Senior Revenue Cycle Analyst

Marathon Health

20h • $75,000 - $95,000

About The Position

The Senior Revenue Cycle Analyst oversees claims and payment processing in Marathon’s EMR system, optimizing billing and collections while ensuring regulatory compliance. This position collaborates with stakeholders to address patient billing requirements and supports payor and provider enrollment, including insurance package and fee schedule configuration. Expertise in revenue cycle management, EMR configuration (especially Athena), and regulatory compliance is essential, along with strong analytical and problem-solving skills and thorough knowledge of insurance, claims, and payer relations. The Sr. Revenue Cycle Analyst (RCA) plays a critical role in supporting end-to-end revenue cycle functions, with a specific focus on configuration and maintenance within the Athenahealth system. This position ensures payer and fee schedule accuracy, supports claims processes, and contributes to the overall efficiency and compliance of the revenue cycle operations.

Requirements

• Bachelor’s degree and a minimum of 5+ years of directly related professional experience or equivalent combination of education and experience.
• 2 years of Athena experience required.
• Prior billing experience required within a healthcare environment.
• Understanding of employer health plans and revenue cycle KPI’s.

Nice To Haves

• Dedicated to providing excellent Customer Service
• Strong analysis and decision-making abilities, including problem-solving and critical thinking.
• Strong Communication Skills with internal stakeholders, clients and external vendors.
• Organized and able to multi-task with superior time-management skills.
• Strong sense of ownership and desire/ability to exceed expectations.
• Ability to work collaboratively in a fast-paced environment.
• Ability to manage multiple projects and work on tight deadlines.
• Ability to work with great autonomy and self-motivation.
• Experience with a variety of payers and payment methodologies.
• Proficient in using payer portals (ex: Availity, Navinet, etc.)
• A strong knowledge of Athena global rules and building local rules.
• A strong understanding of provider enrollment with a variety of payers.

Responsibilities

• Oversee the design, build and configuration of custom insurance packages to align with the contractual obligations of our clients.
• Monitor, Audit and implement proper corrective actions for an ever-changing billing environment.
• Advise and consult with sales and clinical leadership to ensure proper alignment of expectations with client requests.
• Reporting for payments collected, patient balances, etc.
• Perform client audits to analyze claim processing.
• Monitor and manage Custom Claim Worklist(s), relational AR Worklist(s), and reporting as needed.
• Oversight of HOLD Worklists and monitor Missing Slips to ensure timely claims processing.
• Run reports for analysis, trending, or distribution based on direction (both self and managerial) as needed to communicate with all internal stakeholders.
• Illustrate excellent knowledge of the healthcare industry regarding revenue cycle and compliance.
• Meet productivity standards as set by management.
• Athena System Configuration: Build and resolve issues related to insurance packages and case policies.
• Verify payer configurations and confirm the accuracy of set-up within Athena.
• Build new fee schedules and manage ongoing maintenance activities.
• Payer & Enrollment Management: Update payer enrollment tables.
• Assist with national payer enrollment.
• Claims Support & Analysis: Conduct data analysis to identify trends, issues, and opportunities for process improvement or optimization.
• Demonstrate advanced proficiency in Excel, including pivot tables, VLOOKUP, and related functions.
• Oversee and implement claims-related projects such as refunds, corrections, and fee schedule updates.
• Prepare and deliver reports for both internal stakeholders and client-facing presentations.
• Provide support for billing inquiries from patients and operational teams.
• Training & Internal Support: Address training-related support tickets and email inquiries.
• Deliver onboarding sessions and continuous training for team members within the RCM department.
• Additional Duties: Handle portal investigations for payer communications and claim follow-ups.
• Work with data, operations, clinical, project, and compliance teams.
• Accurately document assigned clients.
• Resolve front-end and back-end billing issues.
• Lead or join internal and external meetings as needed.

Benefits

• Comprehensive Health & Wellness Benefits: Choice of 2 medical plans, 2 dental plans, and vision coverage, unlimited free mental health benefits and EAP resources, Rewards for challenges and healthy lifestyle activities
• Family Friendly & Reproductive Health Benefits: Family-building and hormonal health benefits and paid parental leave
• Time-Based Benefits: Generous PTO or FTO, Paid Holidays + A Day for What Matters
• Financial Support: Company paid Basic Life and Disability insurance, Supplemental Life, Spending Accounts, 401(k) with employer match and graded vesting
• Continuing Medical Education (CME) for maintaining and strengthening the knowledge, skills, and expertise of our health center teammates, as applicable

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level