Join Our Team at Skin and Cancer Institute!

Are you passionate about dermatology and skin health? Do you thrive in a dynamic, patient-focused environment? Skin and Cancer Institute is looking for dedicated professionals to join our team!

Why Join Us?

At Skin and Cancer Institute, we are committed to excellence in dermatology, skin cancer treatment, and cosmetic procedures. We offer a supportive and collaborative work culture where your skills and dedication make a real impact.

Summary of Position

The Lead Revenue Cycle Analyst is a senior, hands-on subject-matter expert who supports revenue cycle operations across multiple functional areas of the enterprise Revenue Cycle Management (RCM) organization. This role flexes across teams based on organizational priorities and may support Patient Access, Claims, Payment Posting, Accounts Receivable (A/R) Follow-Up, Denials and Appeals, Patient Billing, Collections, Refunds, and Credit Balances.

The Lead Revenue Cycle Analyst serves as a primary escalation resource, workflow advisor, and process-improvement partner, combining deep account-level expertise with operational analytics and cross-functional collaboration. In addition to resolving complex issues, the role mentors peers, supports worklist coordination, and helps drive sustainable improvements that enhance accuracy, efficiency, compliance, and the overall patient and payer financial experience.

WHAT YOU'LL DO:

Revenue Cycle Operations

• Resolve complex, high-risk, or escalated account and claim issues involving patients, payers, and internal stakeholders, ensuring timely and accurate resolution. Perform detailed reconciliation of complex insurance and patient balances, ensuring accurate payment posting, adjustments, and allocation.
• Review payer correspondence (EOBs/ERAs), denial notices, and remittance data to confirm appropriate adjudication and determine next steps.
• Partner with internal and external teams to resolve complex eligibility, authorization, coordination-of-benefits, and payer-specific processing issues.
• Support resolution of payment variances, returned or unapplied payments, refunds, and credit balance discrepancies.
• Prepare accounts for placement with third-party collections when applicable, ensuring adherence to workflow standards, documentation requirements, and regulatory guidelines.
• Ensure timely provision of itemized statements, receipts, and supporting documentation upon request.
• Collaborate with clinical operations, revenue integrity, compliance, IT, and vendor partners to support accurate and efficient account resolution.
• Perform other duties as assigned based on operational needs.

Operational Oversight & Staff Support

• Oversee daily Revenue Cycle workflows within assigned functional area(s) by triaging complex work, monitoring SLAs, coordinating worklist coverage, and promoting consistency and accuracy.
• Serve as a primary escalation point for complex issues across RCM functions, ensuring timely action and clear communication.
• Provide real-time operational support to peers by clarifying processes, reinforcing best practices, and assisting with workload balancing during high-volume periods or staffing gaps.
• Model strong operational standards through consistent, high-quality account resolution and documentation.
• Contribute to team development through participation in 1:1 meetings, team huddles, and collaborative problem-solving.
• Provide informal mentorship and guidance to peers on complex scenarios, payer nuances, and workflow expectations.

Operational Analytics & Process Optimization

• Identify trends and risks impacting patient A/R, claims resolution, denial rates, refunds, or productivity, and recommend upstream improvements.
• Build, maintain, and analyze reports and dashboards related to productivity, financial outcomes, quality, and operational performance.
• Conduct root-cause analysis to identify systemic issues in eligibility, authorizations, payer processing, or internal workflows.
• Support planning and implementation of workflow redesigns, system enhancements, and large-scale operational initiatives.
• Draft, update, and maintain SOPs, job aids, and knowledge-base materials to promote consistency and prevent recurring issues.
• Monitor specialized inboxes, priority task queues, and escalated work requests to ensure timely and accurate completion.Participate in and lead cross-functional initiatives with Clinical Operations, Revenue Integrity, IT, Compliance, and external partners.
• Contribute to special projects involving technology upgrades, payer initiatives, audits, or regulatory changes.

Compliance & Regulatory Oversight

• Maintain current knowledge of federal and state regulations related to healthcare billing, collections, and patient communication.
• Ensure all work complies with HIPAA privacy and security requirements, particularly in a remote work environment.
• Identify and escalate compliance, regulatory, or operational risks to Revenue Cycle leadership as appropriate.

Technology & Systems

• Demonstrate advanced proficiency with Microsoft Office (Excel, Word, Outlook) and revenue cycle technology platforms.
• Utilize EHR/PM systems (e.g., Modernizing Medicine/EMA) and related tools to document research, actions, and follow-up accurately and timely.
• Use collaboration tools (e.g., Zoom, Klara) to effectively support patients, payers, and internal teams.

WHAT WE'RE LOOKING FOR:

• Comprehensive knowledge of U.S. healthcare revenue cycle functions across patient-facing and payer-facing workflows.
• Strong understanding of insurance plan structures, patient liability determination, claim adjudication, denial trends, and payer rules.
• Excellent customer service, conflict resolution, and professional communication skills.
• Ability to explain complex insurance and billing concepts clearly to patients, peers, and stakeholders.
• Proven ability to analyze complex issues, identify root causes, and recommend actionable solutions.
• Experience contributing to process improvements that enhance accuracy, efficiency, compliance, or financial outcomes.
• Strong aptitude for mentoring peers and supporting skill development without direct supervisory authority.
• Ability to prioritize and manage work independently in a fully remote environment.
• Ability to meet productivity, quality, and SLA requirements.
• Advanced Microsoft Office skills, including strong Excel proficiency.
• Ability to work required business hours, including alignment with PST and MST time zones as needed.

Preferred:

• Experience working across multiple RCM functions or in an enterprise/shared-services model.
• Experience with Modernizing Medicine/EMA.
• Knowledge of California-specific payer requirements, including Medi-Cal Managed Care and IPA networks.
• Dermatology experience.
• Bilingual communication skills.

EXPERIENCE REQUIREMENTS

• 3+ years of patient-facing customer service experience in a healthcare organization, including resolving escalated concerns, addressing sensitive financial questions, and navigating complex account issues.
• 3+ years of experience in medical billing, insurance claims, or healthcare revenue cycle functions.
• 1+ years of remote working experience required.
• Proficiency in Microsoft Office with advanced Excel skills.

What We Offer:

• Competitive salary and benefits
• Health, dental, vision, and ancillary insurance options
• 401K retirement savings
• Paid time off
• Professional development opportunities
• Supportive and fair work environment

� Apply Today! Be a part of a dynamic team that’s transforming skin health. Submit your resume and cover letter to careers@skinusa.com. We can't wait to meet you!

#HealthcareJobs #DermatologyCareers #JoinOurTeam #NowHiring