Revenue Cycle Reimbursement Analyst

Job Description

Job Description

REVENUE CYCLE REIMBURSEMENT ANALYST

DEPARTMENT: Revenue Cycle Management

JOB TYPE: Full-Time

SCHEDULE: 8 AM- 5 PM

LOCATION: Johns Creek, GA – Flexible/Hyrid/Remote

REPORTS TO: VP of Revenue Management

SUMMARY: Founded in 2014, Zywie Healthcare is a cardiac monitoring company. We record and transmit patients’ EKGs through holter monitor, event monitor, & mobile cardiac telemetry monitors. We are a trendsetter in the industry by putting doctors’ offices and hospitals in complete control of their cardiac monitoring. As an organization on the cutting-edge of medical science, we plan to expand beyond the confines of a cardiac device company to become the gold standard for patient care. We want you to help us make this a reality.

We currently have an opening for a Revenue Cycle Reimbursement Analyst position in our Johns Creek office. The Revenue Cycle Reimbursement Analyst will analyze billing and revenue cycle data to identify payer trends, billing discrepancies, revenue recovery opportunities, and areas for improved financial performance. This role will partner with the billing vendor and internal leadership to monitor A/R, denials, payments, reimbursements, and other key revenue cycle metrics. The analyst will also develop and maintain Excel- and BI-based dashboards and reports, support revenue cycle improvement initiatives, and present data-driven recommendations to leadership.

DUTIES AND RESPONSIBILITIES:

· Analyze weekly and monthly billing company data to identify payer trends, anomalies, and opportunities for revenue recovery.

· Analyze reimbursement data to minimize denials and maximize revenue.

· Support special projects such as payer performance audits, denial reduction initiatives, and reimbursement optimization plans.

· Collaborate with the billing vendor to review claim aging reports, payment posting accuracy, and reconciliation processes.

· Build dashboards and visual reports (Excel, Power BI, or Tableau) to track KPIs like days in A/R, denial rates, and underpayment recovery.

· Summarize and document findings by creating summary reports and present recommendations to leadership.

· Analyze payer mix, procedure mix, and referral-source trends to highlight growth and margin opportunities.

· Prepare and distribute reports as needed.

· Perform other related duties as assigned by management.

QUALIFICATIONS:

· Bachelor's degree in Finance, Accounting, Business Analytics, Health Administration, Information Systems, or a related field; equivalent experience considered in lieu of degree.

· 2–4 years of experience in data analysis, revenue cycle analytics, billing analysis, or financial reporting.

· Minimum Advanced-level Excel — advanced formulas (XLOOKUP, INDEX/MATCH, SUMIFS, nested logic), pivot tables, Power Query, data modeling, and the ability to build a clean, auditable workbook another person can follow.

· Ability to reconcile large datasets and explain the variances.

Preferred Qualifications

· Healthcare revenue cycle experience, particularly with diagnostics, IDTF, DME, or remote patient monitoring billing.

· Working knowledge of CPT/HCPCS coding, modifiers, EOBs, and 835/837 remittance and claim files.

· Familiarity with Medicare fee schedules, commercial payer contracts, and payer-specific reimbursement rules.

· Experience with billing/RCM platforms and accounting systems.

· Hands-on experience building dashboards in Power BI, Tableau, or a comparable BI platform.

COMPETENCIES:

· Analytical - Synthesizes complex or diverse information; Collects and researches data; Uses intuition and experience to complement data; Designs workflows and procedures.

· Problem Solving - Identifies and resolves problems in a timely manner; Gathers and analyzes information skillfully; Develops alternative solutions; Works well in group problem solving situations; Uses reason even when dealing with emotional topics.

· Customer Service - Manages difficult or emotional customer situations; Responds promptly to customer needs; Solicits customer feedback to improve service; Responds to requests for service and assistance; Meets commitments.

· Oral Communication - Speaks clearly and persuasively in positive or negative situations; Listens and gets clarification; Responds well to questions; Demonstrates group presentation skills; Participates in meetings.

· Written Communication - Writes clearly and informatively; Edits work for spelling and grammar; Varies writing style to meet needs; Presents numerical data effectively; Able to read and interpret written information.

PHYSICAL DEMANDS AND WORK ENVIRONMENT:

· Frequently required to stand/walk/sit

· Continually reviewing computer screens

· Continually required to utilize hand and finger dexterity

· Frequently required to climb, balance, bend, stoop, kneel or crawl

· Continually required to talk or hear

· Continually utilize visual acuity to operate equipment, read technical information, and/or use a keyboard

· Occasionally required to lift/push/carry items up to 50 pounds

· Additional remarks regarding work environment

· Specialized equipment, machines, or vehicles used

BENEFITS:

· Health Insurance