Revenue Cycle Analyst

Paradigm Treatment Centers • Los Angeles, CA

17h • Hybrid

About The Position

The Revenue Cycle Analyst supports revenue cycle operations through financial reconciliation, system accuracy, account resolution, reporting, and technical process improvement. The role independently researches financial activity across bank records, the RCM billing and reporting system (Lightning Step), payer portals, and internal reports to verify deposits, ensure claim transactions are accurately recorded, and resolve or escalate outstanding transactions. The position requires advanced Excel skills, technical aptitude, careful handling of large data sets, sound judgment, ownership of recurring workflows, and clear communication of discrepancies, trends, and recommended next steps.

This hybrid position requires two days in the Los Angeles corporate office. The stated salary range is $70,000–$80,000 USD.

Requirements

• At least 3 years of experience in revenue cycle management, patient financial services, medical billing, or related financial operations in healthcare.
• Knowledge of healthcare payors, payer portals, EOBs, claim payment outcomes, contractual adjustments, denials, and payment discrepancies.
• Knowledge of accounts receivable follow-up, including researching unpaid and underpaid claims, reviewing account history, documenting payer interactions, tracking follow-up actions, and escalating unresolved issues.
• Proficiency in advanced Excel, including formulas, lookup functions, SUMIFS, pivot tables, conditional formatting, and reconciliation of large data sets.
• Ability to navigate multiple systems, payer portals, financial records, and reporting tools while independently investigating discrepancies.
• Ability to validate data, identify root causes, recommend corrections, and communicate findings clearly.
• Strong attention to detail, time management, follow-through, and written and verbal communication skills.

Nice To Haves

• Bachelor’s degree in Business, Accounting, Finance, or a related field is strongly preferred.

Responsibilities

• Partner with the RCM Manager and Senior Director of Revenue Cycle on reconciliation priorities, findings, unresolved variances, and process improvements; provide updates and escalate matters requiring review or approval.
• Reconcile daily bank deposits against transactions recorded in Lightning Step, verify or correct deposit dates, and upload supporting EOBs and documentation.
• Perform month-end deposit reconciliation, investigate variances, and document the status and resolution of discrepancies.
• Research and resolve unallocated insurance and private-pay payments by reviewing bank and system activity and determining appropriate payment application or entry.
• Research unallocated client activity and client credit balances, identify root causes, and coordinate corrections in accordance with approval requirements.
• Manage paid-to-subscriber outstanding balances using existing reports, update accounts after deposits are confirmed, and verify payment posting accuracy.
• Reconcile private-pay collection partner reporting from Capital Recovery, post deposits as appropriate, and investigate differences between partner reports, bank activity, and system account balances.
• Review account-resolution findings with revenue cycle leadership and escalate adjustments, write-offs, or other changes requiring approval.
• Research incorrect postings, reversals, contractual adjustments, and CO-45 adjustments; identify causes and coordinate corrections.
• Review credit balances, canceled accounts, crossed-account payments, and other account variances to determine appropriate resolutions and prevent recurring issues.
• Review aged private-pay balances, prioritizing accounts more than two years old before accounts one to two years old; research account history and recommend next steps.
• Review closed Capital Recovery accounts and identify potential write-offs or adjustments, following approval processes before changes are finalized.
• Validate vendor collection activity and fees against reported collections and cash received; research differences and communicate findings to leadership and vendor contacts.
• Coordinate with revenue cycle leadership, payment posting, and other internal teams to address documentation gaps, communicate outstanding items, and improve visibility and follow-up.
• Review payer portals for $0-payment EOBs, download supporting documents, upload them to Lightning Step or a designated location, and send them to the payment posting team.
• Document research, discrepancies, actions taken, open items, and required follow-up.
• Use advanced Excel functions and techniques to analyze, reconcile, and validate large data sets.
• Build and maintain reconciliation workbooks, trackers, and reports covering deposits, unallocated payments, paid-to-subscriber activity, credit balances, EOBs, and collection partner posting.
• Identify data-quality issues, reporting gaps, workflow inefficiencies, and opportunities to reduce manual work; recommend practical system or process improvements.
• Navigate Lightning Step, payer portals, banking records, and internal reporting tools; troubleshoot discrepancies and trace transactions from source documentation through account posting.
• Summarize findings in an actionable format, including variance amount and type, affected account or transaction, likely cause, corrective action, owner, and follow-up date.

Benefits

• Comprehensive medical, dental, and vision benefits.
• 401(k) with a 4% match.
• Paid time off programs, including vacation, holidays, and illness.
• Professional training for development; continuing education assistance for clinicians.
• Supportive clinical supervision and professional development.
• Chef-made meals onsite for direct care roles.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level