Business Analyst-Revenue Cycle and BAR-8135

Kingman Healthcare•Kingman, AZ

About The Position

The Revenue Cycle Billing and Accounts Receivable (BAR) Analyst manages patient accounts throughout the post-service revenue cycle, including billing, claims management, denial resolution, accounts receivable follow-up, and reimbursement optimization. Using MEDITECH electronic health record and Patient Accounting (PA/RCG) applications, the analyst supports accurate claim submission, timely collections, and compliance with payer and regulatory requirements. The role collaborates with Registration, HIM/Coding, Case Management, Clinical Operations, and Patient Financial Services to identify and resolve billing issues affecting reimbursement and revenue integrity. The analyst serves as a subject matter resource for MEDITECH Patient Accounting and Revenue Cycle workflows, troubleshoots billing, charging, and reimbursement issues, and supports system configuration and optimization. The position participates in revenue cycle enhancement projects, testing, upgrades, end-user training, and workflow improvements.

Requirements

Five years of healthcare billing, accounts receivable, patient financial services, or revenue cycle experience.
Experience with hospital billing, professional billing, or both.
Familiarity with Medicare, Medicaid, commercial insurance, and managed care reimbursement methodologies.
Working knowledge of insurance eligibility and authorization processes.
Working knowledge of ICD-10-CM, CPT, and HCPCS coding structures.
Ability to sit for six to seven hours daily.
Ability to occasionally lift and carry up to ten pounds of files or boxes.
Ability to maintain composure in difficult and stressful situations.

Nice To Haves

Bachelor’s degree in Business or a healthcare-related field; certification or experience may be considered in lieu of a degree.
Experience with MEDITECH Patient Accounting and Revenue Cycle applications.
Experience supporting revenue cycle workflows across Registration, HIM, Abstracting, Charging, Billing, and Collections.
Experience building and maintaining revenue cycle dictionaries and billing parameters.
Familiarity with MEDITECH Expanse Revenue Cycle implementation or optimization.
Experience with MEDITECH NPR and Data Repository reporting.
Knowledge of MEDITECH BAR, Claims Management, Insurance Follow-Up, and Denial Management worklists.

Responsibilities

Review, edit, and process claims using MEDITECH Patient Accounting and Revenue Cycle applications.
Ensure accurate claim generation and electronic submission to Medicare, Medicaid, commercial payers, and managed care organizations.
Validate patient demographics, insurance coverage, authorization requirements, and charge capture information before claim submission.
Coordinate with HIM and Coding staff to resolve coding and documentation deficiencies affecting reimbursement.
Manage assigned insurance and patient accounts receivable using MEDITECH work queues and follow-up functionality.
Investigate unpaid, denied, partially paid, or rejected claims.
Work denial management queues and submit appeals with supporting documentation.
Identify denial root causes and recommend workflow improvements.
Maintain account documentation and follow-up activities within MEDITECH.
Review reimbursement variances and payment discrepancies.
Monitor claim status through clearinghouses and payer portals.
Analyze denial trends and recurring claim edit issues.
Assist with corrective actions to improve clean claim rates and reduce accounts receivable days.
Support revenue cycle performance initiatives and key performance indicators.
Troubleshoot billing, charging, and reimbursement issues in MEDITECH.
Support implementation and maintenance of MEDITECH dictionaries, billing rules, claim edits, and payer configurations as appropriate.
Participate in revenue cycle system enhancement projects and end-user training.
Assist with testing, upgrades, optimization efforts, and workflow improvements.