Overview
A physician-led, patient-centric network of eye care practices is seeking a Revenue Cycle Management (RCM) Financial Analyst to optimize financial health by analyzing and managing the billing and reimbursement process. The organization operates 50 clinics and five surgery centers across Florida, the Carolinas, and Virginia, supported by 95 providers and over 1,000 staff members. This role focuses on improving revenue cycle efficiency, reducing claim denials, and supporting revenue forecasting.
Responsibilities
- Review daily and monthly revenue metrics, identify denial trends, and perform variance analysis between actual and expected reimbursements
- Assess productivity and effectiveness of third-party revenue cycle vendors and provide improvement insights
- Identify bottlenecks in the revenue cycle and implement process improvements to enhance efficiency
- Track and analyze KPIs such as Days in Accounts Receivable, Charge Lag, TOS Collections, Net Collection Rates, Denial Ratios, and clean claim rates
- Collaborate with RCM leadership to develop and review monthly operational reports
- Analyze financial variances, benchmark performance, and support revenue forecasting activities
- Maintain and update fee schedules and reimbursement models for Medicare and commercial insurers
- Prepare comprehensive financial reports related to reimbursement, physician charge capture, and patient-level data
- Support annual budgeting, monthly forecasting, and financial closing processes
- Gather operational requirements, document workflows, and monitor process improvements
- Develop reports and dashboards to track KPIs and model financial impacts of operational changes
- Work with billing, coding, and clinical teams to resolve coding errors and documentation issues impacting revenue
- Complete special projects and provide analytical support as needed
Requirements
- Bachelor’s degree in Finance, Accounting, Health Administration, or related field (preferred)
- Minimum of 3 years of experience in healthcare revenue cycle management and financial analysis
- Proficiency in Microsoft Excel (including VLOOKUPs, pivot tables), SQL, and data visualization tools such as Power BI
- Strong knowledge of medical billing processes, including CMS-1500, UB-04 forms, CPT/ICD-10 coding, and payer contracts (Medicare, Medicaid, Commercial)
- Excellent analytical skills with the ability to interpret complex datasets and provide actionable insights
- Experience in financial reporting, variance analysis, and revenue forecasting
- Effective communication skills to present data-driven recommendations to leadership
Compensation & Benefits
- 401(k) plan with company match
- Medical and Dental Insurance
- Flexible Spending Accounts (FSA)
- Pet Insurance
- Disability and Life Insurance
- Continuing Education Opportunities
- Paid Time Off (PTO)
Location
Positions serve communities across Florida, the Carolinas, and Virginia.
Equal Opportunity
The organization is an equal employment opportunity employer committed to creating a diverse and inclusive workplace. It does not discriminate based on race, color, religion, age, sex, national origin, disability, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.