Senior Revenue Integrity Analyst – GOVT

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

📋 Description

• Take ownership of month-end revenue validation controls, which encompass the reconciliation of outputs, handling exceptions, making adjustments, managing open inventory, and supporting close schedules.

• Examine potential instances of missed, delayed, misstated, or incorrectly billed revenue using paid claim transactional data, invoice details, contractual terms, and internal financial documentation.

• Compare various data sources to identify and leverage missed revenue opportunities.

• Execute and supervise the reconciliation of client self-billing files, including data transformation, loading, quality verification, exception analysis, and support for final invoices.

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

• Assist in the appropriate closure of inventory.

• Analyze movements from period to period, inventory aging, throughput, financial data, and other financial variances.

• Determine the root causes of financial underperformance and communicate findings, revenue impacts, possible options, and suggested corrective actions.

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

• Prepare facts and recommendations for resolving complex client issues.

• Create recurring 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 issues.

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

• Mentor junior analysts and establish standardized methods for reconciliations, investigations, documentation, and escalation.

• Complete annual performance reviews and/or goal-setting tasks.

• Undertake special projects and other assigned responsibilities.

⛳️ Requirements

• 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.

• 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 effectively communicate findings to internal and external stakeholders.

• Experience working collaboratively across 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 perform duties with or without reasonable accommodations.

• Capacity to provide a dedicated, secure work area.

• Requirement for high-speed internet access/connectivity and office setup and maintenance.

🏝️ Benefits

• Medical insurance coverage.

• Dental insurance coverage.

• Vision insurance coverage.

• Disability insurance coverage.

• Life insurance coverage.

• 401(k) savings plans.

• Paid family leave.

• 9 paid holidays each year.

• 17-27 days of Paid Time Off (PTO) annually, based on specific level and duration of service.

• Dedicated, secure work area.

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