Revenue Cycle Support Analyst

Public Health Management Corporation•Philadelphia, PA

About The Position

The Revenue Cycle Support Analyst provides analytical and operational support to Revenue Cycle Liaisons serving PHMC’s dental, medical, and behavioral health services. The role focuses on revenue cycle analysis, operational follow-up, KPI reporting, patient billing inquiry support, insurance payer outreach, self-pay and patient responsibility reviews, and sliding fee screening and documentation. It supports defined analytical, follow-up, and issue-resolution activities while maintaining visibility into clinic-level revenue cycle performance. The position connects PHMC clinic operations, Revenue Cycle Liaisons, ASP, insurance payers, and patient-facing staff. It helps identify workflow gaps, resolve recurring issues, support timely escalation, and improve the patient financial experience. The analyst also supports performance monitoring, staff education, compliance with applicable policies and requirements, and operational improvement across multiple service lines.

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 required.
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 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.
Proficiency 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 to the appropriate liaison or leader.
Strong written and verbal communication skills, including professional interaction with clinic staff, billing teams, leadership, external vendors, and patients when needed.
Meticulous approach to tracking, documentation, follow-up, and data validation.
Ability to work across multiple service lines and adapt to dental, medical, and behavioral health workflows.
Collaborative, service-oriented approach and ability to support staff education and reinforce standardized processes constructively.
Ability to communicate sliding fee and patient responsibility information clearly, respectfully, and in a patient-centered manner while following approved PHMC scripting, policy, and role guidelines.
Ability to maintain confidentiality and comply with HIPAA, organizational policies, and applicable regulatory requirements.

Nice To Haves

Associate or bachelor’s degree in healthcare administration, business, finance, public health, or a related field.
Experience in an FQHC, community health center, ambulatory clinic, dental clinic, behavioral health setting, or multi-specialty practice environment.
Strong understanding of front-end revenue cycle workflows and how registration, eligibility, authorization, and documentation accuracy affect reimbursement and denials.

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.
Analyze 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, balances, expected patient liability, sliding fee or discount application, insurance eligibility opportunities, and potential account corrections requiring escalation.
Support sliding fee screening workflows by reviewing screening opportunities, application information, routing, and documentation in accordance with PHMC policy and FQHC requirements.
Identify and escalate discrepancies involving sliding fee applications, discounts, patient responsibility calculations, or documented eligibility.
Run recurring KPI reports, validate outputs, prepare clinic-level summaries, identify trends, and escalate performance concerns.
Track, research, 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 research claims, obtain claim or authorization status, clarify benefit or eligibility questions, document responses, and escalate unresolved issues.
Maintain issue trackers, worklists, escalation logs, and status updates for items affecting claim submission, reimbursement, and patient account accuracy.
Review revenue cycle reports and dashboards, including insurance verification rates, clean claim rates, denial trends, accounts receivable aging, point-of-service collections, no-show rates, and front-desk quality assurance results.
Prepare recurring performance updates for clinic and revenue cycle leadership and liaison teams, describing trends, open issues, barriers, root causes, and recommended follow-up.
Run, compile, and distribute KPI reports for dental, medical, and behavioral health service lines, including clinic-level summaries, trend analysis, and supporting detail.
Validate KPI reporting for accuracy and completeness by reconciling totals, reviewing outliers, identifying missing data, and escalating data integrity concerns.
Track KPI performance against established targets, identify unfavorable trends or recurring gaps, and summarize key drivers for discussion with liaisons and operational leadership.
Develop and maintain reporting calendars, distribution lists, meeting materials, and follow-up documentation.
Escalate urgent or recurring issues involving payer barriers, system access or configuration, workflow breakdowns, unresolved denials, claim submission delays, or clinic documentation gaps.
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 applications, patient responsibility conversations, and payer-specific requirements.
Coordinate with billing teams, external vendors, clearinghouses, and payer representatives as directed to obtain information and support issue resolution.
Identify recurring revenue cycle issues, front-end errors, and denial root causes; communicate patterns and recommend workflow or process improvements.
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 billing questions about balances, charges, insurance activity, self-pay status, patient responsibility, and account follow-up; document findings and escalate complex or sensitive issues.
Support dental workflows involving insurance verification, eligibility issue resolution, benefit documentation, claim readiness, denial tracking, and patient responsibility.
Support medical workflows involving registration accuracy, payer validation, prior authorization follow-up, sliding fee documentation, claim edit resolution, and front-end denial prevention.
Support behavioral health workflows involving benefit verification, authorization tracking, documentation follow-up, visit readiness, payer-specific requirements, and coordination with clinic and billing teams.
Perform other duties as assigned to support revenue cycle performance, operational consistency, and patient financial experience.