Revenue Cycle Analyst I

TRUE NORTH LLC•East Liverpool, OH

3d•$45,000 - $55,000

About The Position

True North is hiring a full-time, salaried, exempt Revenue Cycle Analyst to support Medicaid Operations. The role focuses on Medicaid billing and Electronic Visit Verification (EVV), claims processing, reimbursement analysis, client support, and improving revenue cycle performance. The analyst works with the Medicaid Operations Manager, the revenue cycle management team, and clients to ensure claims are accurate, EVV requirements are met, and billing and payment issues are resolved. The position is based in East Liverpool, Ohio, and offers a salary range of $45,000–$55,000. The analyst investigates billing and reimbursement challenges, prepares and monitors healthcare claims, resolves denials and discrepancies, and analyzes financial performance. The role also involves preparing weekly reports, communicating findings and recommendations, helping clients resolve billing issues, maintaining knowledge of Medicaid and EVV requirements, and contributing to compliance and process improvement. True North describes a collaborative culture emphasizing accountability, integrity, competency, initiative, and professional growth.

Requirements

Demonstrated Medicaid billing knowledge and hands-on experience with EVV processes and workflows.
Strong working knowledge of Medicaid billing, claims processing, and reimbursement requirements.
Practical experience using EVV systems and understanding how EVV data affects billing and reimbursement.
Ability to identify, research, and resolve EVV-related billing discrepancies.
Understanding of the relationship between service documentation, visit verification, claim submission, and payment.
Experience navigating Medicaid claim denials, corrections, and reimbursement issues.
Experience with CMS-1500 and UB-04 claim submissions, appeals, and corrections.
Strong analytical, problem-solving, and organizational skills.
Excellent written and verbal communication skills.
Ability to manage multiple priorities and deadlines accurately.
Strong customer service skills and ability to collaborate across teams.

Nice To Haves

Three or more years of experience in Revenue Cycle Management, home health billing, or healthcare finance.
Experience with Medicaid billing in home health or home and community-based services.
Bachelor's degree in Business Administration, Finance, Healthcare Administration, or a related field.
Revenue Cycle Management certification.
Experience using QuickBooks, Microsoft Dynamics GP, or comparable financial systems.
Strong Microsoft Excel and reporting skills.
Experience using virtual collaboration tools, including Zoom and Google Meet.
Experience analyzing revenue cycle performance and identifying process improvement opportunities.

Responsibilities

Apply Medicaid billing requirements, payer guidelines, and reimbursement procedures.
Understand and manage the EVV workflow from visit documentation and verification through claim submission and reimbursement.
Identify, research, and resolve EVV-related discrepancies, including missing or incomplete verification, mismatched service information, and claim rejections.
Work with clients and internal teams to correct EVV and billing discrepancies.
Monitor Medicaid billing requirements and changes that may affect claims processing and reimbursement.
Identify opportunities to improve EVV compliance, billing accuracy, and workflow efficiency.
Prepare, review, and submit healthcare claims, including CMS-1500 and UB-04 formats.
Monitor claims throughout the billing and reimbursement process.
Investigate denied, rejected, delayed, or underpaid claims and determine corrective actions.
Prepare claim corrections, resubmissions, and appeals when necessary.
Collaborate with clients to resolve coding and documentation issues.
Monitor outstanding claims, accounts receivable, and collection activities.
Investigate payment discrepancies and support accurate payment posting and reconciliation.
Identify trends contributing to reimbursement delays or revenue loss.
Work with clients to establish billing resolution plans and improve collections and revenue cycle performance.
Prepare weekly reports analyzing revenue, collections, outstanding claims, and key performance indicators.
Identify financial performance patterns and trends, and present findings and recommendations to clients and internal leadership.
Serve as a knowledgeable client resource for Medicaid billing and EVV challenges, communicating proactively and professionally about billing concerns and claim resolution.
Collaborate with clients on documentation, coding, and reimbursement questions.
Maintain knowledge of applicable Medicaid regulations, billing requirements, and EVV standards.
Support compliance with HIPAA and other relevant healthcare privacy and security requirements.
Identify process improvements, share knowledge and best practices with team members, and participate in ongoing training and professional development.