RCM Analyst

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Source: Company careers pageValidated by: Fursa AI

Last checked: 3 hours agoStatus: Live

Job Summary

Detail-driven RCM Analyst responsible for analyzing denial patterns, identifying root causes across payers, and translating insights into remediation strategies. You’ll own denial lifecycles from root-cause analysis to resolution, collaborate with coders and billers, and work with product/engineering to reduce revenue leakage and optimize workflows.

Location: New York

Workplace: Remote

Employment Type: Full time

Job Function: Software Engineering

Key Responsibilities

•Analyze denial patterns across payers, HCPCS codes, and product lines to identify systemic root causes and aid in the development of actionable remediation strategies.
•Conduct direct payer outreach, calling insurance representatives, and escalating cases to discover the root cause of denials and underpaid claims.
•Build and maintain denial, issue, and project tracking dashboards and reporting packages that give leadership a clear view of denials, causes, and the ongoing work to fix the denials.
•Develop methodologies in coordination with the head of RCM for denial prioritization.
•Perform root cause analysis on high-volume and high-dollar denials, documenting findings and presenting recommendations.

Pay and Benefits

Salary: USD 130,000 - 150,000 annually

Key Requirements

•3–6 years in RCM with at least 1–2 years in a consulting or advisory capacity
•Demonstrated experience working denials across commercial, Medicare, and Medicaid payers
•Track record of calling payers directly, navigating payer portals, and managing the appeals lifecycle end-to-end
•Proficiency in Excel / Google Sheets for data manipulation and pivot analysis
•Familiarity with SQL

Experience:3-6 yearsHealthcareRCM

Skills:Attention to detailCommunicationProblem-solving

Tech Stack:ExcelGoogle SheetsAvailitySQLBI tools

Company Brief

Verse Medical

Develops medical devices and related technologies aimed at improving clinical procedures and patient outcomes. Focuses on designing, prototyping, and bringing healthcare hardware solutions to market for use in hospitals and clinical settings.

Industry: Medical Devices

Website

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Verse Medical

1 month ago

RCM Analyst

✓ Verified Job

Canonical indexed version, validated from employer's careers page.

Source: Company careers pageValidated by: Fursa AI

Last checked: 3 hours agoStatus: Live

Job Summary

Location: New York

Workplace: Remote

Employment Type: Full time

Job Function: Software Engineering

Key Responsibilities

•Analyze denial patterns across payers, HCPCS codes, and product lines to identify systemic root causes and aid in the development of actionable remediation strategies.
•Conduct direct payer outreach, calling insurance representatives, and escalating cases to discover the root cause of denials and underpaid claims.
•Build and maintain denial, issue, and project tracking dashboards and reporting packages that give leadership a clear view of denials, causes, and the ongoing work to fix the denials.
•Develop methodologies in coordination with the head of RCM for denial prioritization.
•Perform root cause analysis on high-volume and high-dollar denials, documenting findings and presenting recommendations.

Pay and Benefits

Salary: USD 130,000 - 150,000 annually

Key Requirements

•3–6 years in RCM with at least 1–2 years in a consulting or advisory capacity
•Demonstrated experience working denials across commercial, Medicare, and Medicaid payers
•Track record of calling payers directly, navigating payer portals, and managing the appeals lifecycle end-to-end
•Proficiency in Excel / Google Sheets for data manipulation and pivot analysis
•Familiarity with SQL

Experience:3-6 yearsHealthcareRCM

Skills:Attention to detailCommunicationProblem-solving

Tech Stack:ExcelGoogle SheetsAvailitySQLBI tools

Company Brief

Verse Medical

Industry: Medical Devices

Website