Revenue Cycle Systems Analyst

A company is looking for a Specialist, Revenue Cycle Systems.

Key Responsibilities

Review and interpret payer and provider agreements to ensure accurate setup in the contract management system

Perform detailed variance analysis to identify underpayments, overpayments, and billing discrepancies

Support contract negotiation and renewal processes with data-driven insights

Required Qualifications

Associates degree preferred or equivalent experience

Prior experience in a hospital, physician group, or healthcare payer setting

Familiarity with government and commercial payer policies

In-depth knowledge of HIPAA, 837, 835, and other healthcare EDI standard formats

Strong analytical and problem-solving skills with a continuous improvement mentality