Position Summary:

Under the direct supervision of the Project Manager Revenue Cycle and Appeals, the Prior Authorization/ Revenue Cycle Analyst is responsible for assisting with prior authorizations when needed to include contacting health insurance providers to verify eligibility, and benefits for supporting prior authorization processes, and revenue cycle operations through coverage, workflow, denials, appeals and financial analysis.  Will work with management to provide reporting, support and analysis for the Revenue Cycle team. With input and guidance from management, provide support in creating, monitoring, and implementing tools linking strategies to measure financial performance, with full understanding of the procedural systems with our related departments (registration, charge capture, coding, billing, and accounts receivable).  Will communicate and interact in a professional and collegial manner that supports positive work communications.

Educational Requirements/ Qualifications:

Required Education: Associate degree

Preferred Education: Bachelor’s degree in business/healthcare or related field preferred.