Senior Revenue Cycle Analyst Underpayments

Accountabilities: • Research hospital accounts using patient accounting systems, payer portals, websites, and proprietary technology platforms.

• Review identified underpayment opportunities and validate expected reimbursement amounts.

• Determine whether an identified opportunity should be pursued with the payer and establish the appropriate action required for resolution.

• Document account findings thoroughly, providing the information and supporting details needed for appeals and reimbursement recovery.

• Investigate how underpayments occurred, identify root causes, and determine potential actions that could help prevent similar issues in the future.

• Support the creation of new revenue opportunities by executing and evaluating software rules.

• Lead and support team activities designed to identify and maximize revenue opportunities.

• Serve as a subject matter expert by sharing knowledge, providing guidance, and mentoring team members across domestic and global operations.

• Conduct quality assurance reviews and provide constructive feedback to support accuracy, consistency, and continuous improvement.

• Help teams meet established production, accuracy, efficiency, and performance benchmarks.

• Coordinate with cross-functional teams and respond to requests in a timely manner.

• Contribute to strategic prioritization by identifying trends, improvement opportunities, and areas where constructive feedback can strengthen processes.

• Complete required training and maintain current knowledge of relevant revenue cycle processes and systems.

• Promote a collaborative, supportive, and positive team environment.

Requirements:

• At least 12 months of relevant experience in healthcare revenue cycle operations, hospital billing, claims resolution, revenue cycle analysis, or related data analytics; equivalent industry experience is considered.

• Strong leadership capabilities, with the ability to guide, mentor, and support team members.

• Strong analytical and critical-thinking skills, with the ability to investigate complex reimbursement issues and identify root causes.

• Highly organized and self-directed, with exceptional attention to detail and follow-through.

• Strong verbal and written communication skills, particularly the ability to clearly explain account findings and provide detailed support for claims and appeals.

• Strong mathematical skills, including the ability to work confidently with complex calculations and reimbursement equations.

• Proficiency with computers, digital systems, payer portals, and technology-based workflows.

• Ability to interpret account information, evaluate reimbursement accuracy, and make sound decisions based on available data.

• Ability to work effectively with domestic and global teams in a collaborative environment.

• Comfortable providing constructive feedback, supporting quality assurance activities, and contributing to continuous process improvement.

• Ability to meet productivity, accuracy, efficiency, and quality expectations in a performance-driven environment.

Benefits:

• Fully remote work opportunity within the United States.

• Full-time position.

• Base salary range of $62,856–$83,511.71 per year , depending on location, experience, skills, education, training, and other job-related factors.

• Eligibility to participate in an annual bonus plan with a 10% target .

• Opportunities for continuous learning and professional development.

• Exposure to healthcare revenue cycle analytics, reimbursement optimization, and data-driven operational improvement.

• Opportunities to collaborate with domestic and global teams and develop leadership and mentoring experience.

• A role with meaningful impact on healthcare organizations, revenue performance, and patient care.

• Competitive benefits package supporting employee well-being and career development.

How Jobgether works: We use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company. The final decision and next steps (interviews, assessments) are managed by their internal team. We appreciate your interest and wish you the best! Why Apply Through Jobgether?

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