Revenue Cycle Management Analyst

The Revenue Cycle Analyst is responsible for analyzing incoming and outgoing insurance revenue across Medicaid, MCO, private, commercial, and other payors. The role focuses on maximizing reimbursements, resolving claim rejections and denials, and developing effective policies for billing and claim processing.

Key responsibilities include:

• Identifying revenue cycle problems and implementing timely solutions to improve billing revenue
• Evaluating and escalating eligibility, authorization, billing, and claims processing inaccuracies
• Ensuring changes, payments, and adjustments are recorded, processed, and submitted accurately and on time
• Handling denied claims, managing adjustments, and following up to maximize reimbursement in accordance with payor rules
• Collecting and analyzing payer data to identify denial and underpayment trends
• Performing data mining and accounts receivable analysis
• Generating and distributing reports as needed
• Conducting billing audits to identify missed revenue and recommend improvements
• Following up with insurance companies and interfacing with clearinghouses to streamline revenue cycle processes
• Providing training to employees on revenue cycle workflows
• Collaborating with Accounting on policies and procedures related to client information, claims filing, and payment posting
• Completing other related duties and projects as assigned

Schedule: Monday through Friday, 8:00 am to 4:30 pm. Hybrid work arrangement with 3 days in office and 2 days remote. Office location: Skokie, Illinois.