Senior Revenue Cycle Operations Analyst
New
J
JobgetherHealthcare
Based in United StatesFull-TimeSenior
Salary$80,000 - $95,000 USD
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Job Details
- Experience
- 5+ years
- Required Skills
- Microsoft OfficeGoogle WorkspaceNetSuite
Requirements
- 5+ years of experience in healthcare revenue cycle management, billing operations, accounts receivable, or related functions.
- Strong knowledge of healthcare payer processes, including commercial and government reimbursement policies, CPT/HCPCS/ICD-10 coding, claims workflows, and EOB reconciliation.
- Experience managing high-volume payment posting, cash application, account reconciliation, and billing issue resolution.
- Ability to analyze complex operational data, identify trends, and develop practical solutions without requiring extensive guidance.
- Strong understanding of B2B and patient billing processes, collections workflows, and revenue cycle best practices.
- Proficiency with Microsoft Office, Google Workspace, and revenue cycle or financial systems.
- Excellent communication skills with the ability to explain complex financial and billing topics to non-specialist audiences.
- Highly organized with strong attention to detail and the ability to prioritize multiple deadlines in a fast-moving environment.
Responsibilities
- Oversee the full accounts receivable lifecycle, including claim follow-up, payer inquiries, denials management, corrected claims, and payment resolution.
- Manage customer accounts, payment applications, and reconciliation activities across billing and financial systems to ensure transactional accuracy.
- Identify and resolve billing discrepancies, posting risks, and cross-system variances while maintaining strong data integrity.
- Analyze reimbursement trends, payment behaviors, and payer performance to identify improvement opportunities and operational risks.
- Translate complex billing, reimbursement, and revenue cycle challenges into clear insights and recommendations for internal stakeholders.
- Partner with external organizations and internal teams to resolve financial issues, support onboarding activities, and maintain strong operational relationships.
- Lead billing setup and readiness activities for new partners, validating workflows, integrations, and claims submission processes.
- Develop and improve revenue cycle processes, documentation, and operational guidelines to increase scalability and efficiency.
- Monitor account balances, refunds, write-offs, and adjustments while ensuring compliance with payer policies.
- Support reporting activities, month-end processes, and leadership updates through accurate analysis and actionable recommendations.
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