Revenue Cycle Analyst

POSITION SUMMARY

The Patient Account Revenue Cycle Analyst is responsible for supporting the full revenue cycle process by analyzing, monitoring, and improving patient account activities, including billing, collections, payment posting, and denial management. This role ensures the accurate and timely processing of patient financial data to optimize hospital revenue and reduce outstanding accounts receivable including vendor management.

REPORTS TO : Senior Director of Revenue Cycle

SUPERVISES : None

ESSENTIAL RESPONSIBILITIES :

• Analyze patient accounts and revenue cycle processes to identify trends, inefficiencies, and areas for improvement.
• Monitor billing and collection performance to ensure compliance with federal, state, and payer-specific regulations.
• Collaborate with billing, coding, registration, and finance departments to resolve issues impacting reimbursement.
• Review and interpret payer remittances, denials, and underpayments; initiate appeals or corrective actions as needed.
• Create and distribute financial and operational reports on accounts receivable, denials, reimbursement trends, and cash flow.
• Track key performance indicators (KPIs) such as days in A / R, clean claim rate, denial rate, and cash collections.
• Assist with audits, compliance reviews, and month-end close activities.
• Serve as a liaison between clinical departments, HIM, and the business office to ensure data accuracy and timely claim submission.
• Participate in revenue cycle improvement initiatives and process redesign projects.
• Stay current with changes in healthcare regulations, payer guidelines, and revenue cycle best practices.

QUALIFICATIONS : Education :

Experience :

Skills :

Preferred Qualifications :

Working Conditions :