[Remote] Revenue Cycle Analyst

Note: The job is a remote job and is open to candidates in USA. CareDx, Inc. is a leading precision medicine solutions company focused on the discovery, development, and commercialization of healthcare solutions for transplant patients. The Revenue Cycle Analyst will analyze payer denial trends, perform root cause analysis, and report on key performance indicators to enhance reimbursement processes.

Responsibilities

• Perform root cause analysis to identify trends related to denials and rejections, authorization outcomes, and reimbursement issues. Develop a data-driven plan to partner with management in executing reimbursement resolution strategies
• Produce monthly KPIs and required month end reporting. Identify payers and reasons for changes
• Proactively identify reimbursement opportunities
• Accurately produce and analyze ad-hoc data requests to stakeholders and management within Revenue Cycle – Billing and Authorization functions, Finance, and Market Access
• Confidently identify bottlenecks within the reimbursement process to reduce DSO, decrease accounts receivable, improve success of appeals and records, and increase collections
• Assist management and team with tracking action plans to ensure timely collections and timely follow up
• Creatively utilize dashboards via established platforms (Tableau/SQL/PowerBI) and advanced excel to visually represent data and statistically determine reimbursement expectations and effectively communicate improvement suggestions to stakeholders
• Develop dashboards and standardized reporting utilizing data tools which could include, but not limited to: Payer score cards, work queue prioritization and reporting, A/R and adjustment research, bulk collection dashboards, and system maintenance
• Identify gaps and areas of improvement in analytics capabilities and work with technical teams and Business Intelligence Analyst to implement enhancements that improve denial and reimbursement issues identification
• Assist with PAMA reporting for all required tests and other state required reporting functions with accuracy and timely delivery
• Develop a thorough understanding of systems, processes and payer-specific reimbursement processes and billing requirements, assisting in the proactive identifications of opportunities for Revenue Cycle improvement

Skills

• Bachelor's degree in quantitative field required
• Advanced knowledge of Microsoft Excel and experience with data tools (SQL, Tableau, Power BI, Looker)
• 2+ years of experience in Revenue Cycle, Billing or related experience required
• Working knowledge of ICD-10, CPT, and HCPCS coding, DSO reductions, accounts receivable, HIPPA, authorization process, and contracting
• Ability to prioritize and manage multiple concurrent tasks
• A collaborative and proactive problem-solver with exceptional communication and interpersonal skills with excellent time management

Benefits

• Competitive base salary and incentive compensation
• Health and welfare benefits, including a gym reimbursement program
• 401(k) savings plan match
• Employee Stock Purchase Plan
• Pre-tax commuter benefits
• Living Donor Employee Recovery Policy that allows up to 30 days of paid leave annually

Company Overview

• CareDx: Transforming Transplant Patient Care Through Novel Surveillance Management Solutions CareDx, Inc. It was founded in 1998, and is headquartered in Brisbane, California, USA, with a workforce of 501-1000 employees. Its website is https://www.caredx.com/.

Company H1B Sponsorship

• CareDx, Inc. has a track record of offering H1B sponsorships, with 10 in 2025, 8 in 2024, 4 in 2023, 22 in 2022, 21 in 2021, 9 in 2020. Please note that this does not guarantee sponsorship for this specific role.

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