Senior Revenue Cycle Operations Analyst

This is a fully remote position, open to applicants in United States.

📋 Description

• Manage the complete accounts receivable process, including claim follow-up, status inquiries, rejections, denials, and corrected claims.

• Act as the primary contact for external partners, leading discussions on account discrepancies and financial disputes.

• Reconcile customer accounts, applying payments and offsets within the NetSuite and Candid billing systems.

• Uphold sub-ledger data standards and proactively address potential downstream data risks.

• Investigate billing discrepancies and prepare actionable summaries for leadership review.

• Analyze reimbursement trends specific to payers, payment issues, underpayments, and systemic errors.

• Simplify complex medical billing, denial, and reimbursement challenges for non-billing stakeholders.

• Oversee high-volume daily posting activities and ensure month-end deadlines are met.

• Enhance billing guidelines and implement new processes to boost revenue cycle performance.

• Track credit balances and recommend refunds, write-offs, or bad debt adjustments according to payer policies.

• Facilitate onboarding and setup calls with new health plans and partners.

• Validate invoicing and claims integrations prior to launch.

• Identify and address payment obstacles during the onboarding process.

• Execute additional responsibilities as assigned.

⛳️ Requirements

• A minimum of 5 years of experience in healthcare revenue cycle management.

• In-depth understanding of commercial and government payer policies.

• Familiarity with CPT, HCPCS, and ICD-10 coding.

• Experience in EOB reconciliation.

• Proficient in B2B and patient billing and collections.

• Technically savvy in MS Office and Google Workspace.

• Capable of independently managing high-velocity, complex workloads.

• Ability to navigate uncertainty and develop processes from the ground up.

• Skilled in leading high-stakes meetings with external partners.

• Competent in translating complex billing challenges into clear insights for non-billing stakeholders.

• Proficient in prioritizing competing deadlines while ensuring 100% data accuracy.

• Excellent problem-solving abilities with the capacity to manage multiple priorities independently.

• Applicants must be authorized to work for any employer in the U.S.

• Twin Health cannot sponsor or take over sponsorship of an employment visa.

🏝️ Benefits

• Opportunity for equity participation.

• Unlimited vacation with manager approval.

• 16 weeks of 100% paid parental leave for delivering parents.

• 8 weeks of 100% paid parental leave for non-delivering parents.

• 100% employer-sponsored healthcare, dental, and vision for you.

• 80% coverage for your family.

• Health Savings Account and Flexible Spending Account options.

• 401k retirement savings plan.

• Remote work flexibility.

• Competitive compensation package.