Senior Revenue Cycle Analyst - Remote

Overview

The Revenue Cycle Analyst supports payment integrity programs for health plan clients by managing the downstream financial and operational activities that occur after claim audit or validation. This role focuses on tracking audited claims through recovery, adjustment, invoicing, and reporting processes to ensure identified savings are accurately realized, reconciled, and communicated.

In Short

• Support payment integrity programs for health plan clients.
• Manage post-audit claim inventory.
• Track claims from audit determination through recovery.
• Reconcile client-reported recoveries to auditor findings.
• Coordinate the generation of audit determination letters.
• Prepare pre-invoice and invoice support documentation.
• Produce recurring and ad hoc reports on recovery performance.
• Identify workflow gaps and process inefficiencies.
• 3+ years of experience in healthcare revenue cycle.
• Strong analytical and communication skills required.

Requirements

• 3+ years of experience in healthcare revenue cycle, payment integrity, claims operations, or recovery analytics.
• Strong understanding of post-pay and pre-payment claims review workflows.
• Experience with health plans, TPAs, or healthcare vendors.
• Proficiency analyzing medical claims data and recovery files.
• Advanced Excel skills.
• Strong analytical, organizational, and problem-solving skills.
• Excellent written and verbal communication skills.

Benefits

• Paid Time Off
• Paid Parental Leave
• Medical, dental, vision benefits
• 401K with company match
• Short- and Long-Term Disability
• Group Life Insurance
• Tuition reimbursement
• Casual work environment