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Role Description
The Analyst, Revenue Cycle supports revenue cycle operations across multiple physician practice locations to ensure timely, accurate reimbursement and optimized cash flow. Reporting to the Director, Practice Management Services, this role serves as the primary liaison to the organization’s external billing partner while collaborating closely with Practice Operations, Finance, and Clinical teams to resolve claims issues, improve processes, and enhance reporting visibility. The ideal candidate combines hands-on revenue cycle expertise with strong analytical skills, vendor coordination experience, and a proactive approach to operational improvement.
Serve as primary liaison to external billing partner, ensuring service level expectations and performance metrics are met.
Review denial reports and A/R trends; collaborate on corrective action plans and staff education.
Coordinate quarterly coding compliance audits and support implementation of improvement initiatives.
Respond to billing-related inquiries from physicians, leadership, and clinical teams.
Monitor billing partner reporting at both group and provider levels to ensure accountability.
Review EMR reports including open encounters, work queues, and revenue/usage reports to identify claim or billing issues.
Partner with Practice Operations to resolve work queue and documentation issues impacting reimbursement.
Support contract analysis including fee schedules, rate updates, and payer participation tracking.
Identify and recommend operational improvements to increase clean claim rate and reduce A/R days.
Generate regular revenue cycle performance reports including A/R aging, denial trends, collection rates, and KPI tracking.
Provide monthly reporting support for Market or Operational Review meetings.
Analyze financial and clinical data to identify risks, trends, and improvement opportunities.
Partner with Insurance, Finance, Quality, and Practice Operations teams to align revenue cycle processes.
Support documentation and implementation of revenue cycle best practices.
Participate in special projects related to system optimization or workflow integration.
Qualifications
Bachelor’s Degree or equivalent.
Three (3) years of healthcare revenue cycle experience.
Experience using Athena Collector.
Experience analyzing reports in Microsoft Excel.
Demonstrated knowledge of medical billing, coding, and payer reimbursement processes.
Requirements
Certified Coder.
Experience in multi-site or concierge/direct care physician models.
Familiarity with Medicare billing regulations.
Project management experience or certification.
Benefits
Be part of a mission-driven organization leading innovation in personalized healthcare.
Drive transformation and growth in a dynamic, fast-paced environment.
Competitive compensation: attractive base salary complemented by performance-based incentives for eligible roles.
Comprehensive benefits: health, dental, vision insurance, and retirement plans.
Professional development: access to ongoing training and leadership development programs.
Positive work environment: consistently recognized as a Great Place to Work®, fostering a culture of collaboration and excellence.