Revenue Cycle Support Analyst

PHMC•Philadelphia, PA

12h

About The Position

The PHMC Revenue Cycle Support Analyst provides analytical and operational support to Revenue Cycle Liaisons serving dental, medical, and behavioral health clinics. The role supports revenue cycle analysis, operational follow-up, KPI reporting, patient billing inquiries, payer outreach, self-pay and patient responsibility reviews, and sliding fee screening and documentation. It acts as a bridge between clinic operations, Revenue Cycle Liaisons, ASP, insurance payers, billing resources, and patient-facing staff to help identify workflow gaps, resolve recurring issues, support timely escalation, and improve patients’ financial experience. The analyst researches account-level issues, follows assigned worklists through resolution or escalation, reviews self-pay charges and patient responsibility, supports sliding fee workflows, and monitors revenue cycle performance through recurring reports and clinic-level summaries. The role validates reporting outputs, identifies trends and root causes, maintains issue trackers and escalation logs, and prepares performance updates and follow-up materials for liaison teams and leadership. The position also conducts payer outreach, supports patient billing inquiry follow-up, helps develop staff education materials, and assists with onboarding and coaching related to registration, insurance verification, sliding fee applications, patient responsibility conversations, and payer requirements. The analyst supports compliance with PHMC policies, FQHC requirements, payer guidelines, privacy requirements, and documentation standards.

Requirements

High school diploma or equivalent required.
Two or more years of experience in healthcare revenue cycle, patient access, billing, registration, eligibility verification, claims follow-up, patient billing inquiry resolution, dental billing, behavioral health billing, or clinic operations.
Working knowledge of payer requirements, insurance eligibility, coordination of benefits, prior authorization, sliding fee scale processes, patient collections, self-pay account review, patient responsibility calculations, claim edits, denials, and accounts receivable follow-up.
Familiarity with electronic health records, practice management, billing, clearinghouse, payer portal, and Microsoft Office applications.
Ability to organize multiple priorities, maintain accurate tracking tools, follow through on open items, and communicate status updates clearly.
Ability to analyze recurring issues, identify root causes, and escalate trends appropriately.
Strong written and verbal communication skills for interacting with clinic staff, billing teams, leadership, vendors, and patients when needed.
Meticulous approach to tracking, documentation, follow-up, and data validation.
Ability to work across dental, medical, and behavioral health workflows.
Ability to communicate sliding fee and patient responsibility information clearly, respectfully, and in a patient-centered manner while following approved scripting, policy, and role guidelines.
Ability to maintain confidentiality and comply with HIPAA, organizational policies, and applicable regulatory requirements.

Nice To Haves

Associate degree or bachelor’s degree in healthcare administration, business, finance, public health, or a related field.
Experience working in an FQHC, community health center, ambulatory clinic, dental clinic, behavioral health setting, or multi-specialty practice.
Strong understanding of front-end revenue cycle workflows and how registration, eligibility, authorization, and documentation accuracy affect reimbursement and denials.
Familiarity with FQHC sliding fee discount program concepts, including screening, application documentation, income and household size review, patient communication, discount application, and escalation of documentation or account discrepancies.
Collaborative, service-oriented approach to staff education and reinforcing standardized processes positively and constructively.

Responsibilities

Provide operational and analytical support to Revenue Cycle Liaisons across dental, medical, and behavioral health services, including patient access, registration accuracy, eligibility verification, patient responsibility review, and billing readiness.
Research account-level issues, identify trends and root causes, summarize findings, and follow assigned worklists and action items through resolution or escalation.
Review self-pay charges, patient balances, expected patient liability, sliding fee or discount application, insurance eligibility opportunities, and potential account corrections.
Support sliding fee screening by checking screening opportunities, application status, required documentation, household size and income information, effective dates, and discount application; escalate missing, incomplete, or inconsistent information.
Run recurring KPI reports, validate outputs, prepare clinic-level summaries, track performance against targets, identify trends, and escalate performance concerns or data integrity issues.
Track and help resolve issues involving eligibility, coordination of benefits, claim edits, denials, missing documentation, payer requirements, coding feedback, payment posting, and accounts receivable follow-up.
Contact insurance payers to obtain claim or authorization updates, clarify benefit or eligibility questions, research denials and payment issues, document responses, and escalate unresolved matters.
Maintain issue trackers, worklists, escalation logs, reporting calendars, distribution lists, meeting materials, and status updates.
Review revenue cycle reports and dashboards, including insurance verification rate, clean claim rate, denial trends, accounts receivable aging, point-of-service collections, no-show rate, and front-desk quality assurance results.
Prepare recurring performance updates for clinic and revenue cycle leadership, highlighting trends, open issues, barriers, root causes, and recommended follow-up actions.
Escalate urgent or recurring payer, system, workflow, claim submission, denial, and clinic documentation issues through appropriate pathways.
Help develop job aids, process reminders, workflow guides, scripting tools, and refresher training materials for front-desk and clinic staff.
Assist with onboarding and coaching related to registration standards, insurance verification, sliding fee application, patient responsibility conversations, and payer-specific requirements.
Coordinate with billing teams, external vendors, clearinghouses, and payer representatives to request information and follow up on operational issues.
Identify recurring front-end errors and denial root causes, communicate patterns, and recommend workflow or process improvements to the appropriate liaison.
Support compliance with organizational policies, FQHC requirements, payer guidelines, privacy requirements, and documentation standards related to registration, billing, collections, financial assistance, and sliding fee processes.
Participate in revenue cycle meetings, denials prevention discussions, clinic operations huddles, workgroups, and performance improvement initiatives.
Review patient questions about balances, charges, insurance activity, self-pay status, patient responsibility, and account follow-up; document findings and escalate complex or sensitive issues.
Perform other duties as assigned to support revenue cycle performance, operational consistency, and patient financial experience.