Senior Revenue Cycle Integrity and Reporting Analyst

Twin Health is a company focused on improving and preventing chronic metabolic diseases through AI Digital Twin technology. They are seeking an experienced Revenue Cycle Integrity and Reporting Analyst to enhance billing operations by ensuring compliance, conducting audits, and leveraging analytics to monitor billing KPIs.

Responsibilities:

• 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