About Us
Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable in achieving goals.
We build long-term careers by investing in you. We seek to create an environment that cultivates professional development and personal growth, as we believe your success is our success.
Job Summary
The Revenue Analyst role consists of thorough and extensive analysis and investigative assessment of claims that have been identified as paid incorrectly. Through phone and written correspondence with insurance companies, the Revenue Analyst initiates pursuit of incorrectly paid medical insurance claims.
This is a remote role.
Essential Duties and Responsibilities
- Independently review and research available accounts for potential payer underpayments.
- Analyze information from multiple sources, including hospital systems, medical records, and claims, to identify the cause of underpayments.
- Recognize payer and client trends and perform research to maximize profitability.
- Consider account profitability and cost analysis when reviewing potential rebills.
- Analyze payer contracts for revenue risks as needed.
- Facilitate and communicate rebill results with auditors.
- Mentor and assist with onboarding new Revenue Analysts.
- Coordinate and lead training for incoming team members.
- Facilitate or annotate internal team meetings.
- Collaborate with managers and project leads on assigned client work.
- Manage multiple internal projects while meeting deadlines and weekly goals.
- Perform other duties as assigned.
Physical Demands
Regular eye-hand coordination and manual dexterity are required to operate office equipment. The role requires the ability to work at a computer terminal for 6-8 hours per day and function in an environment with constant interruptions. Prolonged sitting may be required. Occasionally, the team member may need to lift and move materials weighing up to 20 lbs. The role may involve elevated stress during periods of increased activity and multiple deadlines.
Minimum Qualifications & Requirements
- Associate's degree or 3-5 years of relevant work experience preferred
- Knowledge of the revenue cycle industry preferred
- Experience reviewing hospital claims and payer contracts
- Professional experience communicating with insurance companies verbally and in writing
- Experience writing complex appeals for contractual underpayments
- Understanding of key risk areas of contract reimbursement methodologies
- Ability to conduct research through multiple channels, including internet, client and payer systems, and internal resources
- Ability to navigate hospital optical storage and patient accounting systems
- Strong critical thinking and decision-making skills
- Ability to multitask and manage a multi-project workload with strong attention to detail
- Excellent written and verbal communication skills
- Strong computer skills, including OneNote, Word, and Excel (advanced formulas and pivot tables)
- Ability to adapt training to different learning styles
- Strong independent work ethic and ability to collaborate effectively with a team
We Offer
- Remote, predictable full-time schedule
- Competitive compensation commensurate with experience
- Medical, dental, and vision coverage
- Long-term disability insurance and life insurance
- Parental leave
- 401(k) with company match
- Certification and tuition reimbursement
- Holidays and paid time off
Location
Texas, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
Yes
Posted
1 week ago