[Remote] Sr Healthcare Revenue Cycle Data Analyst

Note: The job is a remote job and is open to candidates in USA. HealthFund Solutions supports hospital and health system clients with healthcare revenue cycle services and technology-driven solutions. The Senior Healthcare Revenue Cycle Data Analyst analyzes complex healthcare data, develops reporting and business intelligence, identifies reimbursement opportunities, and translates findings into automated workflows and scalable solutions. The role also supports EMR and EDI data integration, client onboarding, and product development initiatives.

Responsibilities

Analyze hospital revenue cycle data to identify reimbursement opportunities, payment delays, denial trends, insurance-related issues, and barriers to collectionsConduct root-cause analyses of revenue cycle challenges related to eligibility, claims processing, payer adjudication, denials, and accounts receivablePerform payer, aging, variance, trend, cohort, and reimbursement analyses to identify performance improvement opportunitiesDevelop methodologies to identify, prioritize, and manage patient and account populations appropriate for HFS programs and servicesTranslate complex analytical findings into actionable recommendations for hospital clients, operational teams, and executive leadershipSupport clients utilizing Epic, Oracle Health, MEDITECH, and other hospital information systemsPartner with hospital revenue cycle, analytics, reporting, IT, and EMR teams to obtain, analyze, and validate critical revenue cycle dataInterpret and standardize data related to patients, encounters, accounts, claims, coverage, payers, payments, denials, adjustments, and eligibility informationIdentify and resolve data quality, mapping, reconciliation, and integration issues across multiple healthcare systemsDevelop and maintain data dictionaries, business definitions, and data mapping specificationsUtilize Epic SlicerDicer to perform patient and account population analysis, exploratory research, and business validationAnalyze Epic revenue cycle data including claims, hospital accounts, coverage, payer activity, denials, and reimbursement informationCollaborate with Epic application, Cogito, reporting, and analytics teams to support reporting and data extraction initiativesTranslate Epic-specific workflows and data structures into standardized business rules and analytical requirementsLeverage experience with Epic Clarity, Caboodle, Cogito, and Reporting Workbench when applicableAnalyze healthcare EDI transactions related to insurance eligibility, enrollment, claims, reimbursement, and claim status activitiesApply knowledge of ANSI X12 transactions including: 270/271 Eligibility Inquiry and Response; 834 Benefit Enrollment and Maintenance; 277 Claim Status Transactions; 837 Claims; 835 Remittance Advice; 276/277 Claim Status TransactionsCorrelate EDI information with hospital account, insurance, billing, payment, and denial data to identify reimbursement opportunities and processing issuesLead data discovery sessions with client revenue cycle, technology, analytics, and integration teamsAssess client workflows, systems, data sources, interfaces, reports, APIs, and EDI feedsDefine customer data requirements and map client-specific information to HFS standardized data modelsValidate patient populations, account inventories, and revenue cycle datasets during onboarding and implementation activitiesEstablish repeatable validation, reconciliation, and quality assurance processes for new client implementationsPartner with Product Management and Engineering teams to translate revenue cycle expertise into technology solutions and business rulesIdentify opportunities to automate manual processes and develop scalable data-driven workflowsContribute subject matter expertise to new product development, analytics initiatives, and service offeringsHelp define industry best practices, operational standards, and analytical methodologies that support continued company growth
Skills

Bachelor's degree in healthcare administration, Health Information Management, Business Analytics, Finance, Information Systems, Data Analytics, or a related field; equivalent experience may be consideredMinimum 5 years of experience in healthcare revenue cycle operations, financial analysis, healthcare analytics, or related fieldsStrong understanding of the end-to-end hospital revenue cycle, including insurance eligibility, claims processing, denials management, payer reimbursement, collections, and accounts receivableDemonstrated experience working with Epic revenue cycle data and Epic SlicerDicerStrong knowledge of healthcare EDI transactions, including 270/271, 834, and 277 transactionsExperience analyzing large healthcare datasets and identifying actionable business insightsAbility to translate business requirements into analytical frameworks, data requirements, and operational solutionsExcellent problem-solving, critical thinking, communication, and presentation skillsProven ability to work effectively with both technical and non-technical stakeholdersAbility to manage multiple projects, priorities, and client relationships in a dynamic environmentExperience supporting multiple hospitals or health systems within a healthcare service, consulting, managed services, or healthcare technology environmentExperience with Oracle Health and/or MEDITECH platformsAdvanced SQL and relational database analysis skillsExperience with Epic Clarity, Caboodle, Cogito, Reporting Workbench, or other healthcare analytics toolsEpic certification or advanced Epic proficiencyExperience with healthcare data mapping, transformation specifications, data normalization, and master data managementKnowledge of denial management, insurance discovery, coverage verification, and payer reimbursement optimizationExperience onboarding healthcare data into third-party applications and technology platformsExperience with Power BI, Tableau, Excel, or similar reporting and visualization tools
Company Overview

HealthFund Solutions provides funding assistance programs for patients who require ongoing treatment as well as advanced Medicaid screening. It was founded in undefined, and is headquartered in Alva, Florida, USA, with a workforce of 51-200 employees. Its website is https://healthfundsolutions.com/.