Revenue Cycle Operations Senior Analyst

Remote

Revenue Cycle – Analyst /

Full-Time /

Remote

The vision of Clinical Health Network for Transformation (CHN) is to support the mission and promise of Planned Parenthood to bring high-quality, affordable care to every member of our communities. CHN is a collaboration between Planned Parenthood affiliates across the United States.

CHN is looking for individuals who are committed to supporting our shared goal of strengthening and enhancing our awareness and commitment to advancing the cause of health equity in our organization.

The Revenue Cycle Operations Senior Analyst provides expert guidance, capacity building, and operational support in all areas of full revenue cycle management (front, mid, and back) with a focus on optimizing efficiency, compliance, and sustainability.

This position will be a critical link between revenue cycle management and leadership stakeholders both internally to CHN and externally at CHN member affiliates.

This position serves as a subject matter expert (SME) and trusted advisor, helping strengthen patient access, billing, coding, claims, and reimbursement processes through targeted technical assistance, training, and performance analysis. The Revenue Cycle Operations Senior Analyst ensures CHN practices comply with payer regulations, internal policies, and supports CHN's mission of providing quality, accessible care.

Serve as a technical advisor, partnering with leadership stakeholders, on end-to-end revenue cycle management, including but not limited to registration, charge capture, coding, claims submission, denials management, and collections

• Provide guidance on Epic revenue cycle functionality, workflows, and configuration best practices
  Interpret payer rules, regulatory updates, and reimbursement trends, communicating relevant guidance to stakeholders
  Develop and disseminate technical assistance resources, including toolkits, SOPs, and job aids tailored to stakeholder's needs
  Participate in member affiliate Customer Success meetings to offer guidance and subject matter expertise
  Maintain dashboards for affiliate members to support shared accountability for front-end accuracy
  Monitor and analyze revenue cycle key performance indicators (KPIs) such as days in A/R, denial rates, and collection efficiency
  Offer comprehensive denials management guidance and education to leadership stakeholders aimed at minimizing the occurrence of denials.
  Identify trends and performance gaps and work collaboratively with leadership stakeholders (internally and externally) to develop corrective action plans
  Work with the Access Quality Manager to set revenue cycle management (RCM) priorities for Quality Analysts
  Support data-driven decision-making through customized reports, dashboards, and performance plans
  Facilitate peer learning and best practice sharing across CHN and the member affiliates
  Conduct targeted coaching sessions and feedback loops with stakeholder leadership when new denial trends emerge
  Report in a dotted line to the Senior Manager of Learning & Organizational Development to design and lead RCM training sessions and workshops including but not limited to; Epic workflows and payer compliance
  Facilitate the onboarding of CHN staff engaged in all aspects of the full revenue cycle (front, mid, and back) into integrated systems and standardized processes
  Educate leadership stakeholders on pulling RCM reports from Epic
  Collaborate closely with internal CHN teams (Finance, Compliance, Quality, Access Operations, IT, and PCE)
  Partner with Epic analysts and Better Health teams to recommend EMR enhancements that improve insurance capture accuracy and referral/authorization documentation upstream
  Contribute to cross-functional initiatives to improve the overall operational effectiveness
  Upholds organizational values and standards, while proactively seeking ways to improve efficiency, equity, and service excellence
  Ensure compliance with all CHN and affiliate policies, as well as all state and federal regulations
  Provides positive and development feedback and accountability related to all practices
  Demonstrates commitment to CHN and Planned Parenthood's health equity mission, with emphasis on racial equity and community accountability. Demonstrates dedication to learning about racial equity and addressing structural racism in healthcare
  Consistently delivers high-quality results using sound judgment and data-driven decisions. Prioritizes customer needs by providing prompt, accurate service to all stakeholders

• The above duties and responsibilities are not an exhaustive list of required responsibilities, duties, and skills. Other duties may be added, and this job description can be amended at any time.

5+ years of progressively responsible experience in healthcare revenue cycle management, including billing, coding, and claims processing;

• At least 2 years of experience at the management level in a relevant field.
  3-5 years of experience working in Epic
  Experience providing technical assistance, training, or consultation to health centers or clinical organizations
  Demonstrated proficiency in Epic revenue cycle modules (Professional Billing, Resolute, Prelude, Cadence)
  Strong understanding of payer rules, CPT/HCPCS/ICD-10 coding, and reimbursement methodologies (FFS, Medicaid, managed care).
  Exceptional analytical, problem-solving, and interpersonal skills.
  Commitment to reproductive and sexual health access and equity.
  Strong understanding of front-end access workflows (scheduling, registration, insurance verification, authorization)
  Ability to translate complex payer rules into simple, repeatable scripting and workflows
  Strong communication skills with both operational and technical teams
  Willingness to travel in accordance with the needs of the position, as outlined in the essential functions. Compliance with all CHN travel policies, including safety guidelines while operating a personal vehicle.

Bachelor's degree in Health Administration, Business, Finance, or related field

• Experience working in a Federally Qualified Health Center (FQHC), Planned Parenthood affiliate, or outpatient care (community-based health) setting
  Knowledge of grant-funded health programs and safety-net reimbursement models
  Certification(s): CRCR, CPC, or Epic certification preferred

Commitment to advancing race(+) equity in one's work: interested in expanding knowledge about the role that racial inequity plays in our societ

• • y
    Awareness of multiple group identities and their dynamics, bringing a high level of self-awareness about personal identity, empathy, and humility to interpersonal interaction- s
    Demonstrated ability to communicate clearly and directly as well as hear and act on feedback related to identity and equity with the aim to lear- n
    Strong sense of accountability to equitable practice- s
    Understanding of the impact of identity dynamics on organizational cultur- e
    Commitment to CHN and Planned Parenthood's In This Together service ethos, workplace values, and service standard- s

$67,000 - $96,000 a year

CHN believes in fair and equitable pay. Above is the pay range for this role. Please note that actual salaries may vary within the range, based on factors including, but not limited to, education, training, experience, professional achievement, and business need.

CHN provides employees with a competitive benefits package; some highlights include the following.

• Health Care Coverage (Medical, Dental, & Vision); eligibility for full-time, regular employees on date of hire
• Flexible Spending Accounts and Health Savings Account
• Short-Term Disability and Basic Life & AD&D Insurance provided by CHN
• Voluntary elections for Long Term Disability and Additional Life & AD&D Insurance available at cost
• Employee Assistance Program
• Retirement Plan, 3% employer match after one year of service
• Paid Time Off Program includes accrual-based PTO, Health Time Off (HTO), and nine (9) paid Holidays

Clinical Health Network for Transformation (CHN) is an equal employment opportunity employer. We comply with all applicable laws prohibiting discrimination based on race, color, religion, gender and gender expression/identity, age, ethnicity, national origin, ancestry, physical or mental disability, uniformed service member/veteran status, marital status, medical condition, pregnancy, sexual orientation, citizenship status, genetic information, as well as any other category protected by federal, state, or local. We are committed to building an inclusive workplace that values racial & social justice. We strongly encourage all persons to apply, including members from all racial and ethnic groups and members of the LGBTQIA+ community.

We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.