Revenue Cycle Data Specialist

Role Summary

The Revenue Cycle Data Specialist will serve as a key member of the Billing Department, playing a critical role in supporting operational controls and strategic initiatives. This role requires a detail-oriented and analytical thinker who can identify, organize, and interpret complex data sets. The ideal candidate will possess strong communication skills to translate raw data and trends into actionable insights for both the Billing and Finance teams.

Responsibilities

• Adheres to all company policies and procedures.
• Key Controls and System Management
• Under minimal direction, formulates and defines system scope and objectives based on both user needs and a good understanding of information technology, business processes, and industry requirements.
• Analyze billing data to identify trends, anomalies, and opportunities for process improvement.
• Perform SQL queries to extract and manipulate data from various systems.
• Analyze complex datasets from multiple sources to support operational and strategic decision-making.
• Develop and maintain dashboards, reports, and visualizations to support decision-making.
• Collaborate with cross-functional teams to ensure data accuracy and consistency.
• Translate complex data into clear, concise, and contextual presentations for stakeholders.
• Provide summaries of data based on strong interpretive and analytical skills.
• Work with the simulation team to publish data-driven insights and support modeling efforts.
• Support internal audits and compliance initiatives by maintaining documentation and controls.
• Assist in the development and implementation of new billing processes and systems.
• Monitor key performance indicators (KPIs) and provide regular updates to leadership.
• Participate in strategic planning and forecasting activities with Finance and Billing teams.
• Collaborate with team members to develop insights that inform organizational goals.

Qualifications

• High School degree or equivalent required.
• 4+ years of experience in data analytics or a related role
• Proficient in MS Office (Word, Excel, Outlook)
• Proficiency in data analysis tools (e.g., Excel, SQL, Power BI, Tableau).
• Experience with data cleaning and preparation is strongly preferred.
• Excellent attention to detail and problem-solving abilities.
• Effective communication and teamwork skills.
• Must be highly organized with a strong attention to detail
• Demonstrates solid time management skills and organization
• Ability to manage multiple priorities and meet deadlines in a fast-paced environment.
• Strong interpersonal skills and the ability to work collaboratively across departments.
• Ability to work with minimal guidance; Proactive, motivated self-starter
• Flexibility and proven ability to handle and manage frequent changes effectively and efficiently
• Basic knowledge of CPT, ICD-10
• Knowledge of insurance processing, guidelines and general laws related to all payers.

Preferred Qualifications

• Must possess professionalism, superior organizational skills, communications skills that allow the ability to educate and influence, an unrelenting passion for persistent follow up, and a drive towards problem resolution.
• Drive for Results (Service, Quality, and Continuous Improvement) – Ensure procedures and processes are in place that will lead to delivery of quality results and continually reassess their effectiveness to achieve continuous improvement.
• Communication – Proficient verbal and written communication skills. Willingness to share and receive information and ideas from all levels of the organization to achieve the desired results.
• Teamwork – Commitment to the successful achievement of team and organizational goals through a desire to participate with and help other members of the team.

Physical Demands

• Must possess ability to sit and/or stand for long periods of time.
• Must possess ability to perform repetitive motion.
• Ability to lift up to 15 pounds.
• The majority of work is performed in a desk/cubicle environment.

Training

• All job specific, safety, and compliance training are assigned based on the job functions associated with this employee.

Other

• Willingness to work shift work and overtime.
• Job may require occasional weekends, evenings, and/or holidays.