Top 4263 Claim Process Analyst Jobs

Revenue Cycle Analyst - Primary Care
HealthDrive —Framingham, MA
- $80,000 - $90,000 a year
- Full-time
- Hybrid work
- Microsoft Excel
- Microsoft Outlook
- Primary Care
- Profit sharing
- Health insurance
Revenue Cycle Analyst
Omada Health —Remote
- $79,200 - $103,500 a year
- Remote
- HIPAA
- Mid-level
- SQL
- Dental insurance
- 401(k)
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Healthcare Data Analyst
Scalepex —Dallas, TX
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- Microsoft Outlook
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Process Optimization Analyst
Berkley —Jacksonville, FL
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Healthcare Analyst II
Cohere Health —Remote
- $85,000 - $92,000 a year
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- Mid-level
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- Bachelor's degree
- Paid parental leave
- Health savings account
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PART TIME ENTRY LEVEL ANALYST
ATG Management Services —Tinley Park, IL
- $25 - $35 an hour
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Data Migration Analyst
NikoHealth —Remote
- Full-time
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Business Analyst - Remote
K2 Insurance Services, LLC —Harrisburg, PA
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- Full-time
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- Mid-level
- 3 years
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Payment Policy Analyst (Remote)
CareFirst BlueCross BlueShield —Baltimore, MD
- $58,320 - $115,830 a year
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- Nursing
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Business Analyst I
CorVel Corporation —Downers Grove, IL
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- Full-time
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- Microsoft Outlook
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- Disability insurance
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Credit Balance Analyst- Remote
TOC —Florida
- Full-time
- Remote
- Medical office experience
- Pass drug screening
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Business Analyst, Specialty Product Solutions
Amatriot Group, LLC —Remote
- $75,000 - $92,000 a year
- Full-time
- Remote
- Mid-level
- Communication skills
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12d
Regulatory Analyst (Remote)
Prime Label Consultants —Washington, DC
- $50,000 - $60,000 a year
- 8 hour shift
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- Research
- Communication skills
- Entry level
- Retirement plan
Claims Analyst
TheGuarantors —Remote
- $60,000 - $65,000 a year
- Full-time
- Remote
- English
- Mid-level
- Analysis skills
- Paid parental leave
- Health savings account
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Claim System Data Support Ops Analyst
Broadspire Services, Inc. —Lake Zurich, IL
- Full-time
- Word processing
- Research
- Office
- Paid parental leave
- Health savings account
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Electronic Claims Analyst
Work from Home —Nashville, TN
- Full-time
- Analysis skills
- Experience equivalent to degree accepted
- 1 year
- Employee stock purchase plan
- Disability insurance
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Senior Applications Analyst - Resolute Professional Billing/Claim
Children's Healthcare of Atlanta —Brookhaven, GA
- Full-time
- System design
- HIPAA
- Mid-level
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Associate Analyst
Truveris —Wilmington, DE
- $65,000 - $70,000 a year
- Remote
- Mid-level
- Finance
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Claims Analyst I
Healthcare Legal Solutions LLC —Washington, DC
- $50,000 - $60,000 a year
- Microsoft Excel
- Bachelor of Science
- Writing skills
Quick Apply
Revenue Cycle Analyst (Remote)
Cedars-Sinai —Los Angeles, CA
- $77,022.40 - $119,392.00 a year
- 8 hour shift
- Remote
- Mid-level
- Finance
- High school diploma or GED
- Paid time off
- 403(b)

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Revenue Cycle Analyst - Primary Care

HealthDrive -
Framingham, MA

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Job Details

Full-time
$80,000 - $90,000 a year

Benefits

Profit sharing
Health insurance
Dental insurance
Paid time off
Vision insurance
401(k) matching
Employee discount
Referral program

Qualifications

Vendor relationship building
Data-driven problem-solving

Full Job Description

Overview:

About HealthDrive

HealthDrive delivers on-site dentistry, optometry, podiatry, audiology, behavioral health, and primary care services to residents in long-term care, skilled nursing, and assisted living facilities. Each specialty offered by HealthDrive is one that directly impacts the quality of daily life for the deserving residents we serve. HealthDrive connects patients in need of vital healthcare to doctors committed to dignity and excellence.

About You

You are no stranger to healthcare and consider yourself a revenue cycle expert! You are ready to step back from the daily revenue cycle operations and look at the bigger picture, helping to identify trending issues and collaborating with outsourced vendors.

About the Role

HealthDrive is seeking full-time Revenue Cycle Analyst to join our team! As the Revenue Cycle Analyst, you will play an essential role in analyzing, driving and improving revenue cycle operations for Primary Care by coordinating with outsourced Revenue Cycle Management (RCM) vendor(s) to ensure timely follow-up and resolution of unpaid, incorrectly paid, and denied medical claims.

This role focuses on monitoring and evaluating vendor performance, supporting issue resolution, and ensuring compliance with established processes and payer requirements. It plays a key role in achieving revenue cycle performance objectives, including cash collections, denial management, bad debt reduction, and days sales outstanding.

The salary range for this position is $80,000 - $90,000 per year.

This role is in person at our Framingham, MA office. There is potential for 1-2 work-from-home days per week after the training period. We are conveniently located off Route 9 in Framingham, MA, close to routes 90 and 495 in a spacious modern office with a workout center available right in the building!

What's in It for You

PPO Medical, Dental, and Vision Insurance, 401(k) + Company match, Paid Time Off, monthly meal program, Verizon Wireless, Dell, and other employee discounts, profit sharing, and employee referral bonuses.

Responsibilities:

Data Analysis and Insights

Analyze trends in denials, AR aging, and reimbursement to identify root causes and recommend corrective actions.
Develop and maintain regular reporting on key revenue cycle KPIs (DSO, denial rates, cash collections).

Vendor Liaison

Evaluate RCM vendor performance against SLAs and KPIs and escalate gaps with recommended actions.
Partner with RCM vendor to implement process improvements and track outcomes.
Collaborate with the RCM vendor to clarify payer requirements, claim documentation needs, and resolution strategies.
Support communication between internal departments and the RCM vendor to resolve data, eligibility, or documentation issues impacting claims.

Problem Solving and Root Cause Analysis

Conduct root cause analysis on recurring issues (denials, underpayments, delays) and propose solutions.
Identify upstream operational issues impacting billing (documentation, eligibility, coding).

Process Improvement

Identify opportunities to improve workflows, reporting, and vendor processes.
Support or lead small-scale process improvement initiatives.

Qualifications:

Skills & Specifications:

Strong analytical skills with ability to interpret complex data sets and translate into actionable insights.
Experience working with revenue cycle KPIs and performance metrics.
Ability to identify trends and identify opportunities to improve them.
Strong organizational and follow-up skills with attention to detail.
Effective problem-solving skills and ability to follow established workflows and escalation pathways.
Strong written and verbal communication skills, including professional interaction with external vendors and internal stakeholders.
Ability to manage multiple priorities in a deadline-driven environment.
Working knowledge of healthcare billing, accounts receivable, denial resolution, and payer processes.
Proficiency in Microsoft Office applications (Excel, Outlook, and Word).
Ability to work independently while contributing to a collaborative, cross-functional environment.

Education & Qualifications:

Associate’s Degree or equivalent combination of education and relevant work experience.
2–4 years of experience in healthcare revenue cycle, billing, accounts receivable, or vendor-supported RCM operations preferred.
Working knowledge of Medicare, Medicaid, and third-party payer requirements and claims workflows.
Experience working with or supporting an outsourced RCM vendor helpful.
Experience in a multi-specialty physician practice or post-acute care setting preferred.

#INDHDCORPREC

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Refine Your Search

Claim Process Analyst jobs

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Process Optimization Analyst

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Payment Policy Analyst (Remote)

Business Analyst I

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Claims Analyst

Claim System Data Support Ops Analyst

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Revenue Cycle Analyst (Remote)

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