Healthcare Revenue Integrity Analyst

Role Description

The Revenue Integrity Analyst is responsible for ensuring revenue is accurately recorded and reimbursed by reviewing patient accounts, validating payer contracts, resolving payment discrepancies, and supporting revenue cycle operations. This role works closely with finance, managed care, and operational teams to improve revenue accuracy, maintain compliance, and identify opportunities for process improvement.

Key Responsibilities:

• Review patient accounts to ensure revenue, payer selection, and reimbursement calculations are accurate.
• Investigate billing and payment discrepancies by working with internal departments to resolve outstanding issues.
• Process manual account adjustments, reimbursement corrections, and contract overrides when necessary.
• Update reimbursement systems with new payer contracts, rate changes, and contract revisions.
• Perform daily reconciliations and resolve revenue exceptions identified through reporting.
• Collaborate with managed care teams to interpret contract language and reimbursement requirements.
• Analyze payer trends and historical reimbursement data to identify inconsistencies and recommend process improvements.
• Develop reports and maintain documentation supporting revenue integrity initiatives.
• Research and resolve credit balances and payment variances to maintain accurate financial records.
• Respond to revenue-related inquiries from internal teams in a timely and professional manner.
• Escalate system, contract, or workflow issues impacting reimbursement accuracy.
• Support month-end close activities and ensure revenue-related issues are resolved before financial deadlines.
• Perform additional revenue cycle projects and responsibilities as assigned.

Qualifications

• Previous experience in healthcare revenue cycle, revenue integrity, medical billing, or reimbursement analysis.
• Strong understanding of payer contracts, insurance reimbursement, and revenue reconciliation processes.
• Experience researching payment variances and resolving billing discrepancies.
• Proficiency with Microsoft Excel and healthcare billing or financial systems.
• Strong analytical, organizational, and problem-solving abilities.
• Ability to work independently in a fully remote environment while managing multiple priorities.

Requirements

• Contract-to-Hire opportunity.
• Fully remote position.
• Monday-Friday schedule with a one-time selection of a permanent start time between 7:00 AM and 9:00 AM.
• Overtime opportunities available.
• Approximately two-week onboarding process for compliance and equipment setup.
• Company-issued equipment provided; candidates must have a reliable personal cell phone.
• One-step virtual interview process.

Benefits

• Fully remote work environment.
• Flexible set work schedule.
• Overtime available.
• Company-provided equipment.
• Medical, dental, and vision benefits upon permanent hire.
• 30-minute lunch and one paid 15-minute break each workday.
• Opportunity to join a collaborative healthcare revenue cycle team with long-term growth potential.