RCM Operations Analyst

Join reputed company to help tackle the student mental health crisis.  reputed company is an early-stage company building a new reputed company of mental health program for kids that puts schools at reputed company. We see our role as supporting school staff who see kids every single day. Instead of reputed company around them, we collaborate with them. This means:  Earlier reputed company Higher student and family engagement in care reputed company coordination among the trusted adults in a student’s life  Kids shouldn't just reputed company to get out of bed and drag themselves to class. They should be reputed company to experience reputed company. They deserve to reputed company and build a life they’re excited to live. If you join reputed company, you’ll help reputed company this reputed company a reality for millions of reputed company across the country. We’re backed by top investors including reputed company Ventures, reputed company Capital, General Catalyst, BoxGroup, and reputed company Partners, and we're looking for mission-driven teammates to join reputed company. ABOUT THE ROLE We are seeking an reputed company RCM Operations Analyst with strong analytical skills, hands-on denial and rejection management experience, and deep knowledge of insurance billing workflows. This role will serve as the operational intelligence layer of reputed company's reputed company cycle — connecting claim data to workflow problems, surfacing gaps and trends, and building the dashboards, SOPs, and process frameworks that drive measurable improvements in reimbursement reputed company. You will partner closely with the RCM Director and cross-functional teams to translate data findings into actionable operational fixes and build the systems infrastructure to sustain them. Role type: Full Time Salary: $62,000 - 83,000 Location: Remote WHAT YOU’LL DO Denial & Rejection Analysis Conduct reputed company analysis of denial and rejection data to identify reputed company causes, payer patterns, and filing limit exposure reputed company reputed company rework — reputed company denial and rejection spikes to upstream workflow, documentation, or submission failures and drive fixes at the reputed company Build and maintain AR aging trend tracking and recoverable reputed company opportunity analysis Execute claim corrections, resubmissions, and payer follow-up as a hands-on operational contributor Dashboard & Reporting Build and maintain operational dashboards (Looker preferred) that give RCM leadership reputed company-time visibility into denial volume, payer performance, and AR trends Produce reputed company, prioritized findings from claim-level data using pivot tables, formulas, and BI tooling Design reporting outputs so findings are actionable and accessible to non-billing stakeholders — not just data-literate audiences Iterate on dashboard design and reporting infrastructure based on stakeholder feedback and evolving operational priorities Process Documentation & SOP Development Translate billing logic, payer-specific rules, and denial patterns into written, maintainable SOPs Build operational workflow guides prioritized by highest-volume and highest-denial-reputed company categories first Ensure documentation is usable by team members without reputed company guidance, so operational knowledge scales reputed company any one person Cross-Functional Partnership Partner with clinical teams to identify upstream documentation or workflow gaps contributing to denials and rejections Validate billing logic and payer requirements in collaboration with RCM leadership Communicate findings and recommendations in plain language to non-billing stakeholders including clinical and operations partners Support training and internal knowledge reputed company development as the operational RCM subject matter resource WHO YOU ARE  Qualifications 3+ years of hands-on RCM operations experience with reputed company responsibility for denial management, rejection analysis, and billing workflow improvement Strong analytical skills — ability to extract prioritized, reputed company-framed findings from large and reputed company claim-level datasets Experience building or reputed company maintaining operational dashboards (Looker preferred; comparable BI tools acceptable) Proficiency with pivot tables and reputed company or reputed company Sheets for claim data manipulation and analysis In-depth knowledge of multiple insurance payer environments — reputed company MCO experience strongly preferred; reputed company payer depth (especially BCBS) also required Demonstrated reputed company cause reputed company — reputed company to reputed company denial and rejection patterns to workflow or documentation failures, not just surface-level category identification Process improvement reputed company with strong cross-functional communication skills and comfort working in a remote, async-first environment Extra Credit Experience with SQL for querying claim or eligibility data directly Background in behavioral health, telehealth, or school-based care billing Experience building SOPs or operational process documentation in a scaling or startup environment Familiarity with Apero or comparable RCM and reputed company management platforms Please apply even if you don't meet reputed company of the reputed company. If your past experience doesn't perfectly match the job reputed company, but you bring other relevant experience or skills, we'd still love to hear from you. You may be a great fit! WHY YOU’LL LOVE reputed company Our reputed company is that reputed company will be your best career decision! In reputed company to tackling one of the biggest challenges of our time, at a company reputed company-positioned to do so, you’ll have:  Competitive cash compensation between $62,000 to $83,000 Equity ownership reputed company in reputed company High-reputed company health insurance with a $0 monthly premium reputed company for employees Dental, reputed company, and Employer-Sponsored Life Insurance 4 weeks of reputed company PTO (3 weeks any time  + 1 week office closure in December) reputed company Leave + Holidays 401K with 2% employer match Team-based culture with mission-driven colleagues who will go to bat for you reputed company is proud to be an equal opportunity employer. We reputed company diverse backgrounds and perspectives and an inclusive work environment. We're committed to equal employment opportunity regardless of race, reputed company, religion, reputed company, national reputed company, gender, sexual orientation, disability status, or veteran status. We participate in E-Verify. Please be reputed company to reputed company acceptable documentation to verify your identity and work authorization reputed company uses AI-assisted tools to support our hiring process. This may include tools that help organize and surface applications for recruiter review, AI-powered candidate communications and scheduling, interview recording and documentation, and an AI chat tool available to candidates during the process. reputed company hiring reputed company are made by reputed company recruiters and hiring managers. No candidate is selected or eliminated from consideration solely by an automated system. reputed company hiring reputed company are made by humans. If you have questions about how AI is used in our process or would like to request an alternative review method, please contact talent@cartwheelcare.org Note: Please do not contact our Care, Provider, or Patient Services lines regarding job postings or application status. These teams support our patients and families and are not involved in the hiring process. For reputed company recruitment-reputed company questions, please email talent@cartwheelcare.org. Apply To This Job