Perform detailed trend analysis and root cause investigation across Low Balance inventory, including denials, payment variances, adjustments, and returns.
Analyze claims, remittance, and payment data to identify payor behavior patterns, emerging issues, and revenue risks.
Support payor escalation preparation by completing detailed account reviews, summarizing findings, and documenting recommended next steps.
Maintain accurate payor escalation documentation, including issue details, supporting analysis, and resolution outcomes.
Perform monthly revenue reconciliation to ensure accuracy and completeness across source systems.
Execute analysis for trending requests and participate in cross-functional reviews to discuss findings and recommended actions.

Bachelors degree (or equivalent experience)
4-7+ years of progressive experience in hospital revenue cycle analytics, healthcare operations analytics, or equivalent experience in complex healthcare financial environments
Deep experience analyzing claim inventory, payor behavior, denials, and payment patterns with a proven ability to translate analysis into operational and financial impact
Strong background serving as a system analyst or senior business partner for revenue cycle systems, reporting platforms, or analytics technologies
Excellent organizational and analytical skills required along with written and verbal communication
Expert in analytical tools, including Microsoft Excel and the broader Microsoft Office Suite, with a demonstrated ability to capture, analyze, and present data clearly and concisely to a variety of audiences.

Senior Analyst, Trend Analysis, Payor Escalations

Key skills