iHealth Labs · 1 month ago
Revenue Cycle & Billing Analyst
Sunnyvale, CA, US
Full-time
Onsite
Senior Level
$70K/yr - $100K/yr
5+ years expiHealth Labs is dedicated to empowering people to live healthier lives through innovative healthcare products. The Revenue Cycle & Billing Analyst will perform health insurance payer analysis and manage billing and reimbursement functions to optimize revenue cycle operations.
DiabetesFitnessHealth CareMedical DeviceWellness
Responsibilities
Confirm patient benefits and insurance eligibility by making calls to the insurance provider
Follow and adhere to all regulations and guidelines set by Medicare, State programs, and HMO/PPO, etc
Engage in end-to-end billing process, including charge entry, claim submission (including 837's and 1500 forms), payment posting, and accounts receivable management and extract reports from billing software
Engage in follow-ups with insurance companies and medical groups to address outstanding claims and denials, ensuring the resubmission of claims & appeal for payment
Develop, implement, and execute departmental procedures and processes
Collect reimbursements and analyze the revenue data to report trends related to errors & denials
Use data to identify trends, areas for improvement, and opportunities for revenue growth
Generate insurance reimbursement reports and analytics on key billing metrics, providing insights into the internal and external stakeholders on financial health of the organization
Analyze and identify opportunities to optimize revenue capture and reduce revenue leakage
Ensure compliance with healthcare billing regulations and stay current with changes in billing and coding guidelines to ensure accurate and compliant billing practices
Conduct detailed data audits and clean-up as scheduled and as needed
Analyzes patient billing records for completeness and accuracy and obtains additional information and clarification as necessary
Conduct billing training for internal and external stakeholders and maintain adequate documentation of meeting
Implement strategies to improve claim acceptance rates and reduce denials and enhance the overall billing experience for customers
Collaborates with internal teams, supporting the efforts and needs of other departments in a team-oriented approach. Works closely with IT teams to implement technology enhancements aimed at improving billing efficiency
Resolves billing discrepancies by conducting further research and correcting errors
Maintain organized documentation of all billing and invoicing activities
Sending out invoices and maintaining a tracking system of incoming and late payments
Following up on late or missed payments and initiating late payment notices to relevant parties
Adjusting patient bills by reviewing remittance advice
Maintain compliance with HIPAA (Health Insurance Portability and Accountability Act of 1996)
Perform other related duties as required or requested
Qualification
Required
Bachelor's degree in accounting, health care administration, finance, business, or related field, with 5+ years of experience in an office environment or healthcare-related field
Knowledge of CPT/ICD-10/HCPCS codes and EHR systems such as EPIC, Kareo, eCW, Office Ally, Practice fusion, Athena, AdvanceMD, etc
Proficient in medical terminology and insurance plans
Experience with process improvement, quality control, data analysis and/or reporting
Integrity and respect for confidentiality and privacy
Attention to detail and the ability to work with a variety of databases
Demonstrates the ability to work independently, is self-motivated, and self-directed with excellent verbal and written communication and documentation skills
Demonstrates strong organizational and time management skills, enabling effective prioritization of workflow to meet client requirements. Possesses excellent customer service skills to ensure client satisfaction
Ability to analyze problems and devise strategic solutions
Experience with using Google Docs, Sheets, Slides and Microsoft Office Suite (Word, PowerPoint, Outlook, and Excel)
Company
iHealth Labs
iHealth offers cloud-based, personal healthcare products for individuals of all ages to take a more active role in managing their health. It is a sub-organization of Andon Health.
51-200 employees
H1B Sponsorship
iHealth Labs has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (14)
2024 (20)
2023 (16)
2022 (11)
2021 (13)
2020 (11)
Funding
Current Stage
Growth StageTotal Funding
$25MKey Investors
Xiaomi
2014-09-19Series A· $25M
Leadership Team
Jack Feng
CEO
Recent News
MarketsandMarkets Research Pvt. Ltd.
2025-08-08
Company data provided by crunchbase