Cartwheel · 1 month ago
RCM Operations Analyst (Remote)
United States
Full-time
Remote
Mid Level
$62K/yr - $83K/yr
3+ years expCartwheel is an early-stage company focused on tackling the student mental health crisis by creating a collaborative mental health program for schools. The RCM Operations Analyst will analyze denial and rejection data, build operational dashboards, and develop process documentation to improve reimbursement outcomes and support the revenue cycle management team.
HealthcareBiotechnologyWellnessHealth CareMental HealthmHealthTherapeutics
No H1B
Responsibilities
Conduct structured analysis of denial and rejection data to identify root causes, payer patterns, and filing limit exposure
Move beyond rework — trace denial and rejection spikes to upstream workflow, documentation, or submission failures and drive fixes at the source
Build and maintain AR aging trend tracking and recoverable revenue opportunity analysis
Execute claim corrections, resubmissions, and payer follow-up as a hands-on operational contributor
Build and maintain operational dashboards (Looker preferred) that give RCM leadership real-time visibility into denial volume, payer performance, and AR trends
Produce clear, 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
Translate billing logic, payer-specific rules, and denial patterns into written, maintainable SOPs
Build operational workflow guides prioritized by highest-volume and highest-denial-rate categories first
Ensure documentation is usable by team members without direct guidance, so operational knowledge scales beyond any one person
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 base development as the operational RCM subject matter resource
Qualification
Required
3+ years of hands-on RCM operations experience with direct responsibility for denial management, rejection analysis, and billing workflow improvement
Strong analytical skills — ability to extract prioritized, revenue-framed findings from large and complex claim-level datasets
Experience building or actively maintaining operational dashboards (Looker preferred; comparable BI tools acceptable)
Proficiency with pivot tables and Excel or Google Sheets for claim data manipulation and analysis
In-depth knowledge of multiple insurance payer environments — Medicaid MCO experience strongly preferred; commercial payer depth (especially BCBS) also required
Demonstrated root cause instinct — able to trace denial and rejection patterns to workflow or documentation failures, not just surface-level category identification
Process improvement mindset with strong cross-functional communication skills and comfort working in a remote, async-first environment
Preferred
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 practice management platforms
Benefits
Equity ownership stake in the company
High-quality health insurance with a $0 monthly premium option for employees
Dental, Vision, and Employer-Sponsored Life Insurance
4 weeks of paid PTO (3 weeks any time + 1 week office closure in December)
Sick Leave + Holidays
401K with 2% employer match
Team-based culture with mission-driven colleagues who will go to bat for you
Company
Cartwheel
Cartwheel offers mental health support to students in order to help schools regain balance in the midst of the student mental health crisis.
201-500 employees
Funding
Current Stage
Growth StageTotal Funding
$55.17MKey Investors
A-Street Ventures,Menlo VenturesMenlo Ventures
2025-08-18Series B· $35.17M
2023-09-26Series A· $20M
Leadership Team
Joe English
Co-Founder and CEO
Daniel Tartakovsky
Co-Founder and COO (We're Hiring!)
Recent News
Reach Capital
2026-07-07
StartupMafia - News from startup industry -
2026-02-23
Company data provided by crunchbase