Responsible for identifying, investigating, and resolving financial discrepancies to recover missed or lost income.
Analyze billing errors, payment disputes, and account adjustments across complex systems to minimize revenue leakage and optimize cash flow.
Uncover missed revenue opportunities, collaborate with operational leaders, billing and revenue cycle analyst to implement corrective actions.
Prepare detailed reports and recommend process improvements to enhance revenue capture.
Reviewing and reconciling accounts, analyzing billing and payment data, and investigating discrepancies to uncover missed revenue opportunities.
Research and reconcile customer chargebacks, deductions, and underpayments across financial or billing systems.
Audit account data to identify patterns of underbilling, overpayment, or delayed claims.
Partner with finance, billing, and operation leaders to resolve errors and implement corrective actions.
Investigate the underlying causes of revenue leakage and recommend process improvements to prevent future losses.
Compile and present financial reports and Key Performance Indicators (KPIs) to leadership regarding recovery metrics.
Other Duties as Assigned.

Three years of experience administering or coordinating parts or subsets of a project or program.
A bachelor’s degree in Business Administration, Management, Public Administration, or a field directly related to the position will substitute for two years of the required experience.
Proficiency with Microsoft Outlook, Excel, PowerPoint and Word
Organized task and follow-up items
Ability to read and understand medical related terms
Effective organizational abilities, oral and written communication skills, and interpersonal skills;
Ability to operate and communicate effectively while meeting multiple deadlines and completing projects simultaneously;
Ability to interact in a positive, productive manner with provider, nursing, pharmacy staff and leadership (demonstrating sensitivity, tact, and professionalism)
Must be able to perform the essential functions of the position with or without accommodation
Advanced proficiency in Microsoft Excel and experience using ERP platforms or specialized financial and billing software.
Strong critical thinking and mathematical skills with a high degree of accuracy when handling large datasets.
Exceptional negotiation and interpersonal skills to handle disputes professionally with internal departments and external clients or payers.

Healthcare Options
Covered 100% for full-time employees and 88% for dependents, and $25K of term life insurance provided at no cost to the employee
Two separate above market pension plans to choose from
Vacation
up to 200 hours per year depending on length of service
Sick Leave
up to 96 hours per year
8 paid holidays per year
Substantial Tri-met and C-Tran discounts
Additional Programs including Tuition Reimbursement and Employee Assistance Program (EAP)

Outpatient Pharmacy Revenue Analyst – Program Technician 1

Key skills