REVENUE OPTIMIZATION ANALYST

FAMILY CARE HEALTH CENTERS•St. Louis, MO
•$55,765 - $83,637

About The Position

The Revenue Optimization Analyst is responsible for managing and analyzing financial operations while supporting healthcare purchasing, revenue-cycle activities, medical billing, coding, and reimbursement optimization. The role combines accounting, financial management, revenue analysis, healthcare billing, and operational oversight to support accurate financial reporting, effective internal controls, regulatory compliance, and organizational revenue optimization. It oversees accounting functions including general ledger management, accounts payable, payroll, bank reconciliations, treasury management, budgeting, grants management, financial reporting, and revenue-cycle optimization. The position also supports purchasing, receiving, and asset management. Duties include researching goods and services, soliciting bids or quotes, recommending vendors, tracking purchase orders and deliveries, maintaining asset records, and coordinating with Accounts Payable and vendors to resolve invoice and purchasing discrepancies. The analyst reports to the Chief Financial Officer, supervises no one, and works with senior executives, departments, and the Senior Administrative Assistant. Work locations include Carondelet, Dutchtown, Forest Park Southeast, University City, Rung for Women, Places for People, and other approved locations added in the future. The role interacts with health center personnel, suppliers and vendors, funding and regulatory agencies, payors, and other community health centers.

Requirements

  • Bachelor's degree in Accounting, Finance, Business Administration, Healthcare Administration, or a related field; the posting describes this as required or preferred.
  • Progressive experience in accounting, finance, healthcare revenue cycle, medical billing or coding, or financial analysis.
  • Strong knowledge of general ledger accounting, financial reporting, budgeting, accounts payable, payroll, treasury operations, and bank reconciliation.
  • Knowledge of healthcare billing, coding, claims processing, reimbursement, and revenue-cycle management.
  • Familiarity with ICD-10-CM, CPT, HCPCS, and healthcare payer requirements.
  • Advanced Excel and financial reporting and analysis skills.
  • Strong analytical, organizational, problem-solving, and communication skills.
  • Ability to manage multiple priorities, meet deadlines, and work independently.
  • Strong understanding of confidentiality, financial controls, and data integrity.
  • Ability to sit for extended periods; use hands and fingers to operate office equipment; communicate clearly; read and interpret detailed financial and billing information; and occasionally lift or carry office materials typically weighing up to 10–20 pounds.
  • Occasional standing, walking, bending, or reaching to retrieve files, access office equipment, or attend meetings.
  • Must maintain client and staff confidentiality and comply with applicable federal and state privacy regulations, including HIPAA and FERPA.

Nice To Haves

  • Experience with grants management and financial compliance is preferred.
  • Preferred certifications: Certified Public Accountant (CPA), Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Revenue Cycle Representative (CRCR), and Certified Healthcare Financial Professional (CHFP).

Responsibilities

  • Manage and maintain the general ledger, including recording transactions and preparing journal entries, accruals, adjustments, and recurring entries.
  • Perform account reconciliations and investigate discrepancies or unusual transactions; maintain supporting documentation and assist with month-end and year-end closing.
  • Ensure accounting activities comply with applicable accounting standards, organizational policies, and internal controls.
  • Manage accounts payable processes, including invoice review, coding, approvals, payments, vendor records, and reconciliations.
  • Review payroll accounting entries, reconcile payroll reports to the general ledger, coordinate payroll processing, and research payroll discrepancies.
  • Prepare financial statements, management reports, budget-to-actual reports, forecasts, variance analyses, and financial analyses.
  • Analyze revenue, expenses, cash flow, accounts receivable, and organizational financial performance; develop and monitor performance indicators.
  • Support internal and external audits by preparing schedules, documentation, and explanations.
  • Develop and maintain annual operating budgets with management and department leaders; monitor spending, investigate variances, and assist with forecasting and long-range planning.
  • Recommend cost-control and resource-allocation strategies.
  • Manage grant finances from award through closeout, including budgets, expenditures, allowable costs, reports, reimbursement requests, funding allocations, compliance documentation, balances, deadlines, and restrictions.
  • Monitor cash balances, liquidity, and cash-flow requirements; support cash positioning, transfers, deposits, disbursements, bank reconciliations, and liquidity planning.
  • Analyze healthcare revenue, accounts receivable, reimbursement, payment trends, and payer performance.
  • Review medical claims, billing records, and coding for accuracy and completeness; identify revenue leakage, underpayments, billing discrepancies, coding errors, and missed reimbursement opportunities.
  • Monitor claim submission, payment, denial, and rejection trends, as well as accounts receivable aging, collections, reimbursement rates, and revenue-cycle metrics.
  • Review use of CPT, HCPCS, ICD-10-CM, and modifiers as applicable; collaborate with billing and coding teams to resolve claim issues and reduce denials.
  • Develop recommendations to improve billing accuracy, cash flow, reimbursement, revenue performance, and revenue-cycle efficiency.
  • Analyze pricing, reimbursement, collections, payer performance, and financial or operational variances; develop revenue-performance reports and dashboards.
  • Partner with operational leaders on process improvements and evaluate the financial impact of operational decisions.
  • Maintain financial controls and ensure financial and billing practices comply with applicable laws, regulations, payer and grant requirements, and organizational policies.
  • Protect confidential financial and patient information; identify control weaknesses, recommend improvements, and support audit corrective-action plans.
  • Identify requirements and quantities for goods and services; research suppliers, solicit bids or quotes, and recommend vendors under organizational policies and procedures.
  • Assign purchase order numbers, route requisitions and contracts for signatures, distribute purchase order documentation, and assist with monitoring supply levels and reorder points.
  • Monitor orders through delivery, resolve receiving problems, ensure receipt is documented, distribute purchases, and track back-ordered items.
  • Maintain asset schedules, assign identification numbers to new assets, audit satellite-site asset use, help identify asset needs and locations, ensure accurate asset accounting, and update depreciation schedules.
  • Coordinate with Accounts Payable and vendors to ensure invoice documentation and general-ledger coding are appropriate and to resolve differences in goods, quantity, or price.
  • Prepare schedules and spreadsheets as needed, attend continuing education opportunities as appropriate, and perform other duties as assigned.
© 2026 Teal Labs, Inc
Privacy PolicyTerms of Service