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