Revenue Cycle Analyst - Denials & Appeals

Job Summary

This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Revenue Cycle Analyst - Denials & Appeals based in the United States. This role supports revenue cycle operations by turning complex denials and appeals data into actionable business insights.

Responsibilities

• Serve as the primary analytical resource for post-appeal and unresponded payer activity across commercial and non-commercial plans, providing accurate and timely reporting.
• Maintain key performance indicators including backlog aging, SLA adherence, appeal response rates, resolution trends, and team productivity.
• Lead or support recurring performance reviews by presenting trends, identifying workflow gaps, and highlighting opportunities for operational improvement.
• Analyze large datasets to identify root causes of backlog growth, payer-specific delays, errors, and other patterns affecting denials and appeals performance.
• Partner with operational leadership to translate analytical findings into actionable workflow recommendations and technology or systems improvement requirements.
• Support the configuration and validation of billing systems and payer portal workflows to improve the accuracy and timeliness of appeal-response tracking.
• Collaborate with Denials & Appeals teams to quantify error trends and incorporate findings into ongoing feedback and improvement processes.
• Track onshore and offshore team performance and provide productivity reporting to supervisors and leadership.
• Research payer-specific appeal requirements, billing and coding updates, and reimbursement policy changes, translating relevant developments into recommended departmental actions.
• Develop and maintain project plans for workflow enhancements, backlog reduction initiatives, and SLA improvement programs while managing multiple priorities.

Requirements

• 4–6 years of experience in medical billing, denials management, insurance collections, revenue cycle operations, or a closely related healthcare environment.
• A Bachelor’s degree in Business, Healthcare Administration, or a related field is preferred.
• Experience working with or analyzing post-appeal payer response workflows, with a strong understanding of the appeals lifecycle from submission through resolution.
• Familiarity with commercial and non-commercial payer plans, appeal processes, and multiple payer portals is required; experience with AMD is preferred.
• Advanced knowledge of CPT/HCPCS, ICD-10, modifier selection, and UB revenue codes.
• Advanced Microsoft Excel and data analysis capabilities, including the ability to work with large datasets, identify trends, and validate data accuracy.
• Basic SQL experience, Power BI knowledge, and experience working with raw data are highly preferred.
• Strong ability to convert data and analytical findings into practical recommendations for operational and leadership audiences.
• Excellent communication and presentation skills, with the ability to collaborate effectively across offshore and onshore teams as well as technology and other cross-functional stakeholders.
• Strong project management, organization, prioritization, and problem-solving skills in a high-volume, SLA-driven environment.
• Exceptional attention to detail and accuracy, particularly when working with sensitive healthcare and payer information.
• Ability to maintain confidentiality when accessing protected health information (PHI).

Benefits

• Salary: $65,400–$95,200 USD annually for remote U.S. employees.
• Compensation Flexibility: Actual compensation is determined based on skills, qualifications, experience, certifications, and location.
• Healthcare Coverage: Comprehensive medical, dental, vision, life, and disability insurance for eligible employees and dependents.
• Family and Fertility Support: Fertility care benefits, pregnancy leave, and baby-bonding leave.
• Retail: 401(k) benefits.
• Additional Perks: Commuter benefits and an employee referral program.
• Employee Wellness: Resources and programs designed to support overall wellbeing.
• Work Arrangement: Remote position within the United States.