Senior Revenue Cycle Analyst Underpayments
Core
Identify, analyze, and resolve hospital claim underpayments to maximize appropriate reimbursement and prevent revenue leakage.
Role type
Senior Revenue Cycle Analyst (Healthcare)
Builds
Hospital revenue recovery and process improvement initiatives
Domain
Healthcare / Revenue Cycle Management
Required skills
Healthcare revenue cycle operations, claims resolution, data analytics, financial investigation, root cause analysis, appeals management, process improvement, quality assurance, cross-functional coordination
Preferred skills
Leadership, mentoring, strategic prioritization, software rule evaluation
Technologies
Patient accounting systems, payer portals, proprietary technology platforms
Responsibilities
Research hospital accounts using patient accounting systems and payer portals; Review identified underpayment opportunities and validate expected reimbursement amounts; Determine appropriate actions for resolution and document findings for appeals; Investigate root causes of underpayments to prevent future issues; Support creation of new revenue opportunities by executing and evaluating software rules; Lead and support team activities to identify and maximize revenue opportunities; Conduct quality assurance reviews and provide constructive feedback; Coordinate with cross-functional teams and respond to requests in a timely manner; Contribute to strategic prioritization by identifying trends and improvement opportunities.
Seniority
Senior, hands-on IC with mentorship responsibilities