Sign upLog in

Revenue Cycle Analyst

ProMotion Sports Medicine and Rehab

Columbia, SC

Apply
JOB DETAILS
SKILLS
Billing, Clinical Support, Dental Insurance, Detail Oriented, Documentation, Electronic Medical Records, Financial Management, Follow Through, HIPAA (Health Insurance Portability and Accountability Act), Health Insurance, Healthcare, Housekeeping/Cleaning, ICD-10, Insurance, Insurance Documentation, Medicaid, Medicare, Office Equipment, Operational Support, Organizational Skills, Outpatient Care, Patient Care, Patient Care Denials, Patient Confidentiality, Physical Therapy, Process Improvement, Reimbursement, Revenue Analysis, Team Player, Time Management, Training/Teaching, Tuition Fees, Vision Plan
LOCATION
Columbia, SC
POSTED
16 days ago
Benefits:
  • 401(k)
  • 401(k) matching
  • Competitive salary
  • Dental insurance
  • Health insurance
  • Paid time off
  • Training & development
  • Tuition assistance
  • Vision insurance

The Revenue Cycle Analyst plays a vital role in supporting clinic operations by ensuring back office processes are accurate, timely, and compliant. This position requires a strong understanding of insurance workflows specific to outpatient physical therapy, including benefit verification, prior authorizations, and payer requirements.


This is a behind-the-scenes, in-office role ideal for someone who is detail-oriented, comfortable working independently, and confident navigating insurance systems. You’ll collaborate closely with clinical, front office, and billing teams to prevent denials, support clean claims, and keep patient care moving forward.


Key Responsibilities:


Insurance Verification & Authorization


  • Verify insurance eligibility, benefits, coverage limits, and financial responsibility for physical therapy services
  • Obtain, track, and manage prior authorizations in accordance with payer-specific guidelines
  • Monitor authorized visit counts, expiration dates, and medical necessity requirements
  • Communicate authorization status and requirements clearly to internal teams

Revenue Cycle & Payer Support


  • Maintain working knowledge of commercial payers, Medicare, Medicaid, and workers’ compensation as applicable
  • Understand payer rules related to outpatient physical therapy, including visit limits, documentation requirements, and reimbursement policies
  • Identify potential insurance or authorization issues that could impact billing or reimbursement and address them proactively

Billing & Claims Support 


  • Support billing teams with claim research, denials, and payer follow-up as needed
  • Assist with ensuring accurate insurance setup to support clean claim submission
  • Recognize trends in payer issues and escalate as appropriate

Collaboration & Independent Work


  • Work independently to manage assigned insurance and authorization workloads
  • Collaborate with front desk, clinical, and billing teams to resolve insurance-related issues
  • Serve as an internal resource for insurance-related questions

Documentation & Compliance


  • Maintain accurate documentation of insurance verification and authorization activity
  • Ensure all insurance information is entered correctly into the EMR or billing system
  • Maintain patient confidentiality and HIPAA compliance

Additional Duties


  • Participate in team meetings and ongoing training
  • Assist with process improvement initiatives related to insurance and revenue cycle workflows
  • Other duties as assigned

Qualifications:


Required


  • Experience working with insurance in an outpatient physical therapy or similar healthcare setting
  • Strong understanding of:
    • Insurance verification
    • Prior authorization processes
    • Payer-specific requirements for physical therapy services
  • Billing or revenue cycle experience
  • Familiarity with CPT, ICD-10, and modifiers related to physical therapy
  • Experience working with multiple insurance carriers and payer portals

Skills & Competencies


  • Strong attention to detail and organizational skills
  • Ability to work independently while contributing to a collaborative team
  • Clear and professional internal communication
  • Strong time management and follow-through
  • Comfort navigating EMRs, payer portals, and billing systems

Work Environment


  • *In-person office setting*
  • Primarily desk-based role using standard office equipment
  • Occasional flexibility may be required to meet authorization or payer deadlines


About the Company

P

ProMotion Sports Medicine and Rehab