Revenue Cycle Analyst

Paradigm Treatment Centers•Los Angeles, CA

18h•$70,000 - $80,000•Hybrid

About The Position

The Revenue Cycle Analyst supports revenue cycle operations, focusing on 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 reporting to verify deposits, ensure claim transactions are recorded accurately, and resolve or escalate outstanding transactions. The role requires advanced Excel skills, technical aptitude, and confidence working with large data sets and multiple systems. The analyst is expected to apply attention to detail and sound judgment, take ownership of recurring workflows, and communicate discrepancies, trends, and recommended next steps clearly. This is a hybrid position requiring two days in the Los Angeles corporate office.

Requirements

Minimum three years of experience in revenue cycle management, patient financial services, medical billing, or related financial operations in a healthcare environment.
Knowledge of healthcare payers, 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 with advanced Excel features, including formulas, lookup functions, SUMIFS, pivot tables, conditional formatting, and reconciling 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

Coordinate with the RCM Manager and Senior Director of Revenue Cycle on reconciliation priorities, research findings, unresolved variances, and process improvements; provide timely updates and escalate issues requiring review or approval.
Complete daily deposit reconciliation by comparing bank activity with transactions in Lightning Step, verifying or correcting deposit dates, and uploading supporting EOBs and documentation.
Perform month-end reconciliation of deposits, investigate variances, and document the status and resolution of outstanding discrepancies.
Review and resolve unallocated insurance and private-pay payments by analyzing bank and Lightning Step activity, researching related accounts, and determining appropriate application actions or entries.
Review and resolve unallocated client activity and client credit balances, identify root causes, and coordinate corrections according to approval requirements.
Manage paid-to-subscriber (PTS) outstanding balances using existing reports, update accounts after deposits are confirmed, and verify payment posting accuracy and completion.
Reconcile private-pay collection partner reporting from Capital Recovery, post deposits as appropriate, and investigate discrepancies among partner reports, bank activity, and Lightning Step balances.
Review account-resolution findings with revenue cycle leadership, determine next steps, and escalate adjustments, write-offs, or other changes requiring approval.
Research incorrect postings, reversals, contractual adjustments, and CO-45 adjustments; determine causes and coordinate accurate corrections.
Review credit balances, canceled accounts, crossed-account payments, and other account variances to identify 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 internal 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 zero-payment EOBs, download supporting documents, upload them to Lightning Step or a designated location, and send them to the payment posting team.
Maintain documentation of research, discrepancies, actions taken, open items, and required follow-up.
Use advanced Excel features to analyze, reconcile, and validate large data sets, including formulas, lookup functions, SUMIFS, pivot tables, filtering, conditional formatting, and data comparison techniques.
Build and maintain reconciliation workbooks, trackers, and reports covering deposits, unallocated payments, PTS activity, credit balances, EOBs, and Capital Recovery 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.