Revenue Cycle Analyst (Healthcare)

TL;DR

Revenue Cycle Analyst (Healthcare): Executing and optimizing Omada’s Revenue Cycle Management (RCM) function to drive cash collections and ensure robust billing processes with an accent on data processing and claims management. Focus on refining financial workflows, implementing RCM systems, and ensuring HIPAA-compliant operations to support company growth.

Location: Remote (USA)

Salary: $79,200 - $103,500

Company

hirify.global is a virtual-first healthcare company that combines human-led care teams and AI-enabled technology to treat chronic conditions like obesity and diabetes.

What you will do

• Manage end-to-end billing processes and support new RCM payer implementations.
• Coordinate with clearinghouses on new connections and resolve claims management issues.
• Analyze data and trends to identify and propose enhancements for RCM workflows.
• Maintain up-to-date process documentation and standard operating procedures (SOPs).
• Investigate and resolve denials, underpayments, and execute refunds.
• Perform weekly bank and claim reconciliations alongside monthly revenue integrity checks.

Requirements

• 1-3 years of experience executing revenue cycle management in a healthcare setting.
• Knowledge of the US healthcare system, including CPT and ICD-10 diagnosis codes.
• Advanced proficiency in Microsoft Excel.
• Strong written and verbal communication skills for collaborating with technical and non-technical stakeholders.
• Must be based in the United States.

Nice to have

• Experience working with or for a healthcare clearinghouse.
• Understanding of general accounting principles.
• Experience within digital health or a startup environment.
• Proficiency in SQL or Tableau.

Culture & Benefits

• Remote-first work-from-home culture with flexible time off.
• Comprehensive health, dental, and vision insurance with high employer contributions.
• 401k retirement savings plan and Lifestyle Spending Account (LSA).
• Generous parental leave and mental health support solutions.
• Competitive annual cash bonus and equity grants.