Behavioral Health Claims Analyst

Role Overview

The Behavioral Health Claims Analyst supports the Director of Billing and Revenue Cycle Management by helping oversee the full revenue cycle and using data analysis to strengthen financial results, operational performance, and revenue accuracy. The position combines billing and claims work with reporting, analytics, and ongoing process improvement.

Revenue Cycle Management

• Take ownership of the full revenue cycle workflow, from patient registration and charge capture through coding, billing, collections, payment posting, and denial follow-up.
• Track important revenue cycle indicators and apply improvements that help accelerate cash collection and lower days in accounts receivable.
• Maintain adherence to payer rules, contract terms, and applicable healthcare industry standards.
• Manage claim submission activities and work through billing issues, denials, and payment shortfalls.
• Carry out recurring reviews of billing and coding work to confirm both accuracy and compliance.

Data Analytics and Reporting

• Build, update, and manage dashboards, reports, and scorecards used to measure revenue cycle performance.
• Examine financial, operational, and claims-related data to spot trends, risks, and areas for improvement.
• Monitor core KPIs such as clean claim rate, denial rate, collection rate, net collection percentage, and days in accounts receivable.
• Investigate the root causes of denials, payment differences, and revenue leakage.
• Develop forecasting outputs and predictive analysis to guide business decisions.
• Pull, verify, and interpret data from billing platforms, EHR systems, and other databases.
• Share insights and recommendations with leadership.
• Use data findings to support operational improvements.

Leadership and Process Improvement

• Guide and support revenue cycle team members through training, coaching, and performance oversight.
• Set team objectives and measure progress against organizational targets.
• Lead projects focused on revenue cycle enhancement and system optimization.
• Spot opportunities to automate work and improve efficiency and reporting quality.

Preferred Education and Experience

This role typically suits someone with a bachelor’s degree in Healthcare Administration, Business Administration, Finance, Accounting, Data Analytics, Information Systems, or a similar discipline. The position also calls for at least 5 years in revenue cycle management, healthcare finance, medical billing, or a comparable field, plus 2 or more years in analytics, business intelligence, or reporting. Experience leading teams and cross-functional initiatives is expected, along with a solid grasp of healthcare reimbursement methods, payer requirements, and revenue cycle operations.

Technical Requirements

Strong Excel expertise is important, as is familiarity with healthcare billing platforms, EHR systems, and practice management tools. The position also requires strong analytical thinking, problem-solving ability, and reporting capability.

Benefits

• Competitive compensation
• Medical, dental, and vision coverage
• Paid leave and holidays
• 401(k) plan with employer contribution
• Opportunities to build and advance professionally

Additional Details

This is a full-time position based onsite in the United States. The work schedule is Monday through Friday. Compensation starts at $53,000 per year.