Senior Revenue Cycle Analyst Underpayments

United StatesRemoteFull-timesenior

OtherRevenue Cycle Analyst

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Requirements Summary

At least 12 months of relevant experience in healthcare revenue cycle operations, hospital billing, claims resolution, revenue cycle analysis,

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OtherRevenue Cycle Analyst

This remote role focuses on identifying, analyzing, and resolving hospital claim underpayments to help maximize appropriate reimbursement.
You’ll research patient accounts, payer information, and reimbursement details to uncover missed revenue opportunities.
The position combines revenue cycle expertise, analytical thinking, financial investigation, and claims resolution.
You’ll diagnose the root causes of underpayments and provide insights that can improve processes and prevent future revenue leakage.
As a senior team member, you’ll also mentor colleagues, support quality assurance, and help coordinate work across domestic and global teams.
The role offers an opportunity to contribute to healthcare revenue performance while developing deep expertise in billing, reimbursement, and data-driven analysis.
Success requires strong attention to detail, mathematical ability, communication skills, and the confidence to work as a subject matter expert.

Research hospital accounts using patient accounting systems, payer portals, websites, and proprietary technology platforms.
Review identified underpayment opportunities and validate expected reimbursement amounts.
Determine whether an identified opportunity should be pursued with the payer and establish the appropriate action required for resolution.
Document account findings thoroughly, providing the information and supporting details needed for appeals and reimbursement recovery.
Investigate how underpayments occurred, identify root causes, and determine potential actions that could help prevent similar issues in the future.
Support the creation of new revenue opportunities by executing and evaluating software rules.
Lead and support team activities designed to identify and maximize revenue opportunities.
Serve as a subject matter expert by sharing knowledge, providing guidance, and mentoring team members across domestic and global operations.
Conduct quality assurance reviews and provide constructive feedback to support accuracy, consistency, and continuous improvement.
Help teams meet established production, accuracy, efficiency, and performance benchmarks.
Coordinate with cross-functional teams and respond to requests in a timely manner.
Contribute to strategic prioritization by identifying trends, improvement opportunities, and areas where constructive feedback can strengthen processes.
Complete required training and maintain current knowledge of relevant revenue cycle processes and systems.
Promote a collaborative, supportive, and positive team environment.

Requirements

~1 min read

At least 12 months of relevant experience in healthcare revenue cycle operations, hospital billing, claims resolution, revenue cycle analysis, or related data analytics; equivalent industry experience is considered.
Strong leadership capabilities, with the ability to guide, mentor, and support team members.
Strong analytical and critical-thinking skills, with the ability to investigate complex reimbursement issues and identify root causes.
Highly organized and self-directed, with exceptional attention to detail and follow-through.
Strong verbal and written communication skills, particularly the ability to clearly explain account findings and provide detailed support for claims and appeals.
Strong mathematical skills, including the ability to work confidently with complex calculations and reimbursement equations.
Proficiency with computers, digital systems, payer portals, and technology-based workflows.
Ability to interpret account information, evaluate reimbursement accuracy, and make sound decisions based on available data.
Ability to work effectively with domestic and global teams in a collaborative environment.
Comfortable providing constructive feedback, supporting quality assurance activities, and contributing to continuous process improvement.
Ability to meet productivity, accuracy, efficiency, and quality expectations in a performance-driven environment.