The posting
BASIC PURPOSE: The primary responsibility of the Revenue Cycle Analyst is to ensure a thorough review of service and payment information, submit accurate invoices and claims, track outstanding balances, follow up on unpaid accounts, and resolve billing issues. The Analyst collaborates with internal teams and external clients to ensure timely payments, maintain accurate records, support compliance requirements, and improve overall revenue cycle performance. ESSENTIAL FUNCTIONS:
Manage billing and collections activities for home care services, ensuring accurate and timely claim and invoice submission. Review and validate service documentation, authorizations, rates, and related data to support billing accuracy. Monitor accounts receivable, outstanding balances, denials, rejections, and payment variances; perform follow-up to ensure timely reimbursement. Research, resolve, and document billing discrepancies, claim issues, and payment concerns. Communicate with clients, payers, and internal departments to obtain required information and resolve account-related issues. Maintain accurate account records, billing documentation, and collection notes. Analyze and reconcile payments, identify underpayments or outstanding balances, and take appropriate action to recover revenue. Monitor aging reports and prioritize collection efforts to reduce outstanding receivables and improve cash flow. Ensure compliance with company policies, payer requirements, contractual obligations, and applicable regulations. Prepare account status updates and escalate unresolved issues as needed. Perform quality control reviews to ensure billing, payment, and collection activities are accurate and complete. Support process improvement initiatives to enhance billing efficiency, reduce errors, and strengthen collection performance. Protect confidential patient, client, employee, and financial information. Other duties as assigned
QUALIFICATIONS:
High school diploma or equivalent required; additional education or relevant experience preferred. 3-5 years of experience in billing, accounts receivable, collections, healthcare reimbursement, or related revenue cycle functions preferred. Experience with healthcare billing, claims processing, accounts receivable management, and collections preferred. Proficiency with Microsoft Office applications and billing, claims, or database systems. Strong analytical, problem-solving, and organizational skills with attention to detail. Effective written and verbal communication skills and the ability to work collaboratively with internal and external stakeholders. Ability to manage multiple priorities, meet deadlines, and maintain accurate documentation.
