Senior Revenue Integrity Analyst

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

📋 Description

• Take ownership of month-end revenue validation controls, which include reconciling outputs, managing exceptions, making adjustments, overseeing open inventory, and supporting close schedules.

• Examine instances of missed, delayed, misstated, or incorrectly billed revenue by utilizing paid claim transactional data, invoice details, contractual agreements, and internal financial records.

• Analyze various data sources to identify and capitalize on missed revenue opportunities.

• Execute and supervise the reconciliation of client self-billing files, encompassing data transformation, loading, quality checks, exception analysis, and final invoice support.

• Assess the accuracy of invoicing and alignment with contracts; apply non-standard contractual pricing and resolve any discrepancies, disputes, and fee reimbursements.

• Assist in the appropriate closure of inventory.

• Evaluate period-over-period changes, inventory aging, throughput, financial data, and other financial variances.

• Identify the root causes of financial underperformance and communicate findings, revenue implications, options, and corrective actions.

• Lead inquiries and escalations regarding invoice details with both internal and external stakeholders.

• Prepare factual reports and resolution recommendations for complex client issues.

• Develop regular reports, dashboards, forecasts, and insights to monitor KPI and SLA performance, revenue risk, service delivery, and financial accuracy.

• Collaborate with Finance, Operations, Technology, and Engineering teams to reconcile inventory and address invoicing or revenue application system and process issues.

• Utilize Power BI, automation, and agentic tools to enhance analytical quality, control effectiveness, cycle time, and operational efficiency.

• Mentor junior analysts and create consistent methodologies for reconciliations, investigations, documentation, and escalations.

• Fulfill annual performance-review and goal-setting responsibilities along with special projects or other assigned tasks.

⛳️ Requirements

• A bachelor's degree in Accounting, Finance, Economics, Business Administration, Engineering, Computer Science, Mathematics, Statistics, or a related field, or an equivalent combination of education, professional training, and relevant work experience.

• A high school diploma or GED is required.

• 5-8 years of experience in finance, accounting, healthcare payment integrity, revenue cycle or related fields.

• Strong expertise in revenue integrity, revenue cycle management, invoice standards, financial and accounting best practices, inventory management, healthcare payment integrity, and healthcare claims processing.

• Ability to manage multistep month-end controls and resolve complex discrepancies across client-supplied files, invoice details, and internal financial systems.

• Advanced skills in Excel and data analysis.

• Proficiency in developing reports and insights using Power BI or similar business intelligence tools.

• Working knowledge of healthcare payment integrity, claims processing, finance/accounting, and billing cycles.

• Capability to interpret client-specific invoicing logic and contractual requirements, and effectively communicate findings to internal and external stakeholders.

• Experience in collaborating with Finance, Operations, Technology, Engineering, and client-facing teams to implement corrective actions.

• Strong organizational, written communication, client communication, mentoring, and issue-resolution skills.

• Ability to interpret complex transactional, financial, contractual, and inventory data.

• Critical thinking and problem-solving skills to isolate root causes and determine suitable corrective actions.

• Capability to conduct complex analyses independently, while appropriately escalating significant risks and decisions.

• Ability to make timely decisions within month-end, invoicing, and client-resolution workflows.

• Ability to maintain focus and manage multiple recurring deliverables, investigations, and deadlines.

• Ability to assess the accuracy, completeness, and thoroughness of reconciliations, reports, and supporting documentation.

• Willingness to learn and apply new systems, processes, contract terms, and automation methods.

• Must be capable of performing duties with or without reasonable accommodation.

• Must provide a dedicated, secure work area.

• Must ensure high-speed internet access/connectivity and maintain office setup.

🏝️ Benefits

• Medical insurance coverage.

• Dental insurance coverage.

• Vision insurance coverage.

• Disability insurance coverage.

• Life insurance coverage.

• 401(k) savings plan.

• Paid family leave.

• 9 paid holidays per year.

• 17-27 days of Paid Time Off (PTO) per year, depending on level and duration of service.

• Dedicated, secure work area.

• High-speed internet access/connectivity and office setup and maintenance.