Healthcare Revenue Cycle Analyst

About the Role

The Receivables & Billing Analyst is responsible for accurate cash posting, payment reconciliation, client billing, and revenue cycle support. This role ensures timely reconciliation of deposits, EFTs, and 835 remittances while investigating discrepancies, maintaining billing accuracy, and producing reporting that supports financial operations.

Key Responsibilities

• Interpret ANSI 835 Electronic Remittance Advice (ERA) files and accurately match payments to claims.
• Post EFT, check, lockbox, and credit card payments to patient accounts.
• Reconcile unapplied cash balances and process adjustments and write-offs accurately.
• Perform daily reconciliation of bank deposits, EFT transactions, and 835 remittances.
• Identify, investigate, and resolve payment and reconciliation variances.
• Monitor unapplied cash and move payments to the appropriate patient account and program.
• Generate, validate, and distribute client invoices.
• Review billing against client contracts and fee schedules and investigate discrepancies.
• Maintain billing audit trails and supporting documentation.
• Develop reconciliation reports, exception tracking, and data validation reporting.
• Partner with internal stakeholders to resolve billing and payment issues.
• Perform other duties as assigned.

Requirements & Tech Stack

• 835/ERA expertise
• Cash posting experience
• Client billing knowledge
• Advanced Microsoft Excel (including Pivot Tables, XLOOKUP/VLOOKUP, SUMIFS, conditional formatting, and reconciliation techniques)
• Daily reconciliation experience
• Problem solving
• Analytical reasoning
• Investigative mindset
• Attention to detail

Investigative & Analytical Expectations

• Determine why financial records do not balance.
• Research missing transactions, timing differences, duplicate postings, and incorrect payment applications.
• Analyze bank reports, EFT confirmations, 835 files, and client invoices to resolve discrepancies.
• Ensure accuracy of payment amounts, check numbers, deposit dates, account numbers, and adjustment codes.

WORK HOURS: This position is expected to work U.S.-based business hours to support cash wire transfer timelines and daily financial operations.

Qualifications

• Associate's or Bachelor's degree in Accounting, Finance, Business, Healthcare Administration, or related field preferred.
• Experience in accounts receivable, billing, cash posting, revenue cycle, or healthcare finance.
• Experience working with 835/ERA remittances and payment reconciliation preferred.
• Strong Microsoft Excel skills and attention to detail.
• Excellent written and verbal communication skills.