Insurance AR Resolution Analyst, Revenue Cycle

This is a fully remote position, open to applicants in Idaho, +2 more states.

📋 Description

• Utilize advanced analytical and statistical methods to pinpoint the root causes of issues related to Third-Party payers.

• Ensure the accuracy and completeness of data through the use of SQL and internal reporting tools.

• Convert complex findings into clear, actionable recommendations for leadership teams.

• Work collaboratively across functions to mitigate the recurrence of payer-related issues.

• Maintain consistent and predictable attendance while fulfilling additional responsibilities within the role's scope.

⛳️ Requirements

• Understanding of Third Party Revenue Cycle operations, payer behavior, and liability resolution processes.

• Proficiency in advanced analytical techniques and root cause analysis.

• Strong familiarity with all MS Operating Systems and MS Office applications (including MS Word, Excel, Access, PowerPoint), as well as process mapping software like Microsoft Project and Visio.

• Experience with SQL and data-mining tools for validating and reconciling financial data.

• Knowledge of MicroStrategy, SQL, and various data mining tools.

• Ability to develop documentation and recommendations suitable for leadership review.

• Capacity to independently analyze complex problems and propose effective solutions.

• Skill in influencing decisions through data-driven insights rather than relying on authority.

• Competence in prioritizing and organizing tasks to ensure timely completion of projects or assignments.

• Ability to work independently or collaboratively to systematically identify and define problems, assess alternatives, and implement practical, cost-effective solutions.

• Proficient in framing recommendations and presenting them formally to management.

• Capability to handle sensitive financial and patient data in accordance with HIPAA regulations.

• Excellent verbal and written communication skills with a professional demeanor when interacting with a diverse group including directors, managers, colleagues, and external entities.

• Commitment to maintaining confidentiality of patient and medical financial records, adhering to company policies and HIPAA Privacy guidelines.

• Ability to thrive in ambiguous or dynamic environments.

🏝️ Benefits

• Medical, dental, and vision coverage.

• Paid time off.

• Retirement savings options.

• Wellness programs.