Senior Revenue Integrity Analyst

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

📋 Description

• Take responsibility for month-end revenue validation controls, which include reconciling outputs, handling exceptions, making adjustments, managing 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 terms, and internal financial records.

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

• Conduct and supervise the reconciliation of client self-billing files, which encompasses data transformation, loading, quality verification, exception analysis, and support for final invoicing.

• Ensure invoicing accuracy and alignment with contracts; implement non-standard contractual pricing and resolve any discrepancies, disputes, and fee paybacks.

• Facilitate the proper closure of inventory.

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

• Identify root causes for financial underperformance and communicate findings, revenue impacts, options, and recommended corrective measures.

• Manage invoice-detail inquiries and escalations with both internal and external stakeholders.

• Compile facts and resolution recommendations for complex client-related issues.

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

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

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

• Guide junior analysts and establish standardized methods for reconciliations, investigations, documentation, and escalations.

• Fulfill annual performance review and/or goal-setting responsibilities.

• Undertake special projects and 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.

• High school diploma or GED is required.

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

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

• Capability 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.

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

• Familiarity with healthcare payment integrity, claims processing, finance/accounting, and billing cycles.

• Ability to interpret client-specific invoicing logic and contractual requirements and communicate insights to both 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.

• Must be capable of providing a secure, dedicated work area.

• Must have high-speed internet access/connectivity and an appropriate office setup and maintenance.

• Must be able to perform duties with or without reasonable accommodation.

🏝️ 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 each year.

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