Overview
The Senior Revenue Integrity Analyst owns advanced revenue analysis and key month-end controls that support accurate invoicing, revenue application, inventory reconciliation, revenue cycle processes, and financial reporting within a complex chart review business function.
This role investigates revenue leakage, applies revenue, manages revenue SLAs, analyzes inventory and financial variances, and leads resolution of invoice and client issues. The position also develops actionable reporting, partners across functions to correct root causes, and mentors junior analysts.
Responsibilities
- Own month-end revenue validation controls, including reconciliation of outputs, exceptions, adjustments, open inventory, and close support schedules.
- Investigate potential missed, delayed, misstated, or incorrectly billed revenue using paid claim transactional data, invoice detail, contractual terms, and internal financial records.
- Perform and oversee reconciliation of client self-billing files, including data transformation, loading, quality verification, exception analysis, and final invoice support.
- Review invoicing accuracy and contract alignment; apply non-standard contractual pricing and resolve discrepancies, disputes, and fee paybacks.
- Analyze period-over-period movement, inventory aging, throughput, financial data, and other financial variances.
- Identify root causes of financial underperformance and communicate findings, revenue impact, options, and recommended corrective actions.
- Lead invoice-detail questions and escalations with internal and external stakeholders.
- Develop recurring reports, dashboards, forecasts, and insights to monitor KPI and SLA performance, revenue risk, service delivery, and financial accuracy.
- Partner with Finance, Operations, Technology, and Engineering to reconcile inventory and correct invoicing or revenue application system and process issues.
- Use Power BI, automation, and agentic tools to improve analytical quality, control effectiveness, cycle time, and operating efficiency.
- Mentor junior analysts and establish consistent approaches for reconciliations, investigations, documentation, and escalation.
- Complete special projects and other duties as assigned.
Requirements & Qualifications
Qualifications
- Bachelor's degree in Accounting, Finance, Economics, Business Administration, Engineering, Computer Science, Mathematics, Statistics, or a related field, or an equivalent combination of education, professional training, and relevant work experience.
- High school diploma or GED required.
- 5-8 years of experience in finance, accounting, healthcare payment integrity, revenue cycle, or related fields.
- Strong experience in revenue integrity, revenue cycle management, invoice standards, financial and accounting best practices, inventory management, healthcare payment integrity, and healthcare claims processing.
- Ability to own multistep month-end controls and resolve complex discrepancies across client-supplied files, invoice detail, and internal financial systems.
- Advanced Excel and data-analysis skills; proficiency developing reports and insights in Power BI or similar business intelligence tools.
- Working knowledge of healthcare payment integrity, claims processing, finance/accounting, and billing cycles.
- Ability to interpret client-specific invoicing logic and contractual requirements and communicate findings to internal and external stakeholders.
- Experience collaborating across Finance, Operations, Technology, Engineering, and client-facing teams to implement corrective actions.
- Strong organization, written communication, client communication, mentoring, and issue-resolution skills.
Cognitive / Mental Requirements
- Interpret complex transactional, financial, contractual, and inventory data.
- Problem-solve and think critically to isolate root causes and determine appropriate corrective actions.
- Communicate findings and exchange information with clients, leaders, and cross-functional partners.
- Complete complex analyses independently while appropriately escalating material risks and decisions.
- Make timely decisions within month-end, invoicing, and client-resolution workflows.
- Maintain focus and manage multiple recurring deliverables, investigations, and deadlines.
- Assess the accuracy, completeness, and thoroughness of reconciliations, reports, and supporting documentation.
- Learn and apply new systems, processes, contract terms, and automation approaches.
Physical Requirements and Working Conditions
- Remaining in a stationary position, often standing or sitting for prolonged periods.
- Repeating motions that may include the wrists, hands, and/or fingers.
- Must be able to provide a dedicated, secure work area.
- Must be able to provide high-speed internet access / connectivity and office setup and maintenance.
Benefits & Perks
Benefits
- Medical, dental, and vision coverage
- Disability and life insurance coverage
- 401(k) savings plan
- Paid family leave
- 9 paid holidays per year
- 17-27 days of PTO per year, depending on level and length of service
Location
N/A
Employment Type
Full-time
Experience Level
Senior
Salary Range
$80,000 - $95,000
Remote work allowed
Yes
Posted
1 month ago