Remote Hospital Revenue Cycle Analyst – Reimbursement

The Addison Group; Plano (TX); Remote; USD 34,000 - 37,000; Full time

Benefits offered by this job

Medical

Dental

Vision

401(k)

Job summary

The Addison Group is actively seeking a Remote Hospital Revenue Cycle Analyst to support contract reimbursement for healthcare accounts. The role emphasizes accurate billing, payer contract application, and rigorous variance analysis, with strong Excel usage and attention to detail.

Responsibilities include auditing EOBs, researching discrepancies, and supporting month-end revenue reporting, while collaborating with finance and managed care teams. Prior experience in UB-04 claims is preferred.

Qualifications

• Experience in hospital revenue cycle, billing or collections.
• Experience reviewing payer contracts, fee schedules, per diem rates, and reimbursement terms.
• Knowledge of UB-04 hospital claims.
• Strong mathematical and analytical skills.
• Proficiency with Microsoft Excel.

Responsibilities

• Review hospital accounts to ensure charges, payments, and balances are accurate.
• Verify insurance information and confirm appropriate payer contracts are applied.
• Compare contracted reimbursement rates against actual insurance payments.
• Analyze fee schedules, per diem rates, and other reimbursement methodologies.
• Identify and research underpayments, overpayments, and account variances.
• Review Explanation of Benefits (EOBs) to validate reimbursement.
• Audit accounts before billing, throughout the billing process, and after payment.
• Research billing discrepancies and determine appropriate corrections.
• Prepare and follow up on underpayment appeals based on payer contract terms.
• Complete account adjustments, contract overrides, and corrected pricing as needed.
• Review credit balances and assist with refund processing.
• Reconcile exception reports and resolve outstanding discrepancies.
• Support month-end reconciliation, reporting, and revenue accuracy reviews.
• Maintain accurate payer information, reimbursement rates, and account documentation.
• Analyze revenue data using Excel and identify trends impacting reimbursement.
• Collaborate with Revenue Cycle, Finance, and Managed Care teams to resolve contract and payment issues

Skills

Hospital Revenue Cycle

Excel proficiency

Payer contract analysis

Financial accuracy

Attention to detail

Tools

WellSky

Job description

The Addison Group is actively seeking a Remote Hospital Revenue Cycle Analyst to support contract reimbursement for healthcare accounts. The role emphasizes accurate billing, payer contract application, and rigorous variance analysis, with strong Excel usage and attention to detail.

Responsibilities include auditing EOBs, researching discrepancies, and supporting month-end revenue reporting, while collaborating with finance and managed care teams. Prior experience in UB-04 claims is preferred.