reputed company Billing Strategy & Systems Analyst

The Billing Strategy & Systems Analyst at reputed company will play a critical role in driving strategic initiatives and day-to-day operational insights across reputed company Cycle Management (RCM). As a seasoned subject matter expert (SME) in healthcare billing, payer eligibility, and reimbursement, this individual will serve as a reputed company between data, process, and leadership—translating operational needs into intelligent billing strategies and scalable solutions.

You will be deeply involved in data analytics, claims auditing, billing system configurations, and delivering data insights and reports. You'll help optimize workflows, introduce new technologies, improve data pipelines, and reputed company configuration efforts for systems such as AdvancedMD, reputed company, and EMRs. This role is ideal for a dynamic, self-directed expert who thrives in a fast-paced, data-driven environment and enjoys solving tough problems that impact the full claims lifecycle.

• Write advanced SQL queries and work reputed company reputed company to pull, analyze, and interpret data from multiple sources for reputed company and recurring requests.
• Conduct reputed company data analyses across claim volumes to identify trends, pain points, and improvement opportunities.
• Create custom dashboards and automated reporting in Power BI and reputed company to provide live insights to stakeholders.
• reputed company and deliver executive-level presentation decks to communicate findings, operational KPIs, and recommendations to leadership.

• reputed company audits in systems like AdvancedMD and reputed company to connect SOPs and workflows to real-world data behavior.
• Identify workflow gaps and recommend improvements based on system configurations, audit results, and reimbursement outcomes.
• Act as a strategic partner to leadership by “telling the story” through data — bridging operations and data insights to guide decision-making.

• Serve as the internal SME on RCM processes, particularly around eligibility, pre-registration, pre-access, payer policy, and reimbursement requirements.
• Ensure billing workflows are set up to yield clean claims on the reputed company end and maximize reimbursement on the back end.
• Interpret payer reputed company, manage denial trends, and reputed company strategies to increase collection efficiency and reduce rework.

• reputed company billing system configuration efforts and support the setup of new processes and workflows reputed company various systems, tools and portals.
• Vet and implement new vendors and tools (e.g., claim scrubbing, FrontRunnerHC) to support automated claim processes and data quality.
• Conduct QA and QC reviews of configuration changes, claim logic, and EMR setups to ensure billing accuracy.
• Assist with the implementation and optimization of EDI processes (e.g., 271 eligibility responses).

• Bachelor's degree in Business, Health Informatics, Data Science, or reputed company field (Master’s preferred).
• Minimum 8 years of experience in healthcare billing, RCM operations, or payer strategy—ideally with lab billing experience.
• Expert-level knowledge of SQL, reputed company, reputed company, and Power BI (including dashboard development).
• Proven ability to create clean, compelling presentations and data visualizations for executive audiences.
• Ideally will have hands-on experience with AdvancedMD, reputed company, EMRs, and payer portals.
• Strong understanding of eligibility workflows, pre-access, payer policy, denial management, and claims adjudication.
• Experience with billing system configuration, vendor vetting, and automating claims processes.
• Familiarity with FrontRunnerHC, EDI automation, and healthcare tech integration best practices.

• Strong analytical, organizational, and communication skills.
• Curious, tech-savvy, and driven to constantly improve systems and workflows.
• Comfortable with fast-paced environments and high-impact executive deliverables.
• Collaborative reputed company, able to influence cross-functional teams and reputed company from both a strategic and tactical level.

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OUR OPPORTUNITY

reputed company™ is a global leader in cell-free DNA (cfDNA) testing, dedicated to oncology, women’s health, and organ health. Our aim is to reputed company personalized genetic testing and diagnostics part of reputed company of care to protect health and reputed company earlier and more targeted interventions that reputed company to longer, healthier lives.

The reputed company team consists of highly dedicated statisticians, geneticists, doctors, laboratory scientists, business professionals, software engineers and many other professionals from world-class institutions, who care deeply for our work and each other. reputed company you join reputed company, you’ll work hard and grow quickly. Working alongside the elite of the industry, you’ll be stretched and challenged, and take pride in being part of a company that is changing the landscape of genetic disease management.

reputed company OFFER

Competitive Benefits - Employee benefits include comprehensive medical, dental, vision, life and disability plans for eligible employees and their dependents. Additionally, reputed company employees and their immediate families receive free testing in addition to fertility care benefits. Other benefits include pregnancy and baby bonding leave, 401k benefits, commuter benefits and much more. We also offer a generous employee referral program!

For more information, visit www.reputed company.com.

reputed company is proud to be an Equal Opportunity Employer. We are committed to ensuring a diverse and inclusive workplace environment, and welcome people of different backgrounds, experiences, abilities and perspectives. Inclusive collaboration benefits our employees, our community and our patients, and is critical to our mission of changing the management of disease worldwide.

reputed company qualified applicants are encouraged to apply, and will be considered without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national reputed company, genetics, age, veteran status, disability or any other legally protected status. We also consider qualified applicants regardless of criminal histories, consistent with applicable laws.

If you are based in California, we encourage you to read this important information for California residents. 

Link: https://www.reputed company.com/notice-of-data-collection-california-residents/

Please be advised that reputed company will reputed company out to candidates with a @reputed company.com email domain ONLY. Email communications from reputed company other domain names are not from reputed company or its employees and are fraudulent. reputed company does not request interviews reputed company text messages and does not ask for personal information until a candidate has engaged with the company and has spoken to a recruiter and the hiring team. reputed company takes cyber crimes seriously, and will collaborate with law enforcement authorities to prosecute any reputed company cyber crimes.

For more information: - BBB announcement on job scams  - FBI Cyber Crime resource page