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Revenue Cycle Claims Analyst Jobs in Spring, TX (NOW HIRING)

Emerus

Revenue Cycle Analyst

The Woodlands, TX · On-site

... claims, contracts, operational data). * Analyzes reimbursement by utilizing knowledge of group ... Conducts revenue cycle analysis and provides trends as needed by Revenue Cycle leadership team to ...

Emerus

Revenue Cycle Analyst

The Woodlands, TX · On-site

... claims, contracts, operational data). * Analyzes reimbursement by utilizing knowledge of group ... Conducts revenue cycle analysis and provides trends as needed by Revenue Cycle leadership team to ...

Emerus

Revenue Cycle Analyst

The Woodlands, TX · On-site

The Revenue Cycle Analyst will be an integral part of the Company's Revenue Cycle Team and is ... claims, contracts, operational data). * Analyzes reimbursement by utilizing knowledge of group ...

Houston Methodist

Revenue Cycle Analyst

Katy, TX · On-site

The Revenue Cycle Analyst is assigned to projects of intermediate complexity and scope and is responsible for identifying the business needs of clients and stakeholders to optimize reimbursement.

Houston Methodist

Revenue Cycle Analyst

Katy, TX · On-site

The Revenue Cycle Analyst is assigned to projects of intermediate complexity and scope and is responsible for identifying the business needs of clients and stakeholders to optimize reimbursement.

The Menninger Clinic

Director, Revenue Cycle

Houston, TX · On-site

Revenue Cycle Leadership * Provides strategic leadership, direction, and oversight for all aspects ... analysis and payment variance monitoring * Payer relations and issue resolution * Claims management ...

Wisdom Teeth Guys

Revenue Cycle Manager

Houston, TX · On-site +1

$120K - $145K/yr

You'll lead insurance verification, claims, and credentialing across all of our markets, own the ... End-to-end revenue cycle: verification, coding support, claim submission, payment posting, AR and ...

The Wisdom Teeth Guys

Revenue Cycle Manager

Houston, TX · On-site +1

$120K - $145K/yr

You'll lead insurance verification, claims, and credentialing across all of our markets, own the ... End-to-end revenue cycle: verification, coding support, claim submission, payment posting, AR and ...

The Wisdom Teeth Guys

Revenue Cycle Manager

Houston, TX · On-site

$125 - $150/hr

You'll lead insurance verification, claims, and credentialing across all of our markets, own the ... End-to-end revenue cycle: verification, coding support, claim submission, payment posting, AR and ...

Urrly

Revenue Cycle Manager

Houston, TX · On-site +1

$110K - $125K/yr

Revenue Cycle ManagerAbout The Opportunity Join a growing healthcare platform that is rebuilding ... Diagnose gaps in current billing, coding, claims, denials, payment follow-up, collections, and ...

Privia Health

Sr. Manager, Revenue Cycle

Houston, TX · On-site

$75K - $80K/yr

Oversee the entire claims submission and follow-up process, ensuring claims are worked accurately ... analysis and resolution of the aged AR, looking for root cause issues • Utilize data to identify ...

Privia Health

Sr. Manager, Revenue Cycle

Houston, TX · On-site

Oversee the entire claims submission and follow-up process, ensuring claims are worked accurately ... Management of the teams accountable for the accounts receivable (AR) including analysis and ...

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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 Sep 8, 2026, the average hourly pay for revenue cycle claims analyst in Spring, TX is $22.78, according to ZipRecruiter salary data. Most workers in this role earn between $17.55 and $24.18 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 Spring, TX?

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

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

The top searched job categories for Revenue Cycle Claims Analyst jobs in Spring, TX are:

What cities near Spring, TX are hiring for Revenue Cycle Claims Analyst jobs?

Cities near Spring, TX with the most Revenue Cycle Claims Analyst job openings:

Revenue Cycle Claims Analyst jobs near you

Revenue Cycle Analyst

Emerus

The Woodlands, TX • On-site

Full-time

Posted 18 days ago

Emerus rating

5.7

Company rating: 5.7 out of 10

Based on 22 frontline employees who took The Breakroom Quiz

Job description

About Us
We are Emerus, the leader in small-format hospitals. We partner with respected and like-minded health systems who share our mission: To provide the care patients need, in the neighborhoods they live, by teams they trust. Our growing number of amazing partners includes Allegheny Health Network, Ascension, Baptist Health System, Baylor Scott & White Health, ChristianaCare, Dignity Health St. Rose Dominican, The Hospitals of Providence, INTEGRIS Health, MultiCare and WellSpan. Our innovative hospitals are fully accredited and provide highly individualized care. Emerus' commitment to patient care extends far beyond the confines of societal norms. We believe that every individual who walks through our doors deserves compassionate, comprehensive care, regardless of their background, identity, or circumstances. We are committed to fostering a work environment focused on teamwork that celebrates diversity, promotes equity and ensures equal access to information, development and opportunity for all of our Healthcare Pros.
Position Overview
The Revenue Cycle Analyst will be an integral part of the Company's Revenue Cycle Team and is responsible for providing strong analytical assessments, reporting, and data-driven operational support for multiple aspects of revenue cycle operations within the Centralized Billing Office (CBO). This position will collaborate with subject matter experts to support daily business operations through data-driven decisions, ensuring timely and accurate billing, performance improvement, reconciliation, benchmarking, and reporting.
Essential Job Functions
  • Runs, reviews, interprets, analyzes, and validates large, complex datasets from various health information sources (e.g., claims, contracts, operational data).
  • Analyzes reimbursement by utilizing knowledge of group payer contracts, payer policies, member benefits, and comparing actual to expected reimbursement.
  • Reviews, analyzes, interprets, and reconciles "Explanation of Benefits" (EOBs) and payer remittances to identify denial trends and reduce controllable rejections.
  • Analyzes data trends, conducts root cause analysis, and performs denials analysis to identify solutions and reduce rejections.
  • Gathers and analyzes revenue cycle data to provide ad hoc information to internal and external stakeholders.
  • Ensures data integrity across the revenue cycle and organization to support decision-making and actionable insights.
  • Applies knowledge of hospital billing, medical coding, and contractual terms to analyze claim denials and communicate insurance policy changes to stakeholders.
  • Updates and maintains fee schedules and reimbursement models for Medicare and commercial insurance payers.
  • Conducts revenue cycle analysis and provides trends as needed by Revenue Cycle leadership team to identify improvement opportunities.
  • Contributes to internal initiatives and projects related to Revenue Cycle data, analytics, and reporting.
  • Performs data extraction and manipulation using BI tools, Excel, and other query tools within practice management systems.
  • Has detailed knowledge of core Revenue Cycle systems and all bolt-on software solutions.
  • Assist in creating and monitoring models that connect strategies to measures of performance that ensure successful reporting of revenue cycle data. Collaborate with various IT departments, Reporting teams, Revenue Recognition, and Managed Care to develop dashboards and metrics tracking.
  • Independently performs complex research, compiles financial analyses, and develops detailed spreadsheets; prepares in-depth analyses focused on accuracy, reliability, and timeliness; provides/presents interpretation of findings to revenue cycle leaders.
  • Develops analyses and reports to support key initiatives, including identification and recommendation of improvements to existing processes, with timely follow-through as appropriate.

Other Job Functions
  • Participate in cross-functional business projects and perform ad hoc analysis as required
  • Attend staff meetings or other company sponsored or mandated meetings as required
  • Perform additional duties as assigned

Basic Qualifications
  • Bachelor's degree or an equivalent combination of education and experience may be considered, required.
  • 3+ years of related analyst experience with a preference for revenue cycle, Hospital billing, and third-party payer reimbursement.
  • Advanced skills in using Excel and BI data applications to maneuver through large volumes of data, required.
  • Experience with inpatient and outpatient billing requirements (UB-04), required.
  • Proficiency in health insurance billing, collections, and eligibility as it pertains to commercial, managed care, government, and self-pay reimbursement concepts and overall operational impact.
  • Knowledge of third-party payer reimbursement methodologies/contracts and CMS Medicare, required. Texas state Medicaid reimbursement, a plus.
  • Demonstrated advanced skills in A/R management, problem assessment, and resolution and collaborative problem-solving in complex, interdisciplinary settings.
  • Ability to work independently, follow through, and handle multiple tasks simultaneously with minimal supervision.
  • Must be a motivated individual with a positive and exceptional work ethic.
  • Strong knowledge of electronic billing systems for front-end and back-end functions and the willingness to learn new systems, applications, and programs.
  • Excellent analytical skills: attention to detail, critical thinking ability, decision-making, and researching skills in order to analyze a question or problem and reach a solution.
  • Reasoning skills and ability to articulate logic behind decisions.

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