Job Description

Job Location: East Liverpool - East Liverpool, OH 43920,

Position Type: Full Time,

Salary Range: $45,000.00 - $55,000.00 Salary,

Revenue Cycle Management Analyst

True North

Full-Time | Salaried | Exempt

Department: Revenue Cycle Management – Medicaid Operations

Reports To: Medicaid Operations Manager

Turn Your Medicaid Expertise Into Meaningful Impact. Solve Problems. Drive Results. Grow Your Career.

Are you naturally curious, analytical, and passionate about solving complex healthcare billing challenges? Do you have strong Medicaid billing experience and a thorough understanding of Electronic Visit Verification (EVV) processes and workflows?

Are you looking for a career where your knowledge matters, your ideas are valued, and you can grow alongside a collaborative, high-performing team?

True North is looking for an energetic, detail-oriented Revenue Cycle Management Analyst with proven Medicaid and EVV expertise to join our growing team!

In this role, you'll do more than process claims. You'll investigate reimbursement challenges, analyze financial performance, resolve billing discrepancies, and help healthcare providers strengthen their revenue cycle operations.

You'll work closely with our Medicaid Operations Manager, RCM team, and clients to ensure claims are accurate, EVV requirements are satisfied, payments are received, and opportunities for operational improvement are identified.

If you enjoy connecting the dots, uncovering solutions, and making a measurable difference, this opportunity could be your next great career move.

Why You'll Love Working at True North

At True North, we believe talented people thrive when they are supported, challenged, and encouraged to grow.

Our culture is built around Accountability, Integrity, and Competency, and we value team members who bring curiosity, positive energy, and a commitment to excellence.

What Makes True North Different?

• A Great Team Culture: Work alongside supportive colleagues who collaborate, share knowledge, and celebrate success.
• Opportunities to Grow: Expand your expertise in Medicaid operations, revenue cycle management, financial analysis, and healthcare billing.
• Meaningful Work: Help healthcare organizations improve reimbursement accuracy, strengthen cash flow, and maintain financial stability.
• Your Ideas Matter: We encourage employees to identify challenges, recommend improvements, and contribute to better processes.
• A Variety of Challenges: Work with different clients, payer requirements, and billing situations that keep your analytical skills sharp.
• Leadership That Values Initiative: We appreciate professionals who take ownership, ask thoughtful questions, and look for better ways to accomplish results.

What You'll Do

Be Our Medicaid Billing & EVV Expert

Your understanding of Medicaid requirements and Electronic Visit Verification will be essential to ensuring accurate claims processing and timely reimbursement.

• Apply your knowledge of Medicaid billing requirements, payer guidelines, and reimbursement procedures.
• Understand and navigate the complete EVV workflow, from visit documentation and verification through claim submission and reimbursement.
• Identify and resolve EVV-related discrepancies that prevent successful billing or delay payment.
• Research issues involving missing or incomplete visit verification, mismatched service information, and claim rejections.
• Work with clients and internal teams to correct EVV and billing discrepancies.
• Monitor Medicaid billing requirements and changes that may affect claims processing and reimbursement.
• Help identify opportunities to improve EVV compliance, billing accuracy, and workflow efficiency.

Investigate, Analyze & Resolve Claims

• Prepare, review, and submit accurate healthcare claims, including CMS-1500 and UB-04 claim formats.
• Monitor claims throughout the billing and reimbursement process.
• Investigate denied, rejected, delayed, or underpaid claims.
• Research discrepancies and determine appropriate corrective actions.
• Prepare claim corrections, resubmissions, and appeals when necessary.
• Collaborate with clients to resolve coding and documentation issues.

Strengthen Revenue Cycle Performance

• Monitor outstanding claims, accounts receivable, and collection activities.
• Investigate payment discrepancies and support accurate payment posting and reconciliation.
• Identify trends that contribute to reimbursement delays or revenue loss.
• Work with clients to establish billing resolution plans.
• Help improve collections and overall revenue cycle performance.

Turn Financial Data Into Actionable Insights

• Prepare weekly reports analyzing revenue, collections, outstanding claims, and key performance indicators.
• Identify patterns and trends affecting client financial performance.
• Present findings and recommendations to clients and internal leadership.
• Use analytical thinking to identify opportunities for greater efficiency and improved reimbursement.

Build Strong Client Relationships

• Serve as a knowledgeable resource for clients navigating Medicaid billing and EVV challenges.
• Communicate professionally and proactively regarding billing concerns and claim resolution.
• Collaborate with clients to address documentation, coding, and reimbursement questions.
• Build trust through responsiveness, accountability, and effective problem-solving.

Champion Accuracy, Compliance & Continuous Improvement

• Maintain knowledge of applicable Medicaid regulations, billing requirements, and EVV standards.
• Support compliance with HIPAA and other relevant healthcare privacy and security requirements.
• Identify process improvements that strengthen accuracy and efficiency.
• Share knowledge and best practices with team members.
• Participate in ongoing training and professional development.

What Makes This Role Exciting?

This isn't just another healthcare billing position. It's an opportunity to become a trusted problem solver and an important contributor to the success of our Medicaid operations.

You'll work at the intersection of healthcare, technology, financial analysis, and client relationships.

Every day brings opportunities to investigate challenges, identify solutions, and help healthcare providers navigate the complexities of Medicaid reimbursement.

Your knowledge of EVV and Medicaid billing will directly contribute to stronger financial outcomes for our clients.

About True North

True North is a growing organization dedicated to helping businesses operate more efficiently through innovative financial, operational, and Revenue Cycle Management services.

Our success is built on talented professionals who are passionate about solving problems, delivering exceptional service, and continuously improving the way we work.

We believe in creating an environment where employees are encouraged to ask questions, contribute ideas, develop their expertise, and take pride in the impact they make.

Guided by our core values of Accountability, Integrity, and Competency, we are committed to building strong teams, meaningful careers, and lasting client relationships.

Ready to Put Your Medicaid & EVV Expertise to Work?

If you're an experienced Medicaid Revenue Cycle Management professional who enjoys solving complex problems, working with great people, and growing your career, we'd love to meet you.

Bring your curiosity. Share your expertise. Make an impact.

Apply Today and Grow Your Future With True North!

Qualifications: Qualifications & Experience

Required – Medicaid & EVV Experience

Candidates must possess demonstrated Medicaid billing knowledge and hands-on experience with Electronic Visit Verification processes and workflows.

• Strong working knowledge of Medicaid billing, claims processing, and reimbursement requirements.
• Practical experience working with EVV systems and understanding how EVV data affects billing and reimbursement.
• Ability to identify, research, and resolve EVV-related billing discrepancies.
• Understanding of the relationship between service documentation, visit verification, claim submission, and payment.
• Experience navigating Medicaid claim denials, corrections, and reimbursement issues.
• Experience with CMS-1500 and UB-04 claim submissions, appeals, and corrections.
• Strong analytical, problem-solving, and organizational skills.
• Excellent written and verbal communication skills.
• Ability to manage multiple priorities and deadlines with accuracy.
• Strong customer service skills and the ability to work collaboratively across teams.

Preferred Qualifications

• Three or more years of experience in Revenue Cycle Management, home health billing, or healthcare finance.
• Experience with Medicaid billing in home health or home and community-based services.
• Bachelor's degree in Business Administration, Finance, Healthcare Administration, or a related field.
• Revenue Cycle Management certification.
• Experience using QuickBooks, Microsoft Dynamics GP, or comparable financial systems.
• Strong Microsoft Excel and reporting skills.
• Experience using virtual collaboration tools, including Zoom and Google Meet.
• Experience analyzing revenue cycle performance and identifying process improvement opportunities.