RCM Analytics Specialist

We are looking for an experienced RCM Analytics Specialist to analyse US Healthcare RCM data, prepare performance reports, identify trends and revenue gaps, and provide actionable insights to improve collections, reduce denials, and enhance operational performance.

Responsibilities:

• Analyse US Healthcare RCM data to identify trends, gaps, operational issues, and areas for improvement.
• Prepare and maintain daily, weekly, and monthly RCM performance reports and dashboards.
• Analyse denial trends and identify root causes, including eligibility, authorisation, coding, documentation, and payer-related issues.
• Track payer-wise and client-wise performance and identify potential revenue leakage.
• Analyse AR ageing buckets and identify high-value or ageing accounts requiring immediate attention.
• Develop reports to help management monitor team productivity, collections, quality, and financial performance.
• Prepare MIS reports, dashboards, ad-hoc analysis, and business insights for management.
• Present analytical findings and recommendations to management and operational stakeholders.

Requirements:

• 3-5 years of experience in US Healthcare RCM, Medical Billing Analytics, MIS, Business Analytics, or Healthcare Operations.
• Strong analytical and problem-solving skills.
• Good understanding of RCM metrics, reports, and operational KPIs.
• Ability to analyse large datasets and identify trends, discrepancies, and opportunities for improvement.

Preferred Skills:

• Experience with Power BI or other BI/dashboarding tools.
• Knowledge of SQL and database querying.
• Advanced Excel skills, including Pivot Tables, XLOOKUP/VLOOKUP, SUMIFS/COUNTIFS, charts, and dashboards.
• Experience in developing automated MIS/RCM dashboards.