Senior Analyst, Trend Analysis, Payor Escalations

This is a fully remote position, open to applicants in Alabama, +19 more states.

📋 Description

• Conduct comprehensive trend analysis and root cause evaluations for Low Balance inventory, addressing issues such as denials, payment variances, adjustments, and returns.

• Examine claims, remittance, and payment data to detect patterns in payor behavior, identify emerging issues, and assess revenue risks.

• Assist in the preparation for payor escalations by performing thorough account reviews, summarizing findings, and documenting recommended next steps.

• Ensure the maintenance of accurate documentation for payor escalations, which includes issue specifics, supporting analysis, and resolution outcomes.

• Carry out monthly revenue reconciliation to verify accuracy and completeness across various source systems.

• Perform analysis in response to trending requests and engage in cross-functional reviews to discuss findings and suggest actions.

⛳️ Requirements

• Bachelor’s degree (or equivalent experience)

• 4-7+ years of progressively responsible experience in hospital revenue cycle analytics, healthcare operations analytics, or similar roles in complex healthcare financial settings

• Extensive experience in analyzing claim inventory, payor behavior, denials, and payment trends, with a proven ability to translate findings into operational and financial implications

• Strong background as a system analyst or senior business partner for revenue cycle systems, reporting platforms, or analytics technologies

• Exceptional organizational and analytical abilities are essential, along with strong written and verbal communication skills

• Proficient in analytical tools, including Microsoft Excel and the Microsoft Office Suite, with a proven track record of capturing, analyzing, and presenting data clearly to diverse audiences.

🏝️ Benefits

• Medical

• Dental

• Vision

• Life insurance

• Short-term disability

• Long-term disability

• Paid holidays

• 401k

• Generous PTO policy