Senior Analyst, Revenue Recovery
New
J
JobgetherHealthcare Revenue Cycle
Fully remote, work-from-home opportunity within the United States.Full-TimeSenior
SalaryAnnual compensation of $66,300–$99,450
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Job Details
- Experience
- At least 5 years
- Required Skills
- Data AnalysisMicrosoft Office
Requirements
- At least 5 years of experience in the hospital or physician insurance industry, healthcare revenue cycle, or a closely related field.
- Demonstrated understanding of healthcare revenue cycle processes and experience identifying and recovering underpaid accounts.
- High school diploma or GED required; a Bachelor's degree is preferred.
- CRCR (Certified Revenue Cycle Representative) certification required within 9 months of hire.
- Strong knowledge of insurance reimbursement, contractual variances, underpayments, denials, and payer processes.
- Excellent verbal and written communication skills.
- Strong analytical, problem-solving, and critical-thinking capabilities.
- Proficiency with Microsoft Office applications and ability to work with large amounts of data and reports.
Responsibilities
- Analyze contractual reimbursement arrangements and identify variances between expected reimbursement and payments received from managed care, government, and other payors.
- Communicate directly with payors regarding outstanding underpayments, file appeals, resolve account variances, and support timely and accurate recovery.
- Review large volumes of remittance and account data to identify underpayments, billing opportunities, trends, and opportunities for revenue optimization.
- Investigate the root causes of underpayments, denials, and delayed payments and collaborate with client teams to document and address recurring issues.
- Analyze trends and compile reports to communicate findings, risks, issues, and recommendations to leadership.
- Collaborate with Managed Care, Billing, Coding, Revenue Integrity, Payor Strategy, and other departments to resolve complex revenue cycle issues.
- Provide guidance and mentorship to other team members and serve as a subject matter expert on revenue recovery processes.
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