The Revenue Cycle Analyst plays a vital role in supporting clinic operations by ensuring back office processes are accurate, timely, and compliant. This position requires a strong understanding of insurance workflows specific to outpatient physical therapy, including benefit verification, prior authorizations, and payer requirements.
This is a behind-the-scenes, in-office role ideal for someone who is detail-oriented, comfortable working independently, and confident navigating insurance systems. You’ll collaborate closely with clinical, front office, and billing teams to prevent denials, support clean claims, and keep patient care moving forward.
Key Responsibilities:
Insurance Verification & Authorization
- Verify insurance eligibility, benefits, coverage limits, and financial responsibility for physical therapy services
- Obtain, track, and manage prior authorizations in accordance with payer-specific guidelines
- Monitor authorized visit counts, expiration dates, and medical necessity requirements
- Communicate authorization status and requirements clearly to internal teams
Revenue Cycle & Payer Support
- Maintain working knowledge of commercial payers, Medicare, Medicaid, and workers’ compensation as applicable
- Understand payer rules related to outpatient physical therapy, including visit limits, documentation requirements, and reimbursement policies
- Identify potential insurance or authorization issues that could impact billing or reimbursement and address them proactively
Billing & Claims Support
- Support billing teams with claim research, denials, and payer follow-up as needed
- Assist with ensuring accurate insurance setup to support clean claim submission
- Recognize trends in payer issues and escalate as appropriate
Collaboration & Independent Work
- Work independently to manage assigned insurance and authorization workloads
- Collaborate with front desk, clinical, and billing teams to resolve insurance-related issues
- Serve as an internal resource for insurance-related questions
Documentation & Compliance
- Maintain accurate documentation of insurance verification and authorization activity
- Ensure all insurance information is entered correctly into the EMR or billing system
- Maintain patient confidentiality and HIPAA compliance
Additional Duties
- Participate in team meetings and ongoing training
- Assist with process improvement initiatives related to insurance and revenue cycle workflows
- Other duties as assigned
Qualifications:
Required
- Experience working with insurance in an outpatient physical therapy or similar healthcare setting
- Strong understanding of:
- Insurance verification
- Prior authorization processes
- Payer-specific requirements for physical therapy services
- Billing or revenue cycle experience
- Familiarity with CPT, ICD-10, and modifiers related to physical therapy
- Experience working with multiple insurance carriers and payer portals
Skills & Competencies
- Strong attention to detail and organizational skills
- Ability to work independently while contributing to a collaborative team
- Clear and professional internal communication
- Strong time management and follow-through
- Comfort navigating EMRs, payer portals, and billing systems
Work Environment
- *In-person office setting*
- Primarily desk-based role using standard office equipment
- Occasional flexibility may be required to meet authorization or payer deadlines
Our Story: Building a Legacy of Care and Excellence
At ProMotion Rehab and Sports Medicine, we’re not just about helping individuals recover—we’re about transforming lives. Founded in 2015 by Nancy and Andrew Imbeau, ProMotion began as a dream: To create a practice where physical therapists could thrive, patients could achieve life-changing goals, and a culture of collaboration and excellence would shape every decision.
Our story started humbly in Lake City, SC, with one small clinic and a big vision:
To be a regional leader and trusted provider of outpatient rehabilitation services, driven by an unwavering commitment to our team, patients, families, community, and education.
Since then, ProMotion has taken big step towards realizing that vision and grown into a trusted provider of outpatient rehabilitation across South Carolina. While our footprint has expanded, our commitment to delivering exceptional, patient-centered care has never wavered.
What sets us apart is our dedication to fostering a team culture rooted in our Mission, Care Values and Guiding Principles:
Our Mission
To empower patients to live fuller, pain-free lives by enhancing mobility, strength, and performance through evidence-based rehabilitative and preventative physical therapy services.
Our Core Values
- Fun: We cultivate a positive, engaging environment for both our patients and team.
- Excellence: We are committed to delivering exceptional care and continuous professional growth.
- Community: We build meaningful relationships that make a lasting impact.
- Education: We invest in lifelong learning to empower our team and our patients.
Our Guiding Principles
- People Over Profit: Ensuring our team and patients always come first.
- Team Over Self: Collaborating for better outcomes and a stronger company culture.
- Quality Over Quantity: Providing focused, evidence-based care that truly makes a difference.
Opportunities to Grow and Lead
Your career at ProMotion is more than just a job—it’s an opportunity to unlock your full potential while making a difference.
- Specialize in Your Passion: Whether you’re passionate about sports rehab, dance medicine, post-surgical recovery, or geriatric care, we’ll help you develop your expertise.
- Lifelong Learning: Access continuing education, mentorship programs, and advanced certifications to stay at the forefront of your field.
- Leadership Development: Chart your career path with opportunities to lead, mentor, and inspire others.
- Community Engagement: Extend your impact beyond the clinic by building connections and serving local communities.
Why Choose ProMotion?
We’re not just another workplace—we’re a team that’s redefining what it means to deliver care. Here’s what sets us apart:
- Patient-Centered Excellence: Evidence-based, personalized treatment plans are at the heart of what we do.
- Supportive Team Environment: Work alongside passionate professionals who share your dedication to success.
- Work-Life Balance: Thrive in a workplace that values your well-being as much as your career.
- Endless Opportunities: From clinical growth to leadership, the sky’s the limit for your career at ProMotion.
Our journey has been fueled by passion, innovation, and a relentless drive to create a positive impact in the lives of our team memebers, patients, and the communities we serve. Whether helping an athlete return to the field, a dancer find their rhythm again, or a grandparent regain their independence, we’re here to make mobility, strength, and health attainable for all.
Today, ProMotion is a place where careers flourish, patients thrive, and a shared purpose unites us all. We’re proud of the work we’ve done, but we’re even more excited for what’s ahead. Join us, and become part of a story that’s still being written—one that’s powered by passion, guided by excellence, and defined by high quality care. Together, we aim to inspire better health and a better quality of life for all.
