Revenue Cycle Analyst

Overview

The Revenue Cycle Analyst is responsible for supporting the revenue cycle team by analyzing financial and operational data, identifying trends, and helping improve processes that impact billing, collections, and reimbursement. This role works under close supervision and provides foundational analysis to ensure accuracy, compliance, and efficiency across the revenue cycle.

• Collect, review, and analyze data related to patient billing, payments, denials, and reimbursements.
• Prepare standard reports and dashboards to support decision-making.
• Assist in identifying process inefficiencies and opportunities for revenue optimization.
• Monitor key performance indicators (KPIs) and elevate variances to senior analysts or leadership.
• Investigate claim denials, perform root cause analysis, prepare reporting, and collaborate with various teams to prevent future denials.
• Support audits, compliance reviews, and documentation requests.
• Maintain accurate records, data integrity, and confidentiality of sensitive financial information.
• Collaborate with cross-functional teams (billing, coding, finance, operations) to resolve routine issues.
• Analyze and maintain payer contracts, identify payment discrepancies, and serve as a liaison with payers to resolve issues and optimize reimbursement.
• Provide support for system testing, upgrades, and implementation of revenue cycle tools.
• Evaluate revenue cycle processes (billing, collections, denials, reimbursement) and recommend improvements to enhance accuracy, timeliness, and compliance.
• Analyze claim denials, identify root causes, and propose corrective action plans to reduce recurrence.
• Prepare reports, dashboards, and presentations with insights that inform leadership decision-making.
• Assess payer contract performance, identify discrepancies, and elevate significant issues with recommended solutions.
• Collaborate with cross-functional teams to resolve systemic issues, streamline workflows, and strengthen financial outcomes.
• Support audits and compliance reviews by analyzing documentation, identifying risks, and recommending process changes.
• Participate in system upgrades and new technology implementations by evaluating impacts, testing functionality, and providing optimization recommendations.
• Contribute to policy and procedure development by identifying gaps and suggesting revisions that support best practices.

• 3-5 years of experience.
• Bachelor’s degree in Finance, Accounting, Healthcare Administration, Business, or a related field (or equivalent experience).
• Strong analytical and problem‑solving skills.
• Proficiency with Microsoft Excel and other data analysis tools.
• Basic understanding of healthcare revenue cycle concepts (billing, coding, collections, reimbursement) preferred.
• Excellent attention to detail and organizational skills.
• Effective written and verbal communication skills.

For this position, the base pay range is $56,000–$65,000 per year. Individual pay is determined by role, level, location, job-related skills, experience, and relevant education, certifications or training.