Fee Schedule Analyst
A Fee Schedule Analyst manages the practice’s charge master and analyzes payer fee schedules to ensure the practice charges appropriately for services and receives appropriate reimbursement. The work is technical. The work is contract-driven. And it is the role that determines whether the practice’s charges align with payer fee schedules and market rates — or […]
EOB Analyst
An EOB Analyst examines EOBs (Explanation of Benefits) and ERAs (Electronic Remittance Advice) for patterns that point to under-payments, payer behavior issues, and process improvement opportunities. The work is data-driven analysis focused specifically on the payment side of revenue cycle. EOB Analysts find the under-payments hidden in routine payment posting that other roles miss because […]
Reimbursement Specialist
A Reimbursement Specialist analyzes payer contracts and ensures the practice receives the reimbursement it has contractually negotiated. The work bridges payer contracts and actual paid claims — comparing what the contract says payers should pay against what they actually pay, identifying under-payments, and pursuing recovery. The work is contract-driven. The work directly recovers money that […]
Revenue Cycle Analyst
A Revenue Cycle Analyst examines the entire revenue cycle as a system — from patient registration through final payment — identifying performance issues, modeling improvement scenarios, and providing the analytical foundation for practice leadership decisions. Where Claims Analysts focus on the claim level, Revenue Cycle Analysts focus on the entire cycle. The work is strategic. […]
Payment Posting Specialist
A Payment Posting Specialist applies payments and adjustments from EOBs (Explanation of Benefits) and ERAs (Electronic Remittance Advice) to patient accounts in the practice management system. The work sits at the income side of revenue cycle — every dollar the practice receives flows through payment posting. Errors here propagate forward as account balance disputes, patient […]
Accounts Receivable (AR) Specialist
An Accounts Receivable Specialist manages the unpaid balance on every patient account — following up on aged claims, coordinating patient collections, and ensuring no recoverable revenue ages out of collectability. The work runs on aging buckets — 0-30 days, 31-60 days, 61-90 days, 91-120 days, 121+ days. Each bucket has different urgency and different work […]
Denial Management Specialist
A Denial Management Specialist works denied claims through the appeal and resubmission process to recover revenue that would otherwise be written off. The work begins where claim submission ends — every denied claim represents revenue that the practice has earned but not yet received. Strong denial management specialists recover 60% to 80% of initial denials. […]
Claims Analyst
A Claims Analyst examines claim-level data to identify patterns, recover under-payments, and prevent recurring revenue cycle issues. Where Claims Processors handle daily submission and rejection workflow, Claims Analysts work the analytical layer — finding the patterns in claim data that point to fixable problems and the under-payments that other roles miss. The work is data-driven. […]
Claims Processor
A Claims Processor manages the claim submission workflow from the practice’s billing system through clearinghouses to payers. The work spans claim generation, scrubbing, submission, acceptance verification, and rejection management. Where billing specialists handle the full revenue cycle, claims processors focus specifically on the submission-to-acceptance window — making sure every claim that leaves the practice arrives […]
Charge Entry Specialist
A Charge Entry Specialist posts the coded charges to patient accounts so claims can be generated and submitted. The work sits at the critical junction between coding and billing — coders assign the codes, charge entry posts those codes accurately to the right patient accounts with the right payer information, and billing submits the resulting […]