RCM Enrollment Analyst

Job Summary

A company is looking for an RCM Systems & Enrollment Analyst responsible for managing revenue cycle management and provider enrollment processes.

Key Responsibilities

• Complete EFT, ERA, and EDI setup and enrollment with health plans
• Identify and resolve revenue leakage through data analysis and ensure data integrity across systems
• Develop reports and dashboards to track KPIs and collaborate cross-functionally to resolve workflow issues

Required Qualifications

• Bachelor's degree in Healthcare Administration, Finance, Business, or a related field preferred, or equivalent work experience
• At least 3 years of experience in managed care credentialing, billing, or a Medical Staff service setting
• Advanced Microsoft Excel skills
• Knowledge of EFT, ERA, EDI enrollment, and claims systems, with Athena system knowledge preferred
• Must comply with HIPAA rules and regulations