
Revenue Integrity Analyst
Posted 9 hours ago

Posted 9 hours ago
This is a fully remote position, open to applicants in United States.
• Assist in validating month-end revenue by reconciling outputs, exceptions, adjustments, open inventory, and close support schedules.
• Reconcile client self-billing files with internal financial systems; transform, load, and verify data quality for finalized invoicing.
• Ensure the completeness, accuracy, supporting details, contractual pricing, and client-specific invoicing logic of invoices.
• Analyze transactional data from paid claims, adjustments, and billing records to uncover potential missed, delayed, misstated, or incorrect revenue.
• Investigate discrepancies between client-supplied files, invoice details, and internal financial systems; document findings and escalate significant issues.
• Oversee inventory aging, throughput, risk, work queues, KPI and SLA measures, in addition to recurring financial accuracy metrics.
• Generate regular reports, reconciliations, variance schedules, and ad hoc analyses to support invoicing, revenue application, and financial accuracy initiatives.
• Address invoice-detail inquiries by gathering supporting facts and coordinating with senior analysts and stakeholders.
• Maintain documentation and audit support for reconciliations, adjustments, exceptions, and issue resolution.
• Enhance data quality, reporting, and workflow efficiency through Excel, SQL fundamentals, automation, and agentic tools.
• Collaborate with Finance, Operations, and Technology partners to reconcile inventory and address process or system issues.
• Fulfill annual performance review and goal-setting responsibilities, participate in special projects, and execute other assigned duties.
• Bachelor's degree in Accounting, Finance, Economics, Business Administration, Engineering, Computer Science, Mathematics, Statistics, or a related discipline, or an equivalent combination of education, professional training, and relevant work experience.
• High school diploma or GED is mandatory.
• A minimum of 2 years of experience in finance, accounting, healthcare payment integrity, revenue cycle, or related fields.
• Basic knowledge of revenue cycle management, financial and accounting best practices, inventory management, healthcare payment integrity, and healthcare claims processing.
• Proficiency in Excel, data analysis, reporting, Power BI, data visualization, reconciliation, and structured research.
• Capability to analyze transactional and financial data, identify discrepancies, document findings, and escalate significant concerns.
• Working knowledge of invoice validation, month-end support, revenue application, inventory metrics, and variance analysis.
• Foundational SQL skills and the ability to learn reporting, financial, and workflow systems.
• High attention to detail, critical thinking, organization, and dedication to data quality and financial accuracy.
• Ability to prepare clear recurring reports and communicate effectively with Finance, Operations, Technology, and other stakeholders.
• Capability to manage recurring deadlines and independently complete assigned work within established controls and procedures.
• Must ensure a dedicated, secure work area.
• Must provide high-speed internet access/connectivity and manage office setup and maintenance.
• Must be able to perform duties with or without reasonable accommodation.
• Medical insurance
• Dental insurance
• Vision insurance
• Disability insurance
• Life insurance
• 401(k) savings plans
• Paid family leave
• 9 paid holidays per year
• 17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service with Cotiviti
• Dedicated, secure work area
• High-speed internet access/connectivity and office setup and maintenance
BlueCross BlueShield of South Carolina
Stefanini Brasil
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