Analyst, Revenue Cycle
About The Position
The Analyst, Revenue Cycle supports revenue cycle operations across multiple physician practice locations to ensure timely, accurate reimbursement and optimized cash flow. Reporting to the Director. Practice Management Services, this role serves as the primary liaison to the organization’s external billing partner while collaborating closely with Practice Operations, Finance, and Clinical teams to resolve claims issues, improve processes, and enhance reporting visibility. The ideal candidate combines hands-on revenue cycle expertise with strong analytical skills, vendor coordination experience, and a proactive approach to operational improvement.
Requirements
- Bachelor’s Degree or equivalent.
- Three (3) years of healthcare revenue cycle experience.
- Experience using Athena Collector.
- Experience analyzing reports in Microsoft Excel.
- Demonstrated knowledge of medical billing, coding, and payer reimbursement processes.
Nice To Haves
- Certified Coder.
- Experience in multi-site or concierge/direct care physician models.
- Familiarity with Medicare billing regulations.
- Project management experience or certification.
Responsibilities
- Vendor & Billing Partner Management Serve as primary liaison to external billing partner, ensuring service level expectations and performance metrics are met.
- Review denial reports and A/R trends; collaborate on corrective action plans and staff education.
- Coordinate quarterly coding compliance audits and support implementation of improvement initiatives.
- Respond to billing-related inquiries from physicians, leadership, and clinical teams.
- Monitor billing partner reporting at both group and provider levels to ensure accountability.
- Practice Revenue Operations Review EMR reports including open encounters, work queues, and revenue/usage reports to identify claim or billing issues.
- Partner with Practice Operations to resolve work queue and documentation issues impacting reimbursement.
- Support contract analysis including fee schedules, rate updates, and payer participation tracking.
- Identify and recommend operational improvements to increase clean claim rate and reduce A/R days.
- Reporting & Analytics Generate regular revenue cycle performance reports including A/R aging, denial trends, collection rates, and KPI tracking.
- Provide monthly reporting support for Market or Operational Review meetings.
- Analyze financial and clinical data to identify risks, trends, and improvement opportunities.
- Cross-Functional Collaboration Partner with Insurance, Finance, Quality, and Practice Operations teams to align revenue cycle processes.
- Support documentation and implementation of revenue cycle best practices.
- Participate in special projects related to system optimization or workflow integration.
Benefits
- Medical/prescription drug coverage
- Dental coverage
- Vision coverage
- Flexible Spending Account
- Health Savings Account
- Dependent Care Flexible Spending Account
- Basic and Supplemental Life Insurance & Accidental Death and Dismemberment
- Disability Income Protection Plan
- Employee Assistance Program
- 401(k) retirement program
- Vacation
- Paid Holidays and Personal time
- Paid Sick and Family and Medical Leave time as required by law.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
