Revenue Cycle Support Analyst

Public Health Management Corporation; Philadelphia (Philadelphia County); On-site; USD 60,000 - 85,000; Full time

Job summary

Public Health Management Corporation is seeking a Revenue Cycle Support Analyst to provide analytical and operational support to the Revenue Cycle Liaisons across dental, medical, and behavioral health services. The role involves focused revenue cycle analysis, KPI reporting, and handling patient billing inquiries to improve the patient financial experience.

The analyst will bridge clinic operations with ASP, payers, and staff to identify workflow gaps, escalate issues, and support timely

Qualifications

• High school diploma or equivalent required.
• Associate or bachelor’s degree preferred.
• Two+ years of experience in healthcare revenue cycle required.

Responsibilities

• Provide direct operational and analytical support to Revenue Cycle Liaisons across dental, medical, and behavioral health services.
• Assist with KPI reporting, trend analysis, and escalation of issues to the appropriate liaison or billing resource.
• Review patient balances, eligibility, and self-pay responsibilities; assist with billing readiness and patient inquiries.
• Support sliding fee screening workflows and ensure compliance with PHMC policy and FQHC requirements.

Skills

Healthcare revenue cycle

Patient billing

Education

High school diploma or equivalent

Associate or bachelor’s degree preferred

Job description

PHMC serves as both a direct service provider to individuals, families, and communities across the region and an intermediary agent—managing large-scale contracts, government and philanthropic partnerships, and multidisciplinary initiatives that require operational sophistication, strategic leadership, and deep mission alignment.

COMPONENT: Revenue Cycle / Clinic Operations

DIVISION: Accounting

LOCATION: 1500 Market Street

REPORTS TO: Clinic Revenue Cycle Liaisons supporting Dental, Medical, and Behavioral Health services

FTE Status-Full-Time

Position Summary

The PHMC Revenue Cycle Support Analyst provides dedicated analytical and operational support to the Revenue Cycle Liaisons across dental, medical, and behavioral health services. Key responsibilities include focused revenue cycle analysis, operational follow-up, KPI reporting, patient billing inquiries, insurance payer outreach, self-pay and patient responsibility reviews, and sliding fee screening and documentation. The role supports the liaison team by managing defined analytical, follow-up, and issue-resolution activities while maintaining visibility into clinic-level revenue cycle performance.

The position serves as a bridge between PHMC clinic operations, Revenue Cycle Liaisons, ASP, insurance payers, and patient-facing staff to help identify workflow gaps, resolve recurring issues, support timely escalation, and improve patient financial experience.

Essential Duties and Responsibilities :

• Provide direct operational and analytical support to PHMC Revenue Cycle Liaisons across dental, medical, and behavioral health clinic service lines, including patient access, registration accuracy, eligibility verification, patient responsibility review, and billing readiness.
• Support Revenue Cycle Liaisons by conducting focused analysis, researching account-level issues, identifying trends and root causes, summarizing findings, and following assigned worklists and action items through resolution or appropriate escalation.
• Perform self-pay charge and patient responsibility reviews, including balances, expected patient liability, sliding fee or discount application, insurance eligibility opportunities, and potential account corrections requiring escalation.
• Support sliding fee screening workflows by reviewing whether eligible self-pay patients and commercially insured patients with higher cost-sharing amounts have been identified, offered appropriate sliding fee application information, and routed for completion in accordance with PHMC policy and FQHC requirements.
• Identify accounts where sliding fee application, discount application, or patient responsibility calculations may not align with documented eligibility and elevate discrepancies to the appropriate PHMC Revenue Cycle Liaison, billing team, or clinic resource for review and correction.
• Support PHMC’s revenue cycle performance monitoring by running recurring KPI reports, validating outputs, preparing clinic-level summaries, identifying trends, and escalating performance concerns to the appropriate Revenue Cycle Liaison.
• Track, research, and help resolve revenue cycle issues related to eligibility, coordination of benefits, claim edits, denials, missing documentation, payer requirements, coding feedback, payment posting, and accounts receivable follow-up.
• Conduct insurance payer outreach by contacting payer representatives, submitting inquiries, obtaining claim or authorization status updates, clarifying benefit or eligibility questions, documenting responses, and escalating unresolved issues to the appropriate PHMC Revenue Cycle Liaison or billing resource.
• Maintain issue trackers, worklists, escalation logs, and status updates to support timely resolution of items affecting claim submission, reimbursement, and patient account accuracy.
• Review revenue cycle reports and dashboards, including insurance verification rate, clean claim rate, denial trends, accounts receivable aging, point-of-service collections, no-show rate, and front-desk quality assurance results.
• Prepare recurring revenue cycle performance updates for clinic leadership, revenue cycle leadership, and liaison teams, highlighting trends, open issues, barriers, root causes, and recommended follow-up actions.
• Run, compile, and distribute recurring revenue cycle KPI reports for dental, medical, and behavioral health service lines, including clinic-level performance summaries, trend analysis, and supporting detail for liaison review.
• Validate KPI reporting outputs for accuracy and completeness by reconciling report totals, reviewing outliers, identifying missing data, and escalating potential data integrity concerns to the appropriate liaison, billing team, or system owner.
• Track KPI performance against established targets, identify unfavorable trends or recurring gaps, and summarize key drivers for discussion with Clinic Revenue Cycle Liaisons and operational leadership.
• Develop and maintain reporting calendars, distribution lists, meeting materials, and follow-up documentation to support timely review of revenue cycle performance and outstanding operational issues.
• Escalate urgent or recurring revenue cycle issues through the appropriate pathway, including payer-related barriers, system access or configuration issues, workflow breakdowns, unresolved denials, claims submission delays, and clinic documentation gaps.
• Support staff education by helping develop job aids, process reminders, workflow guides, scripting tools, and refresher training materials for front-desk and clinic team members.
• Assist with onboarding and ongoing coaching efforts related to registration standards, insurance verification workflows, sliding fee application processes, patient responsibility conversations, and payer-specific requirements.
• Coordinate with billing teams, external vendors, clearinghouses, and payer representatives as directed to request information, follow up on outstanding items, and support resolution of operational issues.
• Identify recurring revenue cycle issues, front-end errors, and denial root causes; communicate patterns and recommend workflow or process improvements to the appropriate Clinic Revenue Cycle Liaison for education, escalation, or process redesign.
• Support compliance with organizational policies, FQHC requirements, payer guidelines, privacy requirements, and documentation standards related to patient registration, billing, collections, financial assistance, and sliding fee processes.
• Participate in recurring revenue cycle meetings, denials prevention discussions, clinic operations huddles, workgroup sessions, and performance improvement initiatives.
• Perform other duties as assigned to support revenue cycle performance, operational consistency, and patient financial experience.

Key Areas of Focus

Functional Area

Primary Support Responsibilities

Support insurance verification, eligibility issue resolution, benefit documentation, claim readiness, denial tracking, and patient responsibility workflows specific to dental services.

Medical

Support registration accuracy, payer validation, prior authorization follow-up, sliding fee documentation, claim edit resolution, and front-end denial prevention.

Behavioral Health

Support benefit verification, authorization tracking, documentation follow-up, visit readiness, payer-specific requirements, and coordination with clinic and billing teams.

Cross-Functional Revenue Cycle

Support performance tracking, issue escalation, KPI monitoring, training materials, worklist management, payer outreach, patient billing inquiry follow-up, self-pay charge reviews, and communication between PHMC clinic operations and revenue cycle teams.

Provide hands-on support for recurring KPI reporting, including report generation, data validation, variance identification, issue escalation, action item tracking, and preparation of performance summaries for liaison and leadership review.

Patient Billing Inquiry Support

Review patient questions related to balances, charges, insurance activity, self-pay status, patient responsibility, and account follow-up; document findings and escalates complex or sensitive issues to the appropriate PHMC liaison or billing resource.

Payer Outreach and Follow-Up

Contact insurance payers to research claim status, eligibility and benefit questions, denial reasons, missing documentation, payment issues, and other items requiring follow-up on behalf of the Revenue Cycle Liaisons.

Self-Pay and Patient Responsibility Review

Review self-pay charges, patient balances, estimated responsibility, sliding fee eligibility or application status, sliding fee discount application, insurance opportunities, and potential corrections requiring additional billing, clinic, or liaison follow-up.

Sliding Fee Screening and Documentation

Support PHMC sliding fee workflows by helping confirm screening opportunities, application status, required documentation, household size and income information, effective dates, discount application, and escalation of accounts where sliding fee information may be missing, incomplete, or inconsistent with patient responsibility.

Minimum Qualifications

• High school diploma or equivalent required; associate degree or bachelor’s degree in healthcare administration, business, finance, public health, or a related field preferred.
• Two or more years of experience in healthcare revenue cycle, patient