Revenue Cycle Analyst

Revenue Cycle Analyst

Remote

Pain Management Group is currently searching for a full-time Revenue Cycle Analyst to remotely join our team!

Position Summary: This position is responsible for overseeing charge capture accuracy, billing reconciliation, payment integrity, and vendor performance across PMG’s revenue cycle within our hospital partnerships. This role works closely with internal operations and a third-party billing company to ensure that all services rendered at our partner locations are billed, adjudicated, and reimbursed correctly. This position is proactive in identifying and resolving revenue leakage through reconciliation, variance analysis, and data-driven insights.

What we can offer YOU:

• Health insurance
• Dental insurance
• Vision insurance
• Life insurance
• Disability insurance
• 401k
• Pay: $50,000 – $60,000/year, offer dependent on experience

Schedule:

• Monday to Friday, full-time
• Remote but required to live in Eastern or Central Time Zones

Required Qualifications:

• 3+ years of experience in healthcare revenue cycle management, billing analytics, or reimbursement analysis
• Strong understanding of the claim lifecycle, EOBs/ERAs, and payer adjudication
• Advanced Excel skills (pivot tables, lookups, reconciliation logic)
• Experience working with a third-party billing company
• Strong analytical, investigative, and problem-solving skills
• Ability to communicate findings clearly to both operational and financial stakeholders

Preferred Qualifications:

• Experience in professional billing, hospital-based services, or specialty practices
• Familiarity with CPT, modifiers, and payer contract language
• Experience with BI tools (Power BI, Tableau) or SQL
• Background in payment integrity, audit, or compliance analytics

Typical day in the life as a Revenue Cycle Analyst:

• Develop and maintain a comprehensive charge batch tracking system (Excel-based) by collaborating with operations to align provider schedules, encounters, and expected charges.
• Reconcile internal charge tracking with submissions and billing activity from the third-party billing company to ensure all services rendered are billed accurately and timely.
• Identify missing, delayed, or incorrectly billed charges and work with internal teams and the billing vendor to resolve discrepancies.
• Investigate and resolve variances between expected charges, billed charges, and adjudicated claims.
• Perform root cause analysis for recurring variances, including issues related to charge capture, coding, modifiers, payer processing, or billing workflows.
• Document findings and recommend process improvements to reduce future revenue leakage.
• Compare actual reimbursements against contracted payer fee schedules to validate payment accuracy.
• Identify underpayments, trend issues by payer or service line, and support recovery efforts.
• Maintain payer reimbursement benchmarks and assist with contract performance evaluations.
• Develop and maintain monthly revenue cycle KPI dashboards, including but not limited to: Charge lag, Charge capture completeness, Billing timeliness, High-dollar claim status, Payment variance and underpayment trends, Vendor performance metrics
• Present insights and trends to leadership with clear, actionable recommendations.
• Serve as a key point of contact for the third-party billing company regarding reconciliation, variances, and performance issues.
• Support vendor accountability through data transparency, issue tracking, and follow-up.

If you feel as though you would make a great fit for this position, please submit a current resume for review!

We partner with health systems and independent hospitals to provide safe and responsible pain management care in the communities they serve. Our partners are provided with the blueprint and ongoing program management resources to cultivate a robust, outpatient pain management service line through Balanced treatment approach, Hosital-based model, Program sustainability, Quantifiable outcomes and results.