Senior Revenue Cycle Integrity and Reporting Analyst

Role Overview

• Perform technical configurations of billing systems in accordance with payer contract requirements, specifications and fee schedule
• Develop a redundant validation process to ensure accuracy of monthly billing activities
• Develop billing operations SOPs and policies in compliance with standard and local healthcare laws and in accordance with contractual agreements
• Ensure accuracy of cash applications processes by conducting regular reconciliations of ERP and billing systems
• Conduct regular post billing audits to proactively identify gaps in billing processes
• Ensure currency and accuracy of billing operations guidelines based on latest payer requirements and policy changes
• Collaborate with customer experience, product and data integrations teams in identifying and implementing opportunities for automation to support reliable and scalable billing operations processes
• Prepare and validate monthly billing reports and statements in a timely manner to ensure accurate and on time billing
• Develop and maintain billing operations KPIs (DSO, clean claims rate, denials and bad debt rate) to track performance success and trends
• Develop SLAs and benchmarks in providing billing related service requests to measure customer success and ensure customer satisfaction
• Develop and fulfill ad hoc reporting requests from internal and external customers in adherence to contract SLA’s
• Lead investigation and research of billing inquiries and disputes by performing data and root cause analysis
• Translate complex, large, healthcare data sets into clear reports to provide actionable insights
• Develop and maintain process repository for organizing and storing billing related data
• Collaborate with accounting and finance teams in developing financial reporting requirements related to billing

Requirements

• Advanced Data Analytics: Proficient in SQL and Advanced Excel (Power Query, Pivot Tables) to query large healthcare datasets and translate them into clear, actionable reports and financial reconciliations.
• Data Visualization: Experience building and maintaining performance dashboards using tools like Lightdash, Tableau, Power BI, or Looker.
• Technical Configuration: Proven ability to translate complex payer contracts and fee schedules into system logic and technical billing configurations.
• Automation and Scale Mindset: Proven ability to collaborate with product and engineering teams to identify and implement automation opportunities.
• RCM & Billing Expertise: 4 years of experience the Healthcare Revenue Cycle, specifically in billing system configurations, fee schedules, and payer contract requirements.
• Compliance & Policy: Proven ability to develop SOPs and billing policies that align with contractual agreements and local healthcare laws.
• Audit & System Reconciliation: Experience performing post-billing audits and complex reconciliations between ERP and billing systems to ensure financial accuracy.
• Problem-Solving and Adaptability: A self-directed problem-solver who seeks the "why" behind processes, comfortable navigating ambiguity in a fast-paced, high-growth environment.
• Preferred Qualifications: Experience in a startup environment within healthcare; Background in project management and coordination; Experience with NetSuite, Snowflake, Lightdash is a plus.

Tech Stack

• ERP
• SQL
• Tableau

Benefits

• A competitive compensation package in line with leading technology companies
• A remote and accomplished global team
• 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, and 80% coverage for your family; Health Savings Account and Flexible Spending Account options
• 401k retirement savings plan