Pueblo Radiology Medical Group is seeking an experienced, analytical, and detail-oriented Revenue Cycle Analyst to support revenue cycle coordination, performance analysis, and billing operations.
This role works closely with the Billing & Insurance team, front-office staff, scheduling, clinical operations, and an external billing partner to improve financial performance from patient registration through final reimbursement.
The position focuses on monitoring revenue cycle metrics, identifying risks and opportunities, analyzing denials and reimbursement trends, and collaborating across departments to improve both financial outcomes and patient experience. It is a non-supervisory role that serves as a resource for revenue cycle best practices across the organization.
Key responsibilities include analyzing claims, denials, rejections, collections, reimbursement trends, and accounts receivable; monitoring clean-claim rates and KPIs; supporting denial prevention and revenue recovery efforts; assisting with insurance verification, authorization, and referral processes; coordinating with an outsourced billing partner; supporting front-end revenue cycle workflows; and helping develop training materials and process improvements.
The ideal candidate is proactive, solutions-oriented, and comfortable working with data, reports, and cross-functional teams to strengthen revenue cycle performance.
Required Qualifications
- 3 to 5 years of medical billing, insurance, revenue cycle, healthcare operations, or related experience
- Experience with insurance verification, benefits, authorizations, and referrals
- Experience with claims processing, denial management, appeals, and accounts receivable
- Experience coordinating with third-party or outsourced billing vendors preferred
Knowledge
- Advanced knowledge of insurance eligibility and benefits verification
- Strong understanding of authorization and referral requirements
- Knowledge of Commercial, Medicare, and Medicaid payer guidelines
- Understanding of revenue cycle workflows and reimbursement processes
- Familiarity with CPT and ICD-10 coding principles
- Understanding of medical necessity requirements and payer-specific reimbursement rules
Technical Skills
- Proficiency with EMR/EHR and practice management systems
- Strong Microsoft Excel and reporting skills
- Ability to analyze data, identify trends, and produce actionable recommendations
- Experience developing reports, dashboards, and performance metrics
Professional Skills
- Strong analytical and critical-thinking capabilities
- Exceptional attention to detail and accuracy
- Excellent verbal and written communication skills
- Strong organizational and project management abilities
- Ability to manage multiple priorities and work independently
- Ability to collaborate effectively across departments and with external business partners
Preferred Qualifications
- Radiology revenue cycle experience strongly preferred
- Experience working with diagnostic imaging services
- Experience coordinating with outsourced billing organizations
- Understanding of professional, technical, and global billing methodologies
- Advanced knowledge of radiology coding and reimbursement practices
Benefits
- Medical insurance
- Dental insurance
- Vision insurance
- Life insurance
- 401(k) with company match
- Vacation
- Paid holidays
- Sick leave
- Professional development opportunities
- Supportive and collaborative work environment
- Alternative work schedule options available
Location
California, US
Employment Type
Full-time
Experience Level
Intermediate Level
Salary Range
$72,000 - $80,000
Remote work allowed
No
Posted
1 month ago