Revenue Cycle Analyst

Benefits:

• 401(k)
• 401(k) matching
• Competitive salary
• Dental insurance
• Health insurance
• Paid time off
• Training & development
• Tuition assistance
• Vision insurance

The Revenue Cycle Analyst plays a vital role in supporting clinic operations by ensuring back office processes are accurate, timely, and compliant. This position requires a strong understanding of insurance workflows specific to outpatient physical therapy, including benefit verification, prior authorizations, and payer requirements.

This is a behind-the-scenes, in-office role ideal for someone who is detail-oriented, comfortable working independently, and confident navigating insurance systems. You’ll collaborate closely with clinical, front office, and billing teams to prevent denials, support clean claims, and keep patient care moving forward.

• Verify insurance eligibility, benefits, coverage limits, and financial responsibility for physical therapy services
• Obtain, track, and manage prior authorizations in accordance with payer-specific guidelines
• Monitor authorized visit counts, expiration dates, and medical necessity requirements
• Communicate authorization status and requirements clearly to internal teams

• Maintain working knowledge of commercial payers, Medicare, Medicaid, and workers’ compensation as applicable
• Understand payer rules related to outpatient physical therapy, including visit limits, documentation requirements, and reimbursement policies
• Identify potential insurance or authorization issues that could impact billing or reimbursement and address them proactively

• Support billing teams with claim research, denials, and payer follow-up as needed
• Assist with ensuring accurate insurance setup to support clean claim submission
• Recognize trends in payer issues and elevate as appropriate

• Work independently to manage assigned insurance and authorization workloads
• Collaborate with front desk, clinical, and billing teams to resolve insurance-related issues
• Serve as an internal resource for insurance-related questions

• Maintain accurate documentation of insurance verification and authorization activity
• Ensure all insurance information is entered correctly into the EMR or billing system
• Maintain patient confidentiality and HIPAA compliance

• Participate in team meetings and ongoing training
• Assist with process improvement initiatives related to insurance and revenue cycle workflows
• Other duties as assigned

• Experience working with insurance in an outpatient physical therapy or similar healthcare setting
• Strong understanding of:
  • Insurance verification
  • Prior authorization processes
  • Payer-specific requirements for physical therapy services
• Billing or revenue cycle experience
• Familiarity with CPT, ICD-10, and modifiers related to physical therapy
• Experience working with multiple insurance carriers and payer portals

• Strong attention to detail and organizational skills
• Ability to work independently while contributing to a collaborative team
• Clear and professional internal communication
• Strong time management and follow-through
• Comfort navigating EMRs, payer portals, and billing systems

• In-person office setting
• Primarily desk-based role using standard office equipment
• Occasional flexibility may be required to meet authorization or payer deadlines