高级收入周期分析师（CA）
Senior Revenue Cycle Analyst (CA)
公司简介
Shriners Children’s 是一个尊重、支持并重视每个人的组织。被福布斯评为 2025 年最佳中型企业雇主，我们致力于提供卓越的患者护理，拥抱具有全球影响力的多学科教育和研究。我们营造了一个以循证实践、经验、创新和批判性思维为价值的学习环境。我们的同理心、诚信、责任感和韧性定义了我们在儿童专科护理领域的领导地位，服务于我们的儿童及其家庭。
我们在全球拥有 20 多家医院、门诊诊所、日间护理中心和外展地点，无论患儿家庭是否具备支付能力或是否有保险，我们都为 18 岁以下的儿童提供优质的医疗服务。请点击此处了解我们的更多地点信息。
职位描述
高级收入周期分析师（CA）向收入周期经理汇报工作，通过高级数据分析、拒付趋势分析、绩效报告以及针对复杂预收费编辑的针对性解决，支持我们加州地区的收入周期运营。该职位负责识别索赔障碍的根本原因，量化财务影响，并提供可操作的见解，以提高干净索赔率，减少拒付，并优化净收入表现。
在收入周期经理的战略指导下，该高级收入周期分析师（CA）与患者接待、诊所经理、客服中心领导、临床部门和外部供应商紧密合作，以支持数据驱动的流程改进和全企业范围的拒付预防策略。高级分析师作为关键分析资源，将绩效数据转化为符合区域和系统收入周期目标的运营建议。
主要职责：
- 领导对拒付、预收费编辑和付款人趋势的高级分析，以识别系统性问题并量化财务影响。
- 与收入周期经理合作，根据风险暴露、收入机会和运营绩效差距确定优先事项。
- 进行全面的根本原因分析，并领导制定和监控纠正行动计划，防止重复的拒付和索赔编辑。
- 向管理层汇报发现和战略建议，将复杂的分析转化为清晰的运营方向。
- 作为企业级收入周期相关问题的专家，提供专业支持。
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Company Overview
Shriners Children’s is an organization that respects, supports, and values each other. Named as the 2025 best mid-sized employer by Forbes, we are engaged in providing excellence in patient care, embracing multi-disciplinary education, and research with global impact. We foster a learning environment that values evidenced based practice, experience, innovation, and critical thinking. Our compassion, integrity, accountability, and resilience define us as leaders in pediatric specialty care for our children and their families.
With 20+ hospitals, outpatient clinics, ambulatory care centers and outreach locations across the globe, we provide excellent care to children up to age 18 regardless of their family’s ability to pay or insurance status. Please click here to learn more about our locations.
Job Description
The Senior Revenue Cycle Analyst (CA) reports to the Revenue Cycle Manager and supports regional revenue cycle operations for our California locations through advanced data analysis, denial trending, performance reporting, and targeted resolution of complex pre-bill edits. This role is responsible for identifying root causes of claim barriers, quantifying financial impact, and delivering actionable insights that improve clean claim rates, reduce denials, and optimize net revenue performance.
Operating with a high degree of independence under the strategic direction of the Revenue Cycle Manager, the Senior Revenue Cycle Analyst (CA) partners closely with Patient Access, Practice Managers, Contact Center leadership, clinical departments, and external vendors to support data-driven process improvements and enterprise-wide denial prevention strategies. The Senior Analyst serves as a key analytical resource, translating performance data into operational recommendations that align with regional and system revenue cycle goals.
Key Responsibilities:
- Lead advanced analysis of denials, pre-bill edits, and payer trends to identify systemic issues and quantify financial impact.
- Partner with Revenue Cycle Manager to prioritize initiatives based on risk exposure, revenue opportunity, and operational performance gaps.
- Conduct comprehensive root cause analysis and lead the development and monitoring of corrective action plans to prevent recurring denials and claim edits.
- Present findings and strategic recommendations to leadership, translating complex analytics into clear operational direction.
- Serve as subject matter expert for enterprise-wide revenue cycle improvement initiatives, driving data-informed process redesign and denial prevention strategies
Required Qualifications:
- 5 or more years of revenue cycle experience
- Strong proficiency in Excel and revenue cycle reporting tools
- Demonstrated ability to analyze complex datasets and translate findings into operational recommendations
- Knowledge of billing, coding, payer reimbursement methodologies, and denial workflows
- Bachelor's Degree or equivalent combination of education, training and experience
Preferred Qualifications:
- Epic EMR experience
- Experience with denials management
The pay range for this position is $80,912.00 - $121,388.80. Compensation is determined based on years of relevant experience and departmental equity.Originally posted on Himalayas