Associate Revenue Cycle Analyst - Billing

This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Associate Revenue Cycle Analyst - Billing based in United States.

This role serves as a subject matter expert and analytical resource within a Clean Claim Team, helping ensure claims are accurately billed, submitted, received, and accepted by payers. You will investigate complex front-end billing issues, including EDI and clearinghouse rejections, authorization issues, provider enrollment challenges, and patient demographic errors. Beyond resolving individual claims, you will use data to identify recurring patterns, uncover root causes, and assess their impact across broader claim populations. The position combines healthcare revenue cycle expertise with SQL, Snowflake, Excel, reporting, and analytical problem-solving. You will independently drive complex issues from investigation through resolution, testing, implementation, and ongoing monitoring. Working cross-functionally with operational, technical, and revenue cycle teams, you will help create sustainable improvements that increase clean claim rates and reduce avoidable rejections and denials.

Accountabilities:
- Serve as a subject matter expert for clean claim submission and front-end billing processes, with a strong understanding of the claim lifecycle from creation through payer receipt and acceptance.

- Analyze claim rejections and operational data to identify trends, recurring issues, root causes, and opportunities to improve clean claim performance.

- Investigate EDI and clearinghouse rejections, duplicate submissions, incorrect or missing ICN information, authorization-related rejections, provider enrollment and NPI registration issues, patient demographic errors, and other submission barriers.

- Research rejection reasons and provide the necessary documentation, system corrections, operational changes, and supporting information to the appropriate cross-functional teams.

- Assess issues beyond individual claims to determine the broader populations, payers, workflows, or business processes affected.

- Identify upstream causes of rejections and develop sustainable solutions that prevent recurrence and reduce downstream denials.

- Use SQL and Snowflake to retrieve and analyze claim and operational data, quantify issues, identify affected populations, validate root causes, and measure improvements.

- Use advanced Excel functionality, including pivot tables, lookup functions, and data manipulation, to analyze large datasets and produce actionable reporting.

- Develop dashboards, reports, automation, tracking tools, and other analytical resources that improve visibility into claim submission and rejection performance.

- Independently manage complex issue-resolution and improvement initiatives from identification through implementation, including cross-functional coordination, testing, validation, and post-implementation monitoring.

- Partner with Coding, Insurance Verification, Prior Authorization, provider enrollment, technology, vendor operations, and other teams whose processes influence clean claim submission and acceptance.

- Maintain ownership of cross-functional issues through successful resolution rather than simply escalating or transferring them.

- Develop and improve workflows and SOPs that increase claim accuracy, operational efficiency, and first-pass payer acceptance.

- Monitor key performance indicators, rejection trends, and operational performance to proactively identify emerging issues and improvement opportunities.

- Prepare and present executive-ready materials covering trends, root causes, remediation activities, project status, and upstream and downstream revenue cycle impacts.

- Translate complex billing and analytical findings into clear recommendations for operational teams and leadership.

- Maintain knowledge of payer requirements, billing rules, EDI processes, and other changes affecting claim sub