Revenue Cycle Analyst

Position Summary

Responsible for analyzing and resolving reimbursement, payment, and account balance issues across the revenue cycle. Supports revenue integrity through underpayment recovery, credit balance resolution, escalated payer follow-up, and identification of reimbursement trends and root causes.

Core Responsibilities

• Research and resolve payer underpayments, payment discrepancies, and reimbursement variances.
• Perform escalated payer follow-up and support recovery of outstanding or incorrectly paid balances.
• Review and resolve payer and patient credit balances, including refunds, adjustments, and account corrections.
• Review and resolve equipment pickup claims and associated billing or account adjustments.
• Perform root cause analysis to identify recurring reimbursement, payment, and credit balance issues.
• Identify payer trends and systemic issues impacting reimbursement and escalate findings for corrective action.
• Support reimbursement projects, revenue recovery initiatives, and audit requests through account research and analysis.
• Partner with Collections, Cash Posting, Billing, and other Revenue Cycle teams to resolve complex account issues and improve processes.
• Ensure account resolutions, refunds, and adjustments comply with company policies and payer requirements.

Job Requirements:

• High school diploma required, college degree preferred.
• Must have 1-3 years of revenue cycle experience