Revenue Cycle Analyst

ProMotion Rehab and Sports Medicine

7d•Onsite

About The Position

The Revenue Cycle Analyst plays a vital role in supporting clinic operations by ensuring back office processes are accurate, timely, and compliant. This position requires a strong understanding of insurance workflows specific to outpatient physical therapy, including benefit verification, prior authorizations, and payer requirements. This is a behind-the-scenes, in-office role ideal for someone who is detail-oriented, comfortable working independently, and confident navigating insurance systems. You’ll collaborate closely with clinical, front office, and billing teams to prevent denials, support clean claims, and keep patient care moving forward.

Requirements

Experience working with insurance in an outpatient physical therapy or similar healthcare setting
Strong understanding of:
Insurance verification
Prior authorization processes
Payer-specific requirements for physical therapy services
Billing or revenue cycle experience
Familiarity with CPT, ICD-10, and modifiers related to physical therapy
Experience working with multiple insurance carriers and payer portals
Strong attention to detail and organizational skills
Ability to work independently while contributing to a collaborative team
Clear and professional internal communication
Strong time management and follow-through
Comfort navigating EMRs, payer portals, and billing systems

Responsibilities

Verify insurance eligibility, benefits, coverage limits, and financial responsibility for physical therapy services
Obtain, track, and manage prior authorizations in accordance with payer-specific guidelines
Monitor authorized visit counts, expiration dates, and medical necessity requirements
Communicate authorization status and requirements clearly to internal teams
Maintain working knowledge of commercial payers, Medicare, Medicaid, and workers’ compensation as applicable
Understand payer rules related to outpatient physical therapy, including visit limits, documentation requirements, and reimbursement policies
Identify potential insurance or authorization issues that could impact billing or reimbursement and address them proactively
Support billing teams with claim research, denials, and payer follow-up as needed
Assist with ensuring accurate insurance setup to support clean claim submission
Recognize trends in payer issues and escalate as appropriate
Work independently to manage assigned insurance and authorization workloads
Collaborate with front desk, clinical, and billing teams to resolve insurance-related issues
Serve as an internal resource for insurance-related questions
Maintain accurate documentation of insurance verification and authorization activity
Ensure all insurance information is entered correctly into the EMR or billing system
Maintain patient confidentiality and HIPAA compliance
Participate in team meetings and ongoing training
Assist with process improvement initiatives related to insurance and revenue cycle workflows
Other duties as assigned