Senior Professional Billing Claims Revenue Cycle Analyst
$83.7k - $155.69kAdventHealth
Our Promise To You Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose‑minded team. All while understanding that together we are even better. Benefits Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance Paid Time Off from Day One 403‑B Retirement Plan 4 Weeks 100% Paid Parental Leave Career Development Whole Person Well‑being Resources Mental Health Resources and Support Pet Benefits Schedule Full time Shift Day (United States of America) Location 902 INSPIRATION AVE, ALTAMONTE SPRINGS, FL 32714, USA Job Description Demonstrates advanced functional knowledge of Epic, applicable third‑party solutions, and the Microsoft suite of products. Serves as a lead member of the Revenue Cycle Applications Team, dedicated to developing electronic documentation solutions that support clinical and revenue cycle workflows. Develops and maintains collaborative relationships with all stakeholders, capturing business and technical requirements. Assesses workflow processes, identifies gaps, defines necessary process changes, and develops future workflows related to new solutions or functionality. Designs, builds, and configures within assigned Epic system modules and supporting third‑party applications, developing and maintaining system process documentation. Develops test scripts and materials for end‑to‑end workflow testing, performs unit, system, and integration testing, and documents outcomes. Remains current on industry trends and vendor/application/system updates, ensuring software modifications/upgrades work according to Epic specifications. Follows departmental standards for software configuration control, quality assurance, and version releases, providing documentation and training on system upgrades and new releases. Troubleshoots issues or system deficiencies, initiates escalation procedures, and provides recommendations for resolution. Participates in multiple cross‑functional projects, utilizing project planning and coordination methodologies, tools, and lean methodologies. Provides guidance and acts as a resource for other analysts, project managers, and consultants. Actively participates in project, team, departmental, and other meetings, reporting status updates, accomplishments, tasks, and barriers to the manager. Other duties as assigned. Knowledge, Skills, and Abilities Epic Certification or ability to complete certification within 3 months of completing classes [Required] Advanced Microsoft suite of products [Required] Demonstrated creative problem‑solving approach and strong analytical skills [Required] Must have strong written and verbal communication skills [Required] Knowledge of clinical/revenue cycle/technical workflow [Required] Work with minimal guidance [Required] Rapid learner [Required] Advanced ability to manage multiple tasks and projects within deadline constraints [Required] Advanced knowledge of HL7 and API concepts and operating within an integrated healthcare applications environment [Required] Education Associate [Required] Bachelor’s [Preferred] Field Of Study Business, Information Systems, or healthcare related field Work Experience 3+ years or more of experience developing training materials and documenting workflow design [Required] 5+ years of clinical, revenue cycle, business or technical background [Preferred] EMR application/implementation experience [Preferred] Additional Information N/A Licenses And Certifications EPIC Credential (EPIC CRED) [Preferred] Physical Requirements Physical Requirements - Pay Range $83,699.48 - $155,693.55 This facility is an equal opportunity employer and complies with federal, state and local anti‑discrimination laws, regulations and ordinances. #J-18808-Ljbffr AdventHealth
$20.02 - $25.78 per hour
Cardinal Health is seeking a Revenue Cycle Management specialist in New York. The role involves submitting medical documentation to insurance providers, researching denied claims, and preparing claims using billing software. Candidates should have at least 2 years of experience...ClaimsRemote jobHourly pay$20.02 - $25.78 per hour
...EST (or based on business needs) Overview Revenue Cycle Management team focuses on a series of... ...healthcare providers utilize to capture, bill, and collect patient service revenue.... ...Researching and appealing denied and rejected claims Preparing, reviewing, and transmitting...ClaimsHourly payTemporary workWork experience placementLocal areaRemote workFlexible hours- Jobtailor is seeking an experienced healthcare revenue cycle leader in New York to oversee pharmacy billing, AR, denial management, and reconciliation across pharmacy and medical benefit claims. You will guide cross-functional teams with Finance, Compliance, IT, and Pharmacy...SeniorClaims
- Job Description: As a Senior Manager in Healthcare Revenue Cycle Management, you will be responsible for leading... ...analyzing, resolving, and preventing claim denials. Your expertise will... ...pinpointing root causes such as coding, billing, or authorization errors. Work closely...SeniorClaimsLocal areaRemote work
- ...Payer Contracting or Revenue Cycle experience that... ...pricing transparency, billing, prior authorization... ...inpatient hospital claims, APC rates for outpatient... ..., technical and professional rates by modifiers.... ...Position Summary The Senior Managed Care Analyst is responsible for providing...SeniorClaimsFull timeContract workWork at office
$20.02 - $25.78 per hour
...based on business needs) What Revenue Cycle Management (RCM) contributes... ...utilize to capture, bill, and collect patient service... ...a subject matter expert in claims processing. Investigates insurance... ...at this level Friendly, professional, and effective communications...ClaimsHourly payTemporary workLocal areaRemote workMonday to FridayFlexible hours$18 per hour
...Summary: Under the direct supervision of the Revenue Cycle Ancillary Supervisor, this position is... ...-up to maximize reimbursement for ancillary billing. The ideal candidate will have a strong understanding of medical claims billing, denial management, and insurance follow...ClaimsWork at office- ...health organization based in New York seeks skilled professionals for various roles in its Revenue Cycle Management team. Positions include resolving claim issues, handling patient collections, and ensuring efficient billing processes. Ideal candidates will have at least 2...Claims
$50k
...unique blend of personality and professional expertise to your work,... ...Position Overview The Itemized Bill Review Senior Analyst will be responsible for analyzing hospital claims for adherence to proper... ...techniques, identification of revenue opportunities and financial...SeniorClaimsFull timeLocal areaVisa sponsorshipFlexible hours- ...markets. We are building a scalable, professional infrastructure to support continued growth... .... About The Role We are seeking a Revenue Cycle Manager to oversee and improve our... ...full revenue cycle process, including billing, claims management, collections, denials, payment...ClaimsContract work
- Health First in New York seeks a Revenue Cycle Specialist to manage third-party claims reimbursements for professional and institutional services. You will review, follow up, and resolve claims to ensure timely billing and payment, collaborating with coding, patient financial...ClaimsWork at office
- A healthcare organization is seeking professionals for various roles in its Revenue Cycle Management team. Responsibilities include resolving claim issues, assisting patients with billing questions, and handling accounts receivable. Candidates should ideally have at least...Claims
- Health Business Solutions LLC is seeking a Senior Manager in Healthcare Revenue Cycle Management to lead a team in improving revenue integrity and financial... ...5-8 years of relevant experience, focusing on reducing claim denials and improving overall revenue cycle performance...SeniorClaims
$70k - $80k
...providers, managed care organizations, and states. As a Revenue Cycle Solutions Analyst, you will focus on the implementation or ongoing maintenance... .... Direct, hands‑on experience with X12 formats (837/835 claims and remittances) is required. HL7 and FHIR experience are...ClaimsFull timeLocal areaNight shift- ...Overview The Manager of Outpatient Revenue Cycle is responsible for planning,... ...outpatient medical billing and coding for all Community... ...outpatient charge capture, coding, claims submission, and collection... ...on committees; maintains professional affiliations to stay current...ClaimsContract workHome office
$118.8k - $178.2k
...Hartford is seeking to hire a Senior Litigation Analyst to join our Legal team. We... ...outside counsel legal bill invoices and to conduct in... ...exchange of information with Claims regarding observed and identified... .../ Construction Defect and Professional Liability claims. All...SeniorClaimsTemporary workWork at officeRemote work3 days per week- Position Summary The Revenue Cycle Specialist is responsible for the review, analysis, follow‑up, and resolution of third‑party claims reimbursements, ensuring timely billing, collection, and payment of professional and institutional healthcare claims. The Revenue Cycle...ClaimsFull timeWork experience placementWork at officeShift work
- Join Cardinal Health, Inc. as a leader in Revenue Cycle Management for the Doral, Florida office. In this role, you will supervise daily operations, manage billing and claims, and improve revenue processes. Candidates should have a Bachelor's degree, 2-3 years of relevant...ClaimsWork at office
- ...lifecycle? We are looking for talented professionals to join our Revenue Cycle Management team. By applying to this... ...: Revenue Cycle Specialist (Billing & Collections): The Revenue Cycle Specialist... ...is responsible for resolving claim issues including denials, payment variances...ClaimsTemporary workWork at officeFlexible hours
- BrentCare Behavioral Health is looking for a Revenue Cycle Manager to oversee the revenue cycle operations. This role involves managing billing, claims management, collections, and coordinating with internal operations teams. The ideal candidate will have over 5 years...Claims
- A healthcare organization is seeking a Revenue Cycle Specialist responsible for ensuring timely billing, collection, and payment of healthcare claims. The candidate will review claims, resolve discrepancies, and collaborate with various departments to maximize reimbursements...ClaimsWork at office
- Orthopaedic Solutions Management seeks a Revenue Cycle Ancillary Specialist to ensure timely accounts receivable collection and follow... ...internal teams to maximize reimbursement. A solid understanding of claims billing and patient inquiries will help improve revenue cycle...Claims
- The University of Miami is seeking a full-time Sr. Revenue Cycle Audit Specialist to work in Miami, FL. This role involves conducting reviews of Revenue Cycle external audits related to billing and coding, serving as a team lead, and providing technical assistance to junior...SeniorFull time
- ...Job Summary The Revenue Cycle Operations Director will oversee all aspects of the revenue cycle, from billing and coding to claims processing and collections. This role will be responsible for ensuring the efficiency, accuracy, and financial integrity of revenue cycle...ClaimsLocal areaRemote work
- Case Review Analyst - Exact Billing Solutions (EBS) Lauderdale Lakes, FL - On-site Who We... ...Billing Solutions is a unique team of revenue cycle management professionals specializing in the substance use... ...to service utilization or claims denials. Provide requested documentation...ClaimsWork at officeFlexible hours
$138.6k - $231k
...Summary This role is responsible for all revenue cycle business operations for an assigned... ...revenue cycle, including, but limited to, billing functionality and service components... ...experience. Typically requires 13+ years of professional experience and 6+ years of diversified...SeniorInterim role- Zelis Healthcare, LLC is looking for an Itemized Bill Review Senior Analyst to analyze hospital claims for adherence to billing guidelines. You'll work closely with the Expert Claims Review team to process claims and ensure quality. This role involves training new associates...SeniorClaims
- The Senior Accountant plays a crucial role... ...corrections Full‑cycle AP functions: approvals... ...Review unpaid bills, unapplied credits... ...cycle A/R: billing, revenue upload, payment... ...of experience in a professional accounting position... ...200,000 insurance claims annually for...SeniorClaimsTemporary workFor contractorsRemote work
- ...requirements documents, QA testing, and collaborating with other data analysts and engineers. Responsibilities: Build and grow a deep... ...assurance. Proficiency in SQL and PowerBI. Healthcare revenue cycle or claims experience is strongly preferred. Excellent analytical and...SeniorClaims
- Responsibilities Provide operational leadership across pharmacy revenue cycle functions, including billing, accounts receivable, denial management, cash... ...reimbursement processes to ensure accurate, timely, and compliant claim submission and payment posting across pharmacy and...ClaimsWork at office
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