Senior Revenue Cycle Operations Analyst

đź•’ July 29

🇺🇸 United States – Remote

đź’µ $80k - $95k / year

⏰ Full Time

đźź  Senior

⚙️ Operations

🦅 H1B Visa Sponsor

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Logo of Twin Health

Twin Health

201 - 500 employees

Founded 2018

đź’Ľ Consulting

📦 Logistics

🏥 Healthcare

Consulting • Logistics • Healthcare

Twin Health is a company that focuses on improving the metabolic health of employees and health plan members by preventing and reversing chronic metabolic diseases. Utilizing proprietary Digital Twin AI technology, combined with smart devices, wearables, and a clinical care team, Twin Health provides personalized health recommendations. The solutions help in weight loss, lowering blood sugar levels, improving energy, mood, and sleep, and reducing dependency on costly medications by addressing the root causes of metabolic dysfunction. Their evidence-based programs deliver substantial health benefits, including considerable reduction in blood sugar levels, medication elimination, and overall metabolic health improvement, within six months.

đź“‹ Description

• Oversee the end-to-end accounts receivable process, including claim follow-up, status inquiries, rejections, denials, and corrected claims • Serve as the primary interface for external partners and lead conversations regarding account discrepancies and financial disputes • Reconcile customer accounts, payment applications, and offsets across NetSuite and Candid billing systems • Enforce sub-ledger data standards and proactively mitigate downstream data risks • Diagnose billing discrepancies and compile actionable summaries for leadership • Analyze payer-specific reimbursement trends, payment issues, underpayments, and systemic errors • Translate complex medical billing, denial, and reimbursement issues for non-billing stakeholders • Manage high-volume daily posting activities and month-end deadlines • Refine billing guidelines and establish new processes to improve revenue cycle performance • Monitor credit balances and propose refunds, write-offs, or bad debt adjustments according to payer policies • Lead onboarding and partner setup calls with new health plans and partners • Validate invoicing and claims integrations before launch • Identify and resolve payment blockers during onboarding • Perform other duties as assigned

🎯 Requirements

• 5+ years of experience in healthcare revenue cycle management • Comprehensive knowledge of commercial and government payer policies • Knowledge of CPT, HCPCS, and ICD-10 coding • Experience with EOB reconciliation • Proficiency in B2B and patient billing and collections • Technical literacy in MS Office and Google Workspace • Ability to independently manage high-velocity, complex workloads • Ability to navigate ambiguity and create processes from scratch • Ability to lead high-stakes external partner meetings • Ability to translate complex billing issues into clear insights for non-billing stakeholders • Ability to prioritize competing deadlines while maintaining 100% data accuracy • Excellent problem-solving skills and ability to manage multiple priorities independently • Applicants must be authorized to work for any employer in the U.S. • Twin Health cannot sponsor or take over sponsorship of an employment visa

🏖️ Benefits

• Opportunity for equity participation • Unlimited vacation with manager approval • 16 weeks of 100% paid parental leave for delivering parents • 8 weeks of 100% paid parental leave for non-delivering parents • 100% Employer sponsored healthcare, dental, and vision for you • 80% coverage for your family • Health Savings Account and Flexible Spending Account options • 401k retirement savings plan • Remote work flexibility • Competitive compensation package

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