system rules, and best practices.
• Support special projects related to health plan requirements.
• Cook up and track credentialing statistics.

Requirements

• Bachelor’s degree in Healthcare Administration, Finance, Business, or related field preferred or equivalent experience.
• Minimum of 3 years in managed care credentialing, billing, or medical staff service.
• Strong problem-solving and analytical skills.
• Advanced proficiency with Microsoft Excel.
• Able to work independently and manage multiple projects.
• Compliance with HIPAA regulations.
• PREFERRED knowledge of EFT, ERA, EDI enrollment, and claims systems.
• REQUIRED Athena system knowledge and familiarity with Athena payer enrollment tables.

Pay, Benefits & Perks

Pay Range and Compensation Package: Base salary range of $55,000 to $60,000, exclusive of bonuses and benefits. Eligible for an annual bonus targeted at 10%. Base pay will be determined based on experience, education, and geographic location.

Benefits & Perks: Medical insurance, Dental insurance, Vision insurance, 401(k) retirement plan, Paid time off

Equal Opportunity Statement

Equal Opportunity Statement: Our client is an equal opportunity employer. They celebrate diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, or national origin.