Job Description

SUMMARY
Responsible for analyzing large datasets from billing, claims, and revenue cycle processes of a high-volume, US corporate accounts payable department for a multi-million dollar plus healthcare company.  This position interacts significantly with Vendors, Employees (including Executives), Banking Partners, Treasury, and AR. The role requires an ability to maintain positive relationships with business partners with differing interests.

MAJOR DUTIES AND RESPONSIBILITIES

• Analyze large datasets from billing, claims, and revenue cycle processes to uncover trends, variances, and optimization opportunities.
• Develop dashboards and reports using tools such as  Datarails ,  Power BI , and  Tableau to track KPIs like denial rates, A/R aging, collection performance, and charge lag.
• Extract and manipulate data using  SQL and Excel from EMRs and practice management systems (e.g.,  CMD ,  EPD ,  Change Healthcare ,  GoRev ).
• Collaborate with billing, coding, and compliance teams to ensure data accuracy and resolve issues related to claims and reimbursements.
• Create automated reporting workflows and data models to support recurring financial and operational reporting needs.
• Present findings and recommendations to leadership in a clear and actionable format.
• Ensure all data practices adhere to  HIPAA and healthcare data privacy standards.
• Other duties may be assigned as business needs require

QUALIFICATIONS AND EDUCATION.  

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed are representative of the knowledge, skills, education, and/or ability required for this position.

• Bachelor’s degree in Data Science, Health Informatics, Finance, or related field.
• 2+ years of experience in a data analysis or business intelligence role, preferably within healthcare or medical billing.
• Experience with  Datarails , plus strong skills in  Power BI ,  Tableau , and  Excel .
• Proficiency in  SQL and data extraction from multiple sources and systems.
• Familiarity with EMR and billing platforms such as  CMD ,  EPD ,  Change Healthcare , and  GoRev .
• Strong analytical mindset and attention to detail.
• Excellent communication and presentation skills, with the ability to explain technical insights to non-technical teams.

PREFERRED SKILLS

• Knowledge of CPT/ICD-10 coding and healthcare claims workflows.
• Experience with Python or R for data analysis and automation.
• Prior involvement in FP&A or financial modeling is a plus.

This will be an onsite/hybrid role.  

Job Tags

Full time,

Similar Jobs