Revenue Cycle Analyst

Job Summary

A company is looking for a Revenue Cycle Analyst II to support its revenue cycle management function.

Key Responsibilities

• Manage and influence claim submission and denial prevention
• Collaborate cross-functionally to support the setup of a new RCM platform and assist with new payer partners
• Ensure compliance with filing requirements and maintain records regarding client eligibility and billing procedures

Required Qualifications, Training, and Education

• Experience in revenue cycle management and claims processing
• Knowledge of federal and state compliance guidelines related to billing and coding
• Experience using a clearinghouse for claims and eligibility checks
• Ability to analyze accounts receivable data and identify revenue leakage
• Experience in developing denial management workflows and improving billing processes