Exactrx Revenue Cycle Management Analyst Brentwood, TN · Remote · Full time Company website

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We're fixing one of the most broken and costly parts of the US healthcare system: medical billing.

Healthcare providers spend over $250B each year on administrative overhead just to get paid by insurance. Billing is expensive because it's hard: 100x harder than processing a credit card payment, with rules that differ for every insurance company. Most of it still runs on teams of people tracking those rules by hand, with little or no software to help. We're rethinking medical billing from the ground up, with AI agents and data science that automate this complexity so providers get paid faster and for far less. Our agents log into the systems our customers already use, then code, prepare, and submit their insurance claims, and we're accountable for getting them paid. We focus on surgery, the most expensive specialty to bill for.

We're backed by Overline, Tech Square Ventures, and Northwestern Medicine + incredible doctors that sit on the boards of the groups we sell to. We've all had a claim denied or watched someone we love fight one. We're helping our customers expand access to care by removing financial barriers, and we're excited to learn more about you!

The role

We’re hiring a Revenue Cycle Data Analyst to own reporting across our live client sites and to help build the product behind it. You’ll produce the report cards our clients and prospects use to understand their revenue cycle, feed what you learn back into our software, and step into delivery when a site needs support. You’ll work directly with the founding team and receive hands-on training from our AI and data lead.

What you’ll do

Reporting and analytics

• Produce monthly report cards for every live client site, covering denials, clean claim rate, days in A/R, collections, and payer performance.
• Analyze revenue cycle data, including eligibility responses (271s), remits (835s), and denial reports, using Excel, SQL, and business intelligence tools.
• Identify root causes of denials, trends, and variances; communicate findings and recommendations to clients and internal teams.
• Build and maintain dashboards, visualizations, and recurring reports using tools such as Tableau and Power BI.

Sales support

• Build revenue cycle report cards for prospects: a snapshot of where their revenue cycle stands and where the money is leaking.
• Turn prospect data into clear findings the sales team presents.
• Join prospect conversations as the revenue cycle data expert, as needed.

Product development

• Help design our end-to-end RCM product for care management and surgery center clients, and for new clients as they onboard.
• Contribute to our learning loop: turn denial patterns, payer behavior, and site-level findings into rules and logic the platform applies automatically.
• Maintain payer and plan mappings, including payer IDs and payer categories, and write rules for edge cases across Medicare, Medicare Advantage, Medicaid, and commercial plans.
• Test patient cost estimates against actual benefits and remits; document errors and communicate findings to engineering.
• Translate revenue cycle workflows into requirements engineering builds against; test new features against real payer scenarios.
• Help prioritize the product roadmap based on which changes prevent the most denials.

Delivery support

• Step in on claims preparation, coding review, and rejection or denial work when a site needs coverage.
• Use clearinghouse, eligibility, and practice management platforms, including Stedi, Availity, and Waystar, as applicable.
• Document payer-specific rules, data definitions, and processes to build a shared knowledge base.

What you bring

• 2+ years in revenue cycle analytics, denials management, eligibility and benefits, or payer data
• Hands-on background in medical billing or coding
• Fluency reading 270/271 and 835 transactions, including CARC and RARC codes
• Working knowledge of Medicare, Medicare Advantage, Medicaid, dual eligibility, and commercial cost sharing
• Advanced Excel skills (lookups, pivot tables, cleaning large data sets) and basic SQL
• Experience building reports or dashboards for non-technical audiences
• Clear written and verbal communication with clients, sales, and engineering
• Comfort working independently in a small, remote team

Nice to have

• Coding or billing certification (CPC, CPB, or similar)
• ASC billing or care management (CCM, APCM) experience
• Experience with Stedi, Availity, or Waystar
• Tableau, Power BI, or similar BI tools
• Client-facing or sales support experience

Why this role

We’re hiring for the long haul. The first three months are for both of us to make sure it’s the right fit, and the plan from day one is for you to stay and grow with us.

• You’re early. You’ll be one of our first analysts, and the reporting, rules, and processes you build become how Exactrx works.
• Your expertise becomes the product. What you know about payers, denials, and billing goes into software that runs on live claims. The more you teach it, the bigger your role gets.
• You’ll be invested in. You’ll train directly with our AI and data lead, go through our internal certification program, and learn sides of the business most analysts never see: product, sales, and delivery.
• You’ll work with the founders. No layers. You’ll have a direct say in what we build and how we serve clients.
• There’s room to grow. As we add clients and team members, we want you leading this function.