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Revenue Cycle Claims Analyst Jobs (NOW HIRING)

Systemart LLC

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Revenue Cycle Claims Analyst - Pharmacy

Boston, MA · Remote

$35 - $40/hr

Job Title - Revenue Cycle Claims Analyst - Pharmacy Unit - Pharmacy Revenue Cycle Duration of Assignment - 13 Weeks Location - Remote Shift - Monday-Friday, Day Shift Guarantee Hours - 40 Hours per ...

Stcharles

Revenue Cycle Claims Manager

OR · On-site +1

$85K - $128K/yr

Manager, Claims REPORTS TO POSITION: Senior Director, Single Billing Office DEPARTMENT: Single ... claim reviews, data analysis, research, and education. Monitors revenue cycle metrics and ...

NOCD

Revenue Cycle Claims Specialist

... NOCD's Revenue Cycle Management (RCM) team, responsible for managing the full insurance claims ... attention to detail, analytical thinking, and ability to manage high-volume work queues • ...

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Revenue Cycle Claims Analyst information

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How much do revenue cycle claims analyst jobs pay per hour?

As of Aug 11, 2026, the average hourly pay for revenue cycle claims analyst in the United States is $25.60, according to ZipRecruiter salary data. Most workers in this role earn between $19.71 and $27.16 per hour, depending on experience, location, and employer.

What is the difference between Revenue Cycle Claims Analyst vs Medical Billing Specialist?

AspectRevenue Cycle Claims AnalystMedical Billing Specialist
CredentialsCertification in medical billing or coding, knowledge of insurance policiesCertification often preferred, similar credentials
Work EnvironmentHealthcare facilities, insurance companies, revenue cycle departmentsMedical offices, billing companies, healthcare providers
Job FocusAnalyzing claims, resolving denials, optimizing revenue cycleSubmitting claims, coding, payment posting

The Revenue Cycle Claims Analyst and Medical Billing Specialist roles both involve billing and coding, but the analyst focuses more on analyzing claims data and resolving issues to improve revenue, while the specialist handles the day-to-day submission and processing of claims. Both roles require similar credentials and work in healthcare settings, but their primary responsibilities differ in scope and focus.

What are some common challenges a revenue cycle claims analyst faces when working with denied claims, and how can these be addressed?

A Revenue Cycle Claims Analyst often encounters challenges such as deciphering complex denial codes, managing high claim volumes, and communicating effectively with payers to resolve issues. Addressing these challenges requires strong attention to detail, persistence in following up on outstanding claims, and staying updated on payer policies and regulations. Collaborating closely with billing teams and leveraging analytical tools can help streamline the appeals process and reduce future denials.

What is a revenue cycle claims analyst?

A Revenue Cycle Claims Analyst is a professional who reviews, analyzes, and manages healthcare claims to ensure accurate billing and timely reimbursement from insurance companies. They identify and correct errors in claims submissions, work to resolve denials, and help optimize the revenue cycle process for healthcare providers. Their work is vital for maintaining the financial health of healthcare organizations by ensuring that all services rendered are properly billed and paid. Additionally, they may collaborate with billing teams, coders, and insurance representatives to address discrepancies and improve claim approval rates.

What are the key skills and qualifications needed to thrive as a revenue cycle claims analyst, and why are they important?

To thrive as a Revenue Cycle Claims Analyst, you need strong analytical skills, attention to detail, and a solid understanding of healthcare billing and insurance processes, often supported by a degree in healthcare administration or a related field. Familiarity with claims management software, electronic health record (EHR) systems, and knowledge of coding standards like ICD-10 and CPT are typically required. Excellent problem-solving skills, effective communication, and the ability to manage multiple tasks efficiently are standout soft skills for this role. These competencies are crucial for accurately processing claims, reducing denials, and ensuring timely reimbursement for healthcare organizations.
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Revenue Cycle Claims Analyst jobs near you
Infographic showing various Revenue Cycle Claims Analyst job openings in the United States as of August 2026, with employment types broken down into 93% Full Time, 5% Part Time, and 2% Contract. Highlights an 88% Physical, 2% Hybrid, and 10% Remote job distribution, with an average salary of $53,239 per year, or $25.6 per hour.

Revenue Cycle Claims Analyst - Pharmacy

Systemart LLC

Boston, MA • Remote

$35 - $40/hr

Full-time

This job post has expired 1 day ago. Applications are no longer accepted.

Job description

Job Title – Revenue Cycle Claims Analyst – Pharmacy

Unit – Pharmacy Revenue Cycle

Duration of Assignment – 13 Weeks

Location – Remote

Shift – Monday–Friday, Day Shift

Guarantee Hours – 40 Hours per Week

Salary Range – Competitive

Job Duties:

  • Research, resolve, and process pharmacy claims, denials, and payer rejections.
  • Analyze reimbursement, contracts, billing accuracy, and payment variances.
  • Review Medicare, Medicaid, and commercial payer billing requirements.
  • Monitor claims work queues, referrals, authorizations, and billing edits.
  • Ensure accurate coding, charge capture, and timely claim submission in EPIC.
  • Collaborate with revenue cycle, pharmacy, and clinical teams to improve reimbursement and reduce denials.
  • Investigate outstanding accounts and ensure compliance with federal, state, and payer regulations.
  • Prepare reports, identify workflow improvements, and serve as a subject matter expert for complex pharmacy claims.

Requirements:

  • Bachelor's degree in Business, Healthcare, or a related field (or equivalent experience).
  • 1–3 years of experience in healthcare revenue cycle, medical billing, coding, patient accounting, or pharmacy reimbursement.
  • Experience with EPIC, CMS-1500 claims, Medicare, Medicaid, and commercial insurance billing preferred.
  • Knowledge of CPT, HCPCS, ICD-10, NCCI edits, MUE edits, NDC numbers, and pharmacy billing workflows.
  • Strong analytical, problem-solving, communication, and organizational skills.
  • Certified Pharmacy Technician (CPhT) and/or CPC/RHIT certification preferred.

Company Description

Systemart is in business for 25 years and recently awarded as Best Staffing Firm to work for in 2025.