The Revenue Analyst role consists of thorough and extensive analyzation and investigative assessment of claims that have been identified as paid incorrectly.
Through phone and written correspondence with insurance companies, the Revenue Analyst initiates pursuit of incorrectly paid medical insurance claims.
Independently, consider business needs and adjust workflow accordingly when reviewing and researching available accounts for potential payer underpayments to pursue.
Analyze and ascertain pertinent information from multiple sources (e.g., hospital systems, medical records, claims) to identify true causality for underpayments.
Recognize payor and client trends and perform research to maximize profitability.
Consider account profitability and cost analysis when reviewing for potential rebills.
Analyze payer contracts for revenue risks when business needs arise.
Facilitate and communicate results of rebills with auditors.
Mentor and assist with onboarding of incoming Revenue Analysts.
Coordinate and lead training for incoming team members.
Facilitate and or annotate internal team meetings.
Collaborate with manager and project leads to perform client work as assigned.
Manage multiple internal projects while adhering to deadlines and weekly goals.
Other duties as assigned.

Associate’s Degree or 3-5 years relevant work experience preferred
Knowledge of Revenue Cycle industry preferred
Experience reviewing hospital claims and payor contracts
Professional experience communicating with insurance companies verbally and writing complex appeals for contractual underpayments
Comprehension of key risk areas of contract reimbursement methodologies
Ability to conduct research via multiple channels (internet, client and payer systems, and internal resources)
Ability to navigate Hospital’s optical storage and patient accounting systems
Critical thinking and decision-making skills
Must be able multi-task and remain diligent with workload/multi-project while maintaining strong attention to detail
Excellent written and verbal communication skills
Strong computer skills, including OneNote, Word, Excel (advanced formulas, pivot tables)
Ability to adapt to mentee learning style and adjust training accordingly
Strong independent work ethic while also collaborating with a team to achieve goals

Revenue Analyst 2, Zero Balance

Key skills