Radiology Revenue Cycle Analyst Pueblo Radiology Medical Group Santa Barbara, CA Job Details Full-time $72,000 - $80,000 a year 1 day ago Benefits Paid holidays Health insurance Dental insurance 401(k) Paid time off Vision insurance 401(k) matching Life insurance Qualifications Performance dashboard reports Appeals Teamwork Overseeing health insurance pre-certification Medicare Accounts receivable management Interpersonal skills Spreadsheets Overseeing healthcare denial management Writing skills Regulatory compliance in claims processing Practice management software Patient management software Medical coding guidelines Metrics Reporting Financial analysis Data summary reports Healthcare referral management Project management Medicare regulations Attention to detail Medical billing Medical insurance appeals management Centers for Medicare & Medicaid Services (CMS) billing regulations Medicaid regulations Medicaid Health insurance referral requirements Medical imaging Insurance claims appeal handling Healthcare performance metrics analysis Full Job Description Position Summary Pueblo Radiology Medical Group is a leading diagnostic imaging practice dedicated to providing exceptional patient care and high-quality radiology services. We are seeking an experienced, analytical, and detail-oriented Revenue Cycle Analyst to serve as the primary internal resource for revenue cycle coordination, analysis, performance improvement, and billing operations support. This position works closely with our Billing & Insurance team, front-office staff, scheduling team, clinical operations, and external billing partner to optimize revenue cycle performance from patient registration through final reimbursement. The Revenue Cycle Analyst will monitor performance metrics, identify revenue cycle opportunities and risks, analyze denials and reimbursement trends, and collaborate across departments to improve financial outcomes and patient experience. This role is not responsible for direct staff supervision but serves as a resource for revenue cycle best practices throughout the organization. Our Mission Prevent Revenue Loss. Recover Revenue. Improve Performance.

Our Standard:

Get It Right the First Time. The Revenue Cycle Analyst plays a critical role in ensuring clean claims, reducing denials, supporting reimbursement optimization, and identifying operational improvements that strengthen the organization's financial performance. Essential Duties and Responsibilities Revenue Cycle Analysis & Performance Management Serve as the primary internal liaison with the external billing company. Analyze revenue cycle performance, including claims, denials, rejections, collections, reimbursement trends, and accounts receivable. Review key revenue cycle reports and identify trends, risks, and opportunities requiring intervention. Monitor clean-claim rates and identify opportunities to improve first-pass claim acceptance. Track key performance indicators (KPIs) and prepare dashboards and reports for leadership. Monitor reimbursement trends and identify underpayments, payment variances, and missed revenue opportunities. Analyze payer performance and recommend operational improvements. Denial Prevention & Revenue Recovery Analyze denial and rejection trends to identify root causes and corrective actions. Partner with internal teams and the billing vendor to resolve recurring claim issues. Monitor claim accuracy and identify issues affecting reimbursement. Assist with appeals, revenue recovery efforts, and reimbursement investigations. Develop recommendations to reduce denials, rework, and payment delays. Track issues through resolution and monitor long-term outcomes. Insurance Verification & Authorization Support Monitor insurance eligibility verification, benefits validation, authorization, and referral processes. Serve as a resource for complex authorization and payer-related questions. Ensure compliance with payer requirements for Commercial, Medicare, and Medicaid plans. Identify operational issues that may result in authorization-related denials. Recommend process improvements that improve registration accuracy and financial clearance. Billing Vendor & Operational Coordination Act as the primary point of coordination between Pueblo Radiology Medical Group and the external billing partner. Facilitate communication regarding billing performance, reimbursement issues, and operational concerns. Collaborate with scheduling, registration, front-office, clinical, and billing staff to improve revenue cycle processes. Support specialized billing and insurance coordination activities, including partnership programs and referral-based services. Assist in developing workflows that improve operational efficiency and claim quality. Front-End Revenue Cycle Support Monitor patient financial workflows, including insurance verification and patient payment processes. Support front-office procedures related to collecting and reconciling patient payments and co-pays. Identify opportunities to improve patient financial readiness and reduce downstream billing issues. Assist with troubleshooting eligibility, registration, referral, and authorization concerns. Training & Process Improvement Educate operational teams regarding revenue cycle best practices. Assist in developing training materials and workflow documentation. Communicate revenue cycle trends, findings, and recommendations to leadership and staff. Recommend workflow enhancements that support cleaner claims and faster reimbursement. Promote continuous improvement initiatives that improve both patient and financial outcomes. Required QualificationsExperience Minimum 3 to 5 years of medical billing, insurance, revenue cycle, healthcare operations, or related experience. Experience working with insurance verification, benefits, authorizations, and referrals. Experience with claims processing, denial management, appeals, and accounts receivable. Experience coordinating with third-party or outsourced billing vendors preferred. Knowledge Advanced knowledge of insurance eligibility and benefits verification. Strong understanding of authorization and referral requirements. Knowledge of Commercial, Medicare, and Medicaid payer guidelines. Understanding of revenue cycle workflows and reimbursement processes. Familiarity with CPT and ICD-10 coding principles. Understanding of medical necessity requirements and payer-specific reimbursement rules. Technical Skills Proficiency with EMR/EHR and Practice Management systems. Strong Microsoft Excel and reporting skills. Ability to analyze data, identify trends, and produce actionable recommendations. Experience developing reports, dashboards, and performance metrics. Professional Skills Strong analytical and critical-thinking capabilities. Exceptional attention to detail and accuracy. Excellent verbal and written communication skills. Strong organizational and project management abilities. Ability to manage multiple priorities and work independently. Ability to collaborate effectively across departments and with external business partners. Preferred Qualifications Radiology revenue cycle experience strongly preferred. Experience working with diagnostic imaging services. Experience coordinating with outsourced billing organizations. Understanding of professional, technical, and global billing methodologies. Advanced knowledge of radiology coding and reimbursement practices. Radiology Experience Preferred Experience supporting revenue cycle operations for the following imaging modalities is highly desirable:

MRI CT X-Ray Ultrasound Mammography PET/CT Nuclear Medicine DEXA Knowledge of:

CPT coding ICD-10 coding Medical necessity requirements Prior authorization processes Payer-specific billing requirements Professional, technical, and global billing is highly valued. Knowledge, Skills, and Abilities (KSAs) Knowledge Revenue cycle management principles and best practices. Insurance eligibility, authorization, referral, and reimbursement requirements. Commercial, Medicare, and Medicaid payer guidelines. Medical billing regulations and compliance standards. CPT, ICD-10, and radiology reimbursement concepts. Skills Revenue cycle analysis and reporting. Data interpretation and trend analysis. Problem-solving and root cause analysis. Workflow assessment and process improvement. Effective communication with internal and external stakeholders. Strong Excel, spreadsheet, and reporting capabilities. Abilities Identify operational issues before they impact reimbursement. Translate data into actionable recommendations. Manage complex projects and competing priorities. Build collaborative relationships across departments. Maintain accuracy in a fast-paced healthcare environment. Drive continuous improvement initiatives that support organizational goals. What Makes You Successful You are analytical, proactive, and solutions-oriented. You do not simply review a denied or rejected claim. You seek to understand why it occurred, communicate the issue clearly, and help prevent it from happening again. You enjoy working with data, identifying trends, solving problems, and collaborating with multiple teams to improve financial and operational performance. You understand that successful revenue cycle management is a shared effort between our internal operations and our external billing partner, and you are committed to helping both teams achieve outstanding results. Benefits Pueblo Radiology Medical Group offers a comprehensive benefits package, including: Medical Insurance Dental Insurance Vision Insurance Life Insurance 401(k) with

Company Match Vacation Paid Holidays Sick Leave Professional Development Opportunities Supportive and Collaborative Work Environment Alternative Work Schedule Options Available Work Requirements Work Location:

In Person Location:

Santa Barbara, California Ability to commute to Santa Barbara, CA required. Relocation to Santa Barbara, CA prior to employment may be required. Our Goal Clean Claims. Fewer Denials. Faster Reimbursement. Better Patient Experience. If you are analytical, detail-oriented, collaborative, and passionate about improving healthcare revenue cycle performance, we encourage you to apply.

Job Type:

Full-time Pay:

$72,000.00 - $80,000.00 per year

Benefits:

401(k) Dental insurance Health insurance Life insurance Paid time off Vision insurance

Experience:

Medical billing: 1 year (Preferred) Ability to

Commute:

Santa Barbara, CA (Required) Ability to

Relocate:

Santa Barbara, CA:

Relocate before starting work (Required)

Work Location:

In person