MEDICAL BILLING & REVENUE CYCLE REPORTING SPECIALIST

This position works onsite in Casa Grande, Arizona. Remote work is not available

• Five years of healthcare revenue cycle experience required.
• Advanced Excel and experience building dashboards and performance reports required.

Position Summary

Know medical billing and enjoy turning numbers into solutions? Sun Life Health is seeking an experienced healthcare revenue cycle professional to analyze performance, develop reports, and identify opportunities to improve billing, collections, and reimbursement.

In this role, you’ll use advanced Excel and eClinicalWorks reporting tools to build dashboards, investigate discrepancies, and provide recommendations that help Revenue Cycle leadership make informed decisions.

Key Responsibilities

• Monitor performance across billing, claims submission, collections, denials, reimbursement, and accounts receivable.

• Analyze data to identify trends, discrepancies, and opportunities for improvement.

• Investigate claim denials, underpayments, payer delays, and aging accounts receivable.

• Develop and maintain KPI dashboards, scorecards, and recurring performance reports.

• Generate recurring and ad hoc reports using eClinicalWorks and advanced Excel.

• Validate reporting accuracy and research discrepancies.

• Evaluate payer trends, contract performance, and reimbursement variances.

• Present findings and recommend practical improvements to Revenue Cycle leadership.

• Collaborate with billing, coding, front office, and clinical teams to improve revenue cycle outcomes.

Qualifications

Required Qualifications

• Minimum of five years of healthcare revenue cycle operations experience.

• Strong knowledge of medical billing, claims management, collections, denial management, payer reimbursement, and revenue cycle workflows.

• Advanced Microsoft Excel skills, including pivot tables, complex formulas, reporting, and data analysis.

• Demonstrated experience developing KPI dashboards, performance scorecards, and reports.

• Understanding of Medicare, Medicaid, managed care, and commercial payer reimbursement methodologies.

• Ability to investigate problems, interpret financial and operational data, and communicate actionable recommendations.

• Strong communication, organizational, and problem-solving skills.

Preferred Qualifications

• Bachelor’s degree in Healthcare Administration, Business Administration, or a related field; equivalent experience may be considered.

• Experience using eClinicalWorks reporting tools and revenue cycle functionality.

• Experience working in a Federally Qualified Health Center (FQHC).

• Advanced-level healthcare revenue cycle operations experience.