Analyst, Revenue Cycle Management

Analyst, Revenue Cycle Management (Medicaid)
Location: Remote – Global
Reports to: Manager, Client Accounting Services and CEO
Compensation: TBD monthly

About the Firm
AZTAC LLC is a specialized administrative services firm serving human services providers across the United States. Our clients are mission-driven human services nonprofit organizations supporting behavioral health and intellectual disability care needs. We act as their trusted partner, providing client accounting services, medical billing / revenue cycle management, regulatory compliance management, and strategic financial guidance. Our work is high-impact and relationship-driven: clients rely on us daily to navigate a complex regulatory environment and secure the funding that sustains their programs.

Position Summary
AZTAC provides outsourced billing, accounting, cost reporting, regulatory compliance, and strategic advisory services to intellectual disability care providers. We're looking for an Analyst, Revenue Cycle Management to manage the end-to-end billing cycle for our client portfolio, from claims submission through AR follow-up and denial resolution. Initially, this role will focus on claims submission through Pennsylvania’s PROMISe system (Medicaid), with the expectation that coverage will expand to additional public and private payers over time. This role is critical to keeping client cash flow healthy and requires someone comfortable working across multiple clients and stakeholders.

Key Responsibilities
Core revenue cycle management responsibilities:
- Perform billing audits to identify previously unbilled or unpaid claims covering previous dates of service
- Review client-prepared census reports to ensure completeness and standardize census data
- Prepare and submit claims via Pennsylvania's PROMISe system (Medicaid) on behalf of client accounts, with the expectation of taking on additional public and private payers as the client portfolio grows
- Prior to submission, verify claims for accuracy, including service codes, units, authorizations, and required documentation
- Monitor claim status and proactively follow up on unpaid, pending, or rejected claims to ensure complete collections
- Investigate and resolve claim denials and underpayments, including researching root cause, correcting and resubmitting claims, and filing appeals where needed
- Reconcile payments against electronic remittance advice documents (ERAs) to verify expected reimbursement and prepare revenue recognition documents and entries

Stakeholder management responsibilities:
- Stay current on payer-specific billing rules and requirements relevant to intellectual/developmental disability services, including PA PROMISe requirements
- Proactive outreach to clients to collect missing census data as necessary
- Maintain organized records of authorizations, claims, and correspondence for each client
- Liaise with state and local government agencies and supports coordinators as needed to facilitate accurate and timely billing
- Prepare weekly revenue reporting for clients based on billing and collections activity
- Participate in weekly status update calls internally with the team and externally with clients
- Communicate proactively with the Manager, Client Accounting Services, and CEO on aging issues, denial trends, and payer problems

Process improvement responsibilities:
- Identify recurring denial patterns, bottlenecks, and inefficiencies in the billing workflow, and recommend process improvements to reduce errors and accelerate reimbursement
- Propose and/or build new software and spreadsheet tools to improve data ingestion and reporting capabilities to drive operational efficiency
- Support the ongoing refinement of billing procedures and checklists as the client base and payer mix expand

Qualifications
Required:
- Bachelor's degree in accounting, business, economics, finance, or a related field (or equivalent professional experience)
- 1-3+ years of medical billing experience (3+ preferred); experience with Medicaid/HCBS waiver billing or IDD/behavioral health billing is a strong plus
- Strong written and verbal English communication skills for a remote, U.S.-based team
- Working knowledge of the claims lifecycle: submission, adjudication, denial management, and appeals
- General comfort learning new payer portals and systems is more important than experience with any specific clearinghouse or coding set
- Organizational ability to manage multiple clients/payers simultaneously with strong attention to detail and follow-through
- Strong analytical skills, with the ability to interpret spreadsheets (including strong Excel experience), claims documents, and AR data; identify trends; and translate findings into practical process improvements
- Reliable internet connection and ability to work U.S. business hours (or significant overlap)
- Self-directed and able to work independently in a fully remote environment

Nice to have:
- Experience billing for intellectual/developmental disability (I/DD) or behavioral health service providers
- Experience with Pennsylvania's PROMISe claims submission system
- Experience with accounting software like QuickBooks Online

Benefits
AZTAC offers benefits including:
- Remote work environment, willingness to hire global remote workers
- Flexible work schedule - we care about results, not rigid hours, with an expectation of adequate time overlap with the US team for regular check-ins
- Contractors are offered flexible time off, with a benchmark target of 160 hours / 4 weeks and 11 firm-wide holidays (in line with the US team)
- Annual discretionary bonus

Why This Role
The day-to-day work in this role is similar to a typical revenue cycle management / medical billing position, but our mission is to ultimately support nonprofit and charitable organizations who exist to serve their communities. Your impact will be significant, and strong performers have room to grow with our firm. This role is an opportunity to join a lean, growing firm where your work directly affects the funding and stability of organizations caring for vulnerable populations. Our organization will train the right candidate and we are willing to invest in long-term career development.