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Revenue Cycle Claims Analyst Jobs in Reston, VA (NOW HIRING)

DFND Security

Revenue Cycle Analyst

Washington, DC · On-site

We are looking for a Revenue Cycle Architect for a position expected to be long term and 50/50 remote. We are only interested in candidates who are eligible for a top secret clearance so no 3rd ...

Optipeople-Resources

Revenue Cycle Manager

Rockville, MD · On-site

$100 - $125/hr

Our client is seeking an experienced Revenue Cycle Manager to lead the billing function for this ... Oversee insurance billing, claims submission, payment posting, and collections with a focus on ...

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All JobsRevenue Cycle Claims Analyst JobsRevenue Cycle Claims Analyst Jobs in Reston, VA

Revenue Cycle Claims Analyst information

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$16

$26

$46

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

As of Sep 7, 2026, the average hourly pay for revenue cycle claims analyst in Reston, VA is $26.63, according to ZipRecruiter salary data. Most workers in this role earn between $20.53 and $28.27 per hour, depending on experience, location, and employer.

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 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 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.

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 popular job titles related to Revenue Cycle Claims Analyst jobs in Reston, VA?

For Revenue Cycle Claims Analyst jobs in Reston, VA, the most frequently searched job titles are:

What job categories do people searching Revenue Cycle Claims Analyst jobs in Reston, VA look for?

The top searched job categories for Revenue Cycle Claims Analyst jobs in Reston, VA are:

What cities near Reston, VA are hiring for Revenue Cycle Claims Analyst jobs?

Cities near Reston, VA with the most Revenue Cycle Claims Analyst job openings:

Revenue Cycle Claims Analyst jobs near you

Epic HB/PB Resolute Claims Analyst

InterScripts, Inc

Chantilly, VA • On-site

Full-time

Re-posted 4 days ago

Job description


bJob Title: Epic HB/PB Resolute Claims Analyst
Location: Chantilly, Virginia, United States
Experience: 2+ Years
Employment Type: Full-Time
Job Summary
We are seeking an experienced Epic Resolute Hospital Billing (HB),or Professional Billing (PB), and Claims Analyst to support, maintain, and optimize Epic Revenue Cycle applications. The ideal candidate will have hands-on experience with Epic Resolute HB, PB, Claims, and Revenue Cycle workflows, along with strong analytical and troubleshooting skills. Active Epic certification is mandatory.
Key Responsibilities
  • Configure, maintain, and support Epic Resolute HB, PB, and Claims applications.
  • Analyze business requirements and translate them into Epic system solutions.
  • Support claim generation, claim edits, remittance processing, and denial management workflows.
  • Troubleshoot application issues and provide timely resolution.
  • Perform system build, configuration, testing, upgrades, and optimization activities.
  • Collaborate with Revenue Cycle, Patient Financial Services, and IT teams.
  • Create and maintain application documentation, workflows, and training materials.
  • Participate in integrated testing, go-live support, and post-implementation activities.
  • Ensure compliance with healthcare billing regulations and organizational standards.
  • Support enhancement requests and continuous process improvement initiatives.

Requirements
  • Minimum 2+ years of experience working with Epic Resolute applications.
  • Epic Resolute Hospital Billing (HB) Certification - Mandatory.
  • Epic Resolute Professional Billing (PB) Certification - Mandatory.
  • Epic Claims/Remittance experience preferred.
  • Experience supporting healthcare revenue cycle operations.
  • Strong understanding of billing, claims processing, payment posting, denial management, and reimbursement workflows.
  • Experience with system configuration, testing, validation, and production support.
  • Excellent communication and stakeholder management skills.
    • Preferred Skills
    • Knowledge of Charge Router, Work Queues (WQs), Claims, Remittance, Payment Posting, and Revenue Cycle workflows.
    • Experience with Epic upgrade testing and release management.
    • Understanding of healthcare billing regulations, payer requirements, and reimbursement processes.
    • Experience in hospital and professional billing environments.
    Education
    • A bachelor's degree in Healthcare, Information Technology, Computer Science, or a related field is preferred.
    Mandatory Certification
    • Epic Resolute Hospital Billing (HB) Certification.
    • Epic Resolute Professional Billing (PB) Certification.
    • Epic Claims/Remittance Certification is a strong plus.
    Preferred Experience
    • Healthcare IT implementation, optimization, or application support experience.
    • Experience working directly with Revenue Cycle and Patient Financial Services teams.

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