Senior Analyst, Revenue Recovery
Core
Subject matter expert in healthcare revenue recovery focused on maximizing insurance reimbursement and identifying payment discrepancies.
Role type
Senior IC healthcare revenue analyst
Builds
Insurance reimbursement recovery and payment optimization for healthcare clients
Domain
Healthcare / Revenue Cycle Management
Deliverable
client delivery
Required skills
Analyze contractual reimbursement arrangements, communicate with payors regarding underpayments, review remittance data to identify trends, investigate root causes of denials, apply knowledge of underpayment prediction rules, manage multiple projects in KPI-driven environment
Preferred skills
Mentor team members, serve as subject matter expert, adapt to multiple client host systems
Technologies
Microsoft Office, client host systems, revenue cycle platforms
Responsibilities
Analyze contractual reimbursement arrangements and identify variances between expected and received payments. Communicate directly with payors to resolve account variances and support timely recovery. Review large volumes of remittance data to identify underpayments and billing opportunities. Investigate root causes of underpayments and denials. Document investigative activities in client systems. Analyze trends and compile reports for leadership. Collaborate with cross-functional teams to resolve complex revenue cycle issues. Assist leadership with escalations and strategic initiatives.
Seniority
Senior, hands-on IC with mentorship responsibilities