Healthcare Revenue Cycle Analyst

Job Summary

Facilitating payment recovery efforts for denied and underpaid accounts, the full-time remote Zero Balance Auditor will review and appeal claims while ensuring compliance with patient health information regulations.

Key Responsibilities

• Review, evaluate, and follow up on outstanding claims using proprietary software and tools
• Determine correct reimbursements by analyzing payment documentation and hospital contracts
• Research and submit complex underpayment appeals to appropriate payers, ensuring timely reimbursement

Required Qualifications

• High School Diploma or GED required; Associate's or Bachelor's Degree preferred
• 5+ years of experience in healthcare billing or collections
• 1+ years of client-facing or customer service experience
• Intermediate understanding of insurance claims processing and medical terminology
• Strong computer proficiency, including MS Office applications