Senior RCM Analyst

Essen Health Care is the largest privately held, multispecialty medical group in New York, providing high-quality, compassionate care to some of the state’s most vulnerable and underserved residents.

Founded in 1999, we’ve grown from a single primary care office into a network of 50+ locations offering urgent care, primary care and specialty services, from women’s health to endocrinology and psychiatry. We also provide nursing home support, care management, and in-home care through our Essen House Calls program. Guided by a Population Health model, our team of 500+ providers deliver care in-person, at home, or via telehealth, ensuring patients get the support they need when and where they need it.

We’re looking for talented, motivated individuals to join our growing team. Whether you’re a medical provider, administrator, or operations professional, there’s a career here for you. Join us in making a real difference in the health of our community.

The Senior RCM eCW System Analyst is the subject matter expert for eClinicalWorks (eCW)
billing, accounts receivable, and revenue cycle functionality. This role partners with
Revenue Cycle Management (RCM), clinical operations, and IT to configure, optimize, and
support eCW so that charge capture, claim submission, payment posting, and AR followup run accurately and efficiently. The Senior Analyst provides Tier II/III escalation support,
leads RCM-related projects, and mentors junior analysts.

eCW Revenue Cycle Configuration and Support
• Configure and maintain eCW billing and RCM functionality, including fee schedules,
payer and insurance setup, billing rules, claim edits, scrubbers, and eligibility tools.
• Support the eCW AR module, including work queues, rule-based claim allocation,
and user productivity reporting.
• Provide Tier II/III support for billing, claim, remittance (ERA/EOB), and payment
posting issues; own root-cause analysis through resolution.
• Manage security roles and access settings for RCM users in line with least-privilege
principles.
• Setup facility and managing of the Enterprise Directory with in the eClinicalWorks
system

Process Improvement and Automation
• Partner with RCM leadership to evaluate workflows and identify opportunities to
reduce denials, shorten days in AR, and improve first-pass claim acceptance.
• Maximize use of eCW automation tools to eliminate manual and duplicate
workflows, including reliance on external systems and data syncs.
• Translate business needs into functional requirements, solution designs, and
configuration changes.

Projects, Releases, and Change Management
• Lead or support RCM-related implementations, upgrades, and enhancements
through the full lifecycle: requirements, design, build, testing (UAT), go-live, and
post-go-live optimization.
• Review eCW release notes, assess impact on billing workflows, and coordinate
testing and rollout.
• Follow change control practices and maintain documentation, including BRDs,
process flows, SOPs, and configuration records.

Reporting, Analytics, and Compliance
• Build and maintain reports and dashboards for charges, claims, denials,
collections, AR aging, and productivity.
• Validate data integrity across eCW and connected billing, clearinghouse, and
interface systems.
• Support audits and ensure configurations comply with HIPAA, payer, and CMS
requirements.

Training, Collaboration, and Vendor Management
• Develop training materials and deliver sessions to billing, AR, and front-office
teams.
• Act as liaison between RCM, clinical, and IT teams, including interface and
integration analysts.
• Work with eCW support and other vendors on escalations, enhancements, and
issue resolution.
• Mentor and provide guidance to junior system analysts.

Required
• Bachelor’s degree in Healthcare Information Technology, Information Systems,
Business, or a related field (or equivalent experience).
• 5+ years of hands-on experience supporting eClinicalWorks, with at least 3 years
focused on billing and revenue cycle.
• Strong knowledge of the revenue cycle: charge entry, coding (ICD-10, CPT, HCPCS),
claims, denials, payment posting, and AR follow-up.
• Experience with EDI transactions (837, 835, 270/271, 276/277), clearinghouses, and
payer requirements.
• Proven ability to troubleshoot complex issues and document solutions.
• Experience with reporting and data analysis tools (e.g., eCW reporting, SQL, Excel).

Preferred
• eCW certification or equivalent vendor training.
• Experience in a multi-site ambulatory, primary care, or specialty healthcare
organization.
• Experience with Agile or Waterfall project methodologies and change management.
• Knowledge of HIPAA, ONC, and CMS regulations affecting billing and
interoperability.
• Experience with Power BI or similar business intelligence tools.

Core Competencies
• Analytical and problem-solving skills with strong attention to detail.
• Clear written and verbal communication with clinical and non-technical audiences.
• Ability to manage multiple priorities and deadlines in a fast-paced environment.
• Collaborative, customer-focused, and able to work independently.

Work Environment
Primarily office with 1 day remote-based work with extended computer use.

Essen Health care is proud to be an equal opportunity employer, and we seek candidates who desire to work in and serve an ethnically diverse population.