Remote Hospital Revenue Cycle & Reimbursement Analyst

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

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

401(k)

Job summary

Addison Group is seeking a Hospital Revenue Cycle Analyst to support revenue accuracy, contract reimbursement, and auditing in a remote-capable role servicing a San Antonio area client. The role emphasizes hospital billing, UB-04 claims, payer contracts, reimbursement methodologies, and Excel-driven variance analysis.

The ideal candidate will review accounts, verify payer terms, analyze reimbursements, and resolve discrepancies across the revenue cycle.

Qualifications

• Experience in hospital revenue cycle, billing, or collections required.
• Experience reviewing payer contracts, fee schedules, and reimbursement terms.
• Knowledge of UB-04 hospital claims.
• Strong understanding of insurance reimbursement and payment methodologies.
• Experience reading and interpreting Explanation of Benefits (EOBs).

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 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.

Skills

Hospital billing

Payer contracts

EOB interpretation

Data analysis

Tools

Excel

Job description

Addison Group is seeking a Hospital Revenue Cycle Analyst to support revenue accuracy, contract reimbursement, and auditing in a remote-capable role servicing a San Antonio area client. The role emphasizes hospital billing, UB-04 claims, payer contracts, reimbursement methodologies, and Excel-driven variance analysis.

The ideal candidate will review accounts, verify payer terms, analyze reimbursements, and resolve discrepancies across the revenue cycle.