Senior Analyst, Trend Analysis, Payor Escalations

Job not on LinkedIn

🕒 May 6

🏈 Alabama, Arizona, +18 more states – Remote

🏈 Alabama – Remote 🌵 Arizona – Remote 🐊 Florida – Remote 🥔 Idaho – Remote 🌪️ Kansas – Remote 🦞 Maine – Remote 🌶️ New Mexico – Remote 🌲 North Carolina – Remote 🌪️ Oklahoma – Remote 🚗 Michigan – Remote 🎸 Mississippi – Remote 🏰 Missouri – Remote 🔔 Pennsylvania – Remote 🌴 South Carolina – Remote 🎸 Tennessee – Remote 🤠 Texas – Remote ⛷️ Utah – Remote ⚔️ Virginia – Remote ⛰️ West Virginia – Remote 🧀 Wisconsin – Remote

⏰ Full Time

🟠 Senior

🧐 Analyst

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Knowtion Health

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 2008

⚕️ Healthcare Insurance

💳 Fintech

☁️ SaaS

💰 Private Equity Round on 2020-09

Healthcare Insurance • Fintech • SaaS

Knowtion Health is a company that assists hospitals in handling denied and complex claims, recovering low balance accounts, and providing defense against payer audits. By leveraging advanced technology and a team of experts, Knowtion Health aims to maximize revenue and improve patient experiences. Their services include addressing clinical denials and managing various challenging payer classes, positioning them as a strong advocate for their clients in the healthcare sector.

📋 Description

• Perform detailed trend analysis and root cause investigation across Low Balance inventory, including denials, payment variances, adjustments, and returns. • Analyze claims, remittance, and payment data to identify payor behavior patterns, emerging issues, and revenue risks. • Support payor escalation preparation by completing detailed account reviews, summarizing findings, and documenting recommended next steps. • Maintain accurate payor escalation documentation, including issue details, supporting analysis, and resolution outcomes. • Perform monthly revenue reconciliation to ensure accuracy and completeness across source systems. • Execute analysis for trending requests and participate in cross-functional reviews to discuss findings and recommended actions.

🎯 Requirements

• Bachelors degree (or equivalent experience) • 4-7+ years of progressive experience in hospital revenue cycle analytics, healthcare operations analytics, or equivalent experience in complex healthcare financial environments • Deep experience analyzing claim inventory, payor behavior, denials, and payment patterns with a proven ability to translate analysis into operational and financial impact • Strong background serving as a system analyst or senior business partner for revenue cycle systems, reporting platforms, or analytics technologies • Excellent organizational and analytical skills required along with written and verbal communication • Expert in analytical tools, including Microsoft Excel and the broader Microsoft Office Suite, with a demonstrated ability to capture, analyze, and present data clearly and concisely to a variety of audiences.

🏖️ Benefits

• medical • dental • vision • life insurance • short term disability • long term disability • paid holidays • 401k • generous PTO policy