Revenue Cycle Analyst

Our family of services comprises three distinct mental health treatment programs, including a specialized program for US Veterans. With over 15 unique locations, we manage and support 500+ dedicated employees serving over 300 residential clients daily located across five states: California, Idaho, Maine, New Hampshire, and Texas. Paradigm Treatment (West Coast) and Ridge RTC (East Coast) partner together under Altior, united by a shared commitment to providing exceptional mental health care. For over a decade, our core clinical and support teams have worked side-by-side, delivering compassionate, evidence-based treatment that changes lives. As part of the Altior network, you’ll find the stability of an established organization with the heart of a close-knit treatment community where every role matters. Job Summary: The RCM Analyst supports revenue cycle operations with a focus on financial reconciliation, system accuracy, account resolution, RCM reporting, and technical process improvement. This role independently researches financial activity across bank records, the RCM billing & reporting system [Lightning Step (LS)], payer portals, and internal reporting to ensure deposits are verified, claim transactions are accurately recorded, and outstanding transactions are resolved or escalated. The ideal candidate has advanced Excel skills, strong technical aptitude, and the ability to work confidently with large data sets and multiple systems. The role requires attention to detail, sound judgment, ownership of recurring workflows, and clear communication of discrepancies, trends, and recommended next steps. Responsibilities Daily Deposit Reconciliation & Payment Accuracy Partner with the RCM Manager and Senior Director of Revenue Cycle on reconciliation priorities, research findings, unresolved variances, and process improvements. Provide timely updates and elevate issues requiring review or approval. Complete daily deposit reconciliation which requires comparison of bank deposit activity with transactions recorded in LS; deposit date verification/correction; upload of supporting EOBs and documentation. Perform month-end reconciliation of monthly deposits, investigate variances, document status and resolution of outstanding discrepancies. Review and resolve unallocated insurance and private pay payments, requires analysis of bank and LS activity, research of the related LS accounts then determination of appropriate application action/entry. Review and resolve unallocated client activity and client credit-balance; requires analysis of bank and LS activity, identification of root causes and coordination of corrections in accordance with approval requirements. Review and manage paid to subscriber (PTS) outstanding balances using existing reporting, update accounts once deposits are confirmed and confirm payment posting is complete and accurate. Review and reconcile private pay collection partner reporting, Capital Recovery (CR), post private pay deposits as appropriate, and investigate discrepancies between CR reporting, bank activity, and LS account balances. Payment Posting, Adjustments & Account Resolution Work with the RCM Manager and Senior Director of Revenue Cycle to review account-resolution findings, determine appropriate next steps, and elevate adjustments, write-offs, or other changes requiring approval Research incorrect postings, reversals, contractual adjustments, and CO-45 adjustments; determine cause of discrepancies and coordinate accurate corrections. Review credit balances, canceled accounts, crossed-account payments, and other account variances to identify appropriate resolution and prevent recurring issues. Review aged private-pay balances, prioritizing accounts +2 years then shift attention to accounts 1-2 year age; research account history, recommend appropriate next steps. Review closed CR accounts, identify items for potential write-off or adjustment, following established approval processes before changes are finalized. Validate vendor collection activity, fees against reported collections and actual cash received; research differences and communicate findings to internal leadership and vendor contacts. EOB Visibility & Cross-Team Support Coordinate with the RCM Manager and Senior Director of Revenue Cycle, along with payment posting and other internal teams, to address documentation gaps, communicate outstanding items, and improve cross-team visibility and follow-up. Review payer portals for $0-payment EOBs, download supporting documents, upload to LS or designated location. Send $0-payment EOBs to payment posting team and maintain visibility so relevant teams can take timely action. Maintain clear documentation of research performed, discrepancies identified, actions taken, open items, and required follow-up. Advanced Excel, Systems & Technical Process Improvement Use advanced Excel capabilities to analyze, reconcile, and validate large data sets, including formulas and lookup functions, SUMIFS, pivot tables, filtering, conditional formatting, and data comparison techniques. Build and maintain reconciliation workbooks, trackers, and reports that improve visibility into deposits, unallocated payments, PTS activity, credit balances, EOBs, and CR posting. Identify data-quality issues, reporting gaps, workflow inefficiencies, and opportunities to reduce manual work; recommend practical system or process improvements. Navigate LS, payer portals, banking records, and internal reporting tools efficiently; troubleshoot discrepancies across systems and trace transactions from source documentation through account posting. Summarize findings in clear, actionable format, including amount and type of variance, affected account or transaction, likely cause, corrective action, owner, and follow-up date. Requirements Bachelor’s degree strongly preferred in Business, Accounting, Finance or a related field. Minimum 3 years’ experience in revenue cycle management, patient financial services, medical billing, or related financial operations within healthcare environments. Payor Knowledge: Knowledge of healthcare payors, payer portals, EOBs, claim payment outcomes, contractual adjustments, denials, and payment discrepancies. Accounts Receivable (AR) Follow-Up: Knowledge of researching unpaid and underpaid claims, reviewing account history, documenting payer interactions, tracking follow-up actions, and escalating unresolved issues. Advanced Excel: Proficiency with formulas, lookup functions, SUMIFS, pivot tables, conditional formatting, and reconciling large data sets. Technical Capabilities: Ability to navigate multiple systems, payer portals, financial records, and reporting tools while independently investigating discrepancies. Analytical Skills: Ability to validate data, identify root causes, recommend corrections, and communicate findings clearly. Organization and Communication: Strong attention to detail, time management, follow-through, and written and verbal communication skills. This is a hybrid position requiring two days in-office at our Los Angeles corporate office Salary Range

$70,000 - $80,000 USD

Comprehensive benefits package: medical, dental, and vision. 401k with 4% match. Paid Time Off Programs including vacation, holidays, and illness. For Direct Care roles: Chef made meals onsite. Professional trainings provided for development; continuing education assistance for clinicians. Supportive clinical supervision and professional development. Altior Healthcare is an Equal Opportunity Employer and considers applicants for employment without regard to race, color, religion, sex, orientation, national origin, age, disability, genetics or any other basis forbidden under federal, state, or local law. Voluntary Self-Identification For government reporting purposes, we ask candidates to respond to the below self-identification survey.Completion of the form is entirely voluntary. Whatever your decision, it will not be considered in the hiringprocess or thereafter. Any information that you do provide will be recorded and maintained in aconfidential file. As set forth in Paradigm Treatment Centers’s Equal Employment Opportunity policy,we do not discriminate on the basis of any protected group status under any applicable law. If you believe you belong to any of the categories of protected veterans listed below, please indicate by making the appropriate selection.As a government contractor subject to the Vietnam Era Veterans Readjustment Assistance Act (VEVRAA), we request this information in order to measurethe effectiveness of the outreach and positive recruitment efforts we undertake pursuant to VEVRAA. Classification of protected categoriesis as follows: A "disabled veteran" is one of the following: a veteran of the U.S. military, ground, naval or air service who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Secretary of Veterans Affairs; or a person who was discharged or released from active duty because of a service-connected disability. A "recently separated veteran" means any veteran during the three-year period beginning on the date of such veteran's discharge or release from active duty in the U.S. military, ground, naval, or air service. An "active duty wartime or campaign badge veteran" means a veteran who served on active duty in the U.S. military, ground, naval or air service during a war, or in a campaign or expedition for which a campaign badge has been authorized under the laws administered by the Department of Defense. An "Armed forces service medal veteran" means a veteran who, while serving on active duty in the U.S. military, ground, naval or air service, participated in a United States military operation for which an Armed Forces service medal was awarded pursuant to Executive Order 12985. #J-18808-Ljbffr Paradigm Treatment