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Hirehangar

Senior Revenue Cycle Analyst

2d ago
1200 –2500 USD / yearLATAMSenior
Hirehangar

Senior Revenue Cycle Analyst

2d ago
1200 –2500 USD / yearLATAMSeniorehrclaims managementbilling

Responsible for managing revenue cycle claims including submission, resolving billing denials, and ensuring timely reimbursement.

Responsibilities

  • Claims Submission & Daily Billing Operations
  • Prepare and submit clean claims on a continual basis for all service lines (ECM, Community Supports, Housing Navigation, etc.), ensuring timely submission.
  • Validate all claims against clinical documentation in Ritten.io , including encounter notes, service timelines, eligibility, and required fields.
  • Monitor daily clearinghouse reports for rejections and errors; correct and resubmit promptly.
  • Maintain claims submission schedules to meet payer deadlines and internal billing cycles.
  • Denials, Rejections & Payer Resolution (Primary Responsibility)
  • Take full ownership of denials, rejections, and unpaid claims—ensuring root-cause resolution and successful resubmission.
  • Contact payers directly to resolve issues related to authorizations, eligibility, coding, coordination of benefits, missing documentation, and system errors.
  • Work with the clearinghouse to identify transmission issues, file format errors, and claim routing problems.
  • Document all denial reasons, corrective actions, and payer communications in internal trackers.
  • Analyze denial trends and escalate systemic issues to the Revenue Cycle Manager.
  • Ensure corrected claims are resubmitted within required payer timelines.
  • Documentation & Clinical Validation
  • Cross-check claims against Ritten.io clinical encounters to ensure documentation supports the billed service.
  • Verify all required data elements (encounter type, duration, service location, care manager documentation, and signatures) meet payer and CalAIM compliance requirements.
  • Flag and communicate documentation gaps to the care team and Revenue Cycle Manager.
  • Assist in quality assurance reviews of clinical documentation and coding completeness.
  • Revenue Cycle & Reporting Support
  • Maintain accurate billing logs, denial trackers, and A/R aging reports.
  • Support month-end reconciliation of payments, adjustments, and unresolved claims.
  • Assist in preparing reports on claim submission volumes, denial rates, payer trends, and days-in-A/R.
  • Contribute to continuous improvement of RCM workflows, SOPs, and billing policies.
  • Cross-Department Coordination
  • Collaborate with Authorization Specialists to verify approval status before billing .
  • Communicate frequently with Care Managers, Supervisors, and the Admissions team to ensure all required documentation is available for compliant billing .
  • Provide feedback to clinical teams on common documentation or encounter issues that delay billing .
  • Participate in RCM meetings and trainings to maintain alignment across teams.

Requirements

  • 3–5 years of medical billing , claims follow-up, or payer resolution experience (Medi-Cal/Medicaid preferred).
  • Demonstrated experience working claims through clearinghouses, payers, and denial management systems.
  • Strong understanding of CPT/HCPCS codes, modifiers, ICD-10 codes, and Medicaid billing requirements.
  • Experience validating claims within an EHR system ( Ritten.io experience highly preferred).
  • Strong Excel/Google Sheets skills—filters, VLOOKUP, and pivot tables preferred.
  • Excellent written and verbal communication skills; ability to navigate payer conversations professionally.
  • Highly organized, detail-oriented, and skilled at managing multiple claim queues simultaneously.

Other

  • Join Hire Hangar and work with fast-growing global companies while building a long-term career.
  • Persistence & Follow-Through – Sees every claim through to resolution; closes loops quickly.
  • Ability to Work Independently – Consistently manages workload with minimal supervision, demonstrating strong problem-solving, sound judgment, and reliable follow-through.
  • Self-Directed – Takes initiative to identify needs, prioritize responsibilities, and proactively resolve issues without being prompted.
  • Analytical Skills – Identifies root causes of denials and implements sustainable fixes.
  • Accuracy & Quality – Produces clean, compliant claims with minimal error.
  • Collaboration – Works smoothly with clinical, administrative, and payer teams.
  • Systems Awareness – Understands how documentation, authorizations, encounters, and billing workflows connect.
  • Please NOTE It is crucial that you complete the application form in full. As part of the application process, you will be required to record a video. If your application is successful, you will receive an email confirming next steps — the video is the first step of the interview process. If you do not record a video, we will not be able to consider you for ANY open roles.
  • We connect top talent with vetted employers, competitive pay, and real growth opportunities.
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