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Revenue Cycle Management Analyst

Revenue Cycle Management Analyst

Cardinal HealthLittle Rock, AR, US
10 hours ago
Job type
  • Full-time
Job description

Revenue Cycle Management-Analyst

Revenue Cycle Management (RCM) is responsible for finance related activities such as customer and vendor contract administration, customer and vendor pricing, rebates, billing (including dropships), processing charge backs and vendor invoices, developing and negotiating customer and group purchasing contracts.

RCM Analyst (Audit) plays a critical role in ensuring the integrity and accuracy of revenue cycle operations. By auditing payments, claim history, and beneficiary documentation, this function helps validate claim status, identify discrepancies, and determine appropriate next steps. It supports compliance with internal policies and external regulations; safeguards Protected Health Information (PHI) and enhances operational efficiency through process improvement recommendations. This work directly contributes to Cardinal Health's commitment to financial transparency, regulatory compliance, and high-quality patient service.

Qualifications :

  • 2-4 years of experience, preferred
  • Bachelor's degree in related field, or equivalent work experience, preferred
  • Knowledge of insurance billing, Medicare claims, and audit processes.
  • Familiarity with healthcare compliance issues and HIPAA regulations.
  • Proficiency in basic math, business calculations, and MS Office.
  • Effective communication and interpersonal skills.
  • Ability to work independently and collaboratively.

Responsibilities :

  • Prepare, review, and submit medical documentation and billing data to insurance providers.
  • Process electronic and paper claims accurately using billing software systems.
  • Ensure timely submission of all requests for documentation
  • Research, resolve, and appeal denied or rejected claims to ensure timely reimbursement.
  • Communicate with physicians' offices, patients, and insurance companies to verify data and resolve discrepancies.
  • Collaborate with cross-functional teams to enhance process efficiency and effectiveness.
  • Safeguard Protected Health Information (PHI) and ensure compliance with HIPAA regulations.
  • Adapt to process changes and contribute feedback for continuous improvement.
  • Participate in required department, team, and company meetings.
  • What is expected of you and others at this level :

  • Applies working knowledge in the application of concepts, principles and technical capabilities to perform varied tasks
  • Works on projects of moderate scope and complexity
  • Identifies possible solutions to a variety of technical problems and takes action to resolve
  • Apply judgment within defined parameters
  • Receives general guidance and may receive more detailed instruction on new projects
  • Work reviewed for sound reasoning and accuracy
  • Anticipated hourly range : $25.00 per hour $32.22 per hour

    Bonus eligible : No

    Benefits : Cardinal Health offers a wide variety of benefits and programs to support health and well-being.

  • Medical, dental and vision coverage
  • Paid time off plan
  • Health savings account (HSA)
  • 401k savings plan
  • Access to wages before pay day with myFlexPay
  • Flexible spending accounts (FSAs)
  • Short- and long-term disability coverage
  • Work-Life resources
  • Paid parental leave
  • Healthy lifestyle programs
  • Application window anticipated to close : 12 / 10 / 2025

  • if interested in opportunity, please submit application as soon as possible.
  • Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply. Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity / expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law.

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    Revenue Cycle Analyst • Little Rock, AR, US

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