RCM AR Denials

1 week ago


Englewood CO, United States RIAInvision Sally Jobe Full time

RCM AR Denials & Performance Analyst
Reports to RCM Director Employment Type: Full Time This position is in-office in Englewood, Colorado. Radiology Imaging Associates (RIA) is comprised of over 115 radiologists. All with exceptional skill and expertise, most are fellowship-trained in their field of specialty for additional certification. Position Summary: The A/R Denials & Performance Analyst is responsible for analyzing payer denials, building dashboards, and monitoring revenue cycle performance across multiple sites and clients. Reporting directly to the Director of Revenue Cycle Management, this role focuses on auditing outsourced billing workflows, reconciling payments, and providing actionable insights to improve collections and reduce controllable denials. instead, the analyst develops innovative reporting, trend analysis, and performance metrics that guide the outsourced billing company and internal RCM teams toward corrective action.
Analyze denial and aging reports across all sites/clients, identifying trends, root causes, and payer-specific issues.
Develop and manage an A/R Dashboard to monitor outstanding balances, aging buckets, and payer collection performance.
Performance & Collections Monitoring:
Model and report on collections vs. expected reimbursement, highlighting gaps between contractually expected and actual payments.
Build an RCM Performance Dashboard to monitor KPIs across multiple imaging centers and physician groups (e.g., clean claim rate, cash collections, denial rates, days in A/R).
Provide performance benchmarking by site/location to highlight variances and opportunities for improvement.
Support the Director of RCM and RCM Manager in evaluating outsourced billing vendor performance against expectations.
Audit outsourced billing workflows for accuracy, compliance, and timeliness.
Provide detailed audit findings with recommendations for next steps to outsourced billing partners.
Partner with the RCM Manager to design reporting structures that measure outsourced vendor accountability.
Ensure payer policy updates and audit findings are reflected in team workflows.
Drive innovation in denial and performance reporting, creating dashboards and tools that move beyond static reporting into actionable insights.
Recommend process improvements and workflow adjustments to prevent recurring denials and payment gaps.
Stay current on payer trends, industry benchmarks, and best practices to enhance reporting and collections monitoring.
Provide leadership with forward-looking analyses that support strategic decision-making.
Bachelor's degree in Healthcare Administration, Finance, Business, or related field preferred.
~4+ years of experience in revenue cycle analytics, A/R management, or denial analysis.
~ Demonstrated experience building dashboards (Excel, Power BI, Tableau, or similar).
~ Strong understanding of payer contracts, reimbursement methodologies, and denial management.

Advanced Excel and data analysis skills required; Strong ability to translate complex billing/denial data into clear, actionable reporting.
Detail-oriented, with a strong commitment to accuracy and compliance.
Ability to manage multiple projects and deadlines in a fast-paced environment.
Compensation for this role between $26.00 to $35.00 per hour.
This position will receive applications on an ongoing basis and will remain open until filled.
Medical, dental, and vision insurance
Term life insurance, AD&D, and EAP
Long Term Disability
Paid holidays
supplemental life insurance, accident, critical illness)
Profit-sharing 401(k) retirement plan
Tuition reimbursement
Full-time employees will become eligible for benefits on the 1st day of the month following 30 days of employment. Part-time employees may have access to some of these benefits, which may be on a pro-rated basis. PRN employees are not eligible for benefits.


  • RCM AR Denials

    1 week ago


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