Revenue Cycle Analyst
Employment Information
Report this job
Job expired or something wrong with this job?
Job Description
Revenue Cycle Analyst optimizing billing, reimbursement, and collections for Eurofins’ clinical diagnostics business. Analyzing payer contracts, denials, and revenue-cycle data to improve financial performance.
Responsibilities:
- Perform revenue cycle, billing, reimbursement, payer contract administration, and analytical functions to maximize reimbursement, improve collections, reduce denials, and optimize revenue cycle processes
- Process, review, and monitor commercial, government, managed care, client, and patient billing activities
- Resolve billing exceptions, claim rejections, denials, payment variances, and reimbursement discrepancies
- Research and correct payer, demographic, coding, eligibility, authorization, and billing issues
- Work aging accounts and unresolved claims to maximize collections and reduce outstanding accounts receivable
- Submit corrected claims, appeals, adjustments, and rebills
- Conduct detailed claims-level analysis and investigate denied, underpaid, overpaid, and unresolved claims
- Analyze reimbursement outcomes and payment trends across payers, clients, testing services, and business units
- Maintain and audit payer master records, reimbursement schedules, fee schedules, and reimbursement tables
- Analyze payer contracts, reimbursement methodologies, fee schedules, and payment arrangements
- Develop, maintain, and distribute recurring and ad hoc billing, collections, accounts receivable, denial, reimbursement, and contract compliance reports
- Extract, validate, analyze, and reconcile data from billing systems, data warehouses, and supporting applications
- Develop dashboards, scorecards, KPIs, and management reporting tools
- Conduct root-cause analyses and present actionable findings and recommendations to management
- Identify opportunities to improve workflows, billing processes, reimbursement accuracy, reporting capabilities, and operational efficiency
- Develop business requirements and process documentation
- Partner with IT, software engineering teams, vendors, and business stakeholders to design, test, validate, and implement system enhancements
- Participate in user acceptance testing, validation, and deployment efforts
- Support automation and continuous improvement initiatives
- Provide support across Eurofins Transplant Genomics and other Eurofins U.S. Clinical Diagnostic business units
- Assist with training personnel on billing policies, reimbursement methodologies, reporting tools, and process changes
- Maintain confidentiality of patient, client, company, and financial information
- Perform additional responsibilities and special projects as assigned
Requirements:
- Minimum of 3 to 5 years of healthcare billing, reimbursement, revenue cycle, claims management, or related experience
- Strong understanding of healthcare billing, laboratory billing, collections, and accounts receivable processes
- Knowledge of commercial insurance, Medicare, Medicaid, managed care, and other third-party payer reimbursement methodologies
- Strong understanding of payer contract administration and reimbursement modeling
- Advanced Microsoft Excel proficiency, including Pivot Tables, XLOOKUP/VLOOKUP, Power Query, complex formulas, data manipulation, dashboard development, and trend analysis
- Experience working with billing systems, revenue cycle software, and reporting tools
- Laboratory billing experience
- XIFIN experience
- Experience with Ascend Data Warehouse or similar business intelligence platforms
- Experience with Power BI, Tableau, SQL, or other reporting and analytics tools
- Experience with payer contract administration and reimbursement schedule maintenance
- Experience supporting multiple business units in a shared-services environment
- Revenue cycle, coding, billing, or healthcare finance certifications (CRCR, CPB, CPC, HFMA, or equivalent)
- Proficiency in PC-based software such as Microsoft Excel, Teams, iPhone, Adobe, and associated applications
- Fundamental understanding of medical billing concepts
- Familiarity with HIPAA privacy requirements
- Knowledge of Availity and eligibility portals and medical terminology
- Understanding of payer medical policy guidelines and authorizations
- Ability to handle multiple priorities and meet deadlines
- Ability to work independently and as part of a team in a fast-paced environment
- Ability to travel as needed
- Bilingual experience a plus
Benefits:
- Excellent full time benefits including comprehensive medical coverage, dental, and vision options
- Life and disability insurance
- 401(k) with company match
- Paid vacation and holidays
- Employees can work remotely
Similar Jobs
Pricing Solutions Build & Modernization Analyst
Pricing analyst supporting REBOOT tool builds and modernization at Worldwide Clinical Trials, a global clinical research organization. Analyzing pricing data, testing solutions, and improving reporting workflows.
Pricing Solutions Build & Modernization Analyst
Pricing analyst supporting Worldwide Clinical Trials’ clinical research pricing-tool modernization. Building data models, validating pricing data, and assisting REBOOT testing and documentation.
Senior Analyst, Treasury
Treasury Analyst managing liquidity, cash forecasting, banking relationships, and financial risk for Saks Global’s luxury retail business. Supporting daily cash operations, reporting, controls, and treasury strategy.
Senior eBilling Analyst
Senior eBilling Analyst managing complex electronic billing, accruals, budgets, and invoice resubmissions for RRD, a global marketing, packaging, print, and supply chain solutions provider.
Senior PMO Analyst
Senior PMO Analyst supporting TransUnion's global portfolio governance, reporting, and assurance. Managing PMO processes remotely from a fibre-ready South African home.
Senior Digital Consulting Analyst, Oracle Cloud SCM
Oracle Cloud SCM Senior Analyst supporting procurement, inventory, and Product Hub implementations. Delivering digital transformation solutions for Huron’s consulting clients.
IB Coverage Analyst II
Investment banking coverage analyst supporting Texas Capital Bank’s transaction execution, valuation, and financial modeling. Preparing pitch materials, researching industries, and mentoring analysts.
Senior Workday HRIS Analyst – Talent and Performance
Senior Workday HRIS Analyst owning Talent and Performance solutions for Lamb Weston, a global frozen-food manufacturer. Configuring Workday, managing releases, integrations, reporting, security, and HRIS projects.
Senior Technical Services Analyst
Senior Technical Services Analyst leading complex data migrations for First Due’s fire and EMS software platform. Designing SQL transformations, validating deployments, and advancing ETL automation.
Commercial Analyst, III
Analista Comercial III apoiando campanhas, indicadores e projetos comerciais da Ânima Educação. Interface com parceiros e áreas internas para garantir prazos, execução e melhoria contínua.
Patient Engagement Analyst – Telehealth
Patient Engagement Analyst analyzing appointment data for CareTalk Health’s virtual medical practice. Improving patient show rates through reporting, dashboards, outreach analysis, and testing.
Fraud Prevention Analyst
Analista de prevenção a fraudes protegendo transações na plataforma VExpenses de despesas e viagens corporativas. Analisando riscos, chargebacks, regras antifraude e validações biométricas.
Functional Analyst II – SAP CO
Analista Funcional SAP CO modernizando contabilidade e controladoria do Grupo Boticário. Atuando na transição ECC-S/4HANA e automação financeira do ecossistema de beleza.
Revenue Integrity Analyst
Revenue Integrity Analyst optimizing charge capture, coding, and claims for Intermountain Health. Analyzing healthcare data and regulations to improve compliance and revenue.
Measurement Analyst
Measurement Analyst optimizing statistical modeling, experimentation, attribution, and forecasting. Power Digital helps brands grow through AI-native marketing strategy and analytics.
Coding Quality Analyst – Inpatient
Coding Quality Analyst auditing inpatient cases for UW Health, Wisconsin’s #1 hospital. Ensuring coding compliance, improving quality, and training inpatient coders.
Loss Prevention Fraud Analyst
Loss Prevention Fraud Analyst monitoring fraudulent transactions and securing accounts for Elavon, U.S. Bank’s payment-processing subsidiary. Resolving merchant issues and maintaining processing records.
Senior Behavioral Health Quality Audit Analyst
Senior behavioral health quality analyst supporting Massachusetts Medicaid care oversight at Elevance Health. Investigating safety concerns, auditing records, and coordinating quality improvement reporting.
Senior HRIS Analyst
Senior HRIS Analyst managing Workday HRIS configuration, reporting, and support. Leading system enhancements and serving as SME across multiple functional areas.
Valuation Analyst I
Valuation Analyst reviewing appraisals and other real estate valuations for ValuationNEXUS, a business-purpose lending AMC. Analyzing collateral risk, supporting review quality, and mentoring valuation staff.