Revenue Cycle Analyst

Responsible for analyzing and resolving reimbursement, payment, and account balance issues across the revenue cycle. Supports revenue integrity through underpayment recovery, credit balance resolution, escalated payer follow-up, and identification of reimbursement trends and root causes.

Core Responsibilities

• Research and resolve payer underpayments, payment discrepancies, and reimbursement variances.
• Perform escalated payer follow-up and support recovery of outstanding or incorrectly paid balances.
• Review and resolve payer and patient credit balances, including refunds, adjustments, and account corrections.
• Review and resolve equipment pickup claims and associated billing or account adjustments.
• Perform root cause analysis to identify recurring reimbursement, payment, and credit balance issues.
• Identify payer trends and systemic issues impacting reimbursement and escalate findings for corrective action.
• Support reimbursement projects, revenue recovery initiatives, and audit requests through account research and analysis.
• Partner with Collections, Cash Posting, Billing, and other Revenue Cycle teams to resolve complex account issues and improve processes.
• Ensure account resolutions, refunds, and adjustments comply with company policies and payer requirements.