Senior Revenue Cycle Operations Analyst

Job not on LinkedIn

🔥 6 minutes ago

🇺🇸 United States – Remote

💵 $80k - $95k / year

⏰ Full Time

🟠 Senior

💹 Revenue Operations

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Twin Health

WebsiteLinkedInAll Job Openings

201 - 500 employees

Founded 2018

💼 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.

📋 Description

• Full-Cycle AR Management: Oversee the end-to-end accounts receivable process, including claim follow-up, status inquiries, and comprehensive management of rejections, denials, and corrected claims. • Strategic Partner Liaison: Serve as the primary interface for external partners, leading difficult conversations regarding account discrepancies and financial disputes with diplomacy and professional resilience. • Cross-System Reconciliation: Reconcile customer accounts, payment applications, and offsets across NetSuite and billing systems (Candid), ensuring 100% transactional accuracy and immediate resolution of balancing variances. • Data Integrity & Risk Mitigation: Enforce rigorous sub-ledger data standards and proactively isolate high-impact downstream data risks to prevent operational bottlenecks. • Analytical Problem Solving: Navigate ambiguity by diagnosing billing discrepancies and compiling clear, actionable summaries for leadership, operating effectively without reliance on step-by-step guidance. • Trend Analysis & Reporting: Analyze payer-specific reimbursement trends to identify and report critically on payment issues, underpayments, and systemic errors. • Cross-Functional Translation: Convert complex medical billing, denial, and reimbursement issues into clear, actionable insights for non-billing stakeholders to ensure strategic alignment. • High-Velocity Execution: Manage a demanding, fast-paced workload with independent prioritization, ensuring strict adherence to daily posting activities and critical month-end deadlines. • Process Evolution: Act as a subject matter expert, refining internal billing guidelines and establishing new processes where gaps exist to drive continuous improvement in revenue cycle performance. • Account Maintenance & Adjustments: Monitor credit balances for timely refunds and propose write-offs or bad debt adjustments in strict accordance with payer policies. • Lead Onboarding & Partner Setup Calls: Facilitate technical setup calls with new health plans and partners to align on billing expectations, establish operational workflows, and ensure launch readiness. • Ensure Operational Readiness for Seamless Billing: Validate invoicing and claims integrations prior to launch to guarantee error-free submission and timely payment processing. • Proactively Prevent & Resolve Payment Blockers: Identify potential billing bottlenecks during onboarding and coordinate directly with payer contacts to establish clear resolution pathways before issues arise. • Other duties as assigned.

🎯 Requirements

• Revenue Cycle Expertise: 5+ years of experience in healthcare revenue cycle management, with comprehensive knowledge of commercial and government payer policies, CPT/HCPCS/ICD-10 coding, and EOB reconciliation. • Billing Operations: Proficiency in B2B and patient billing/collections, paired with technical literacy in MS Office and Google Workspace. • Operational Autonomy: Proven track record of managing high-velocity, complex workloads independently. Ability to navigate ambiguity and create processes from scratch without reliance on existing SOPs. • Strategic Communication: Exceptional ability to lead high-stakes, external partner meetings and translate complex billing issues into clear insights for non-billing stakeholders. • Execution & Accuracy: Demonstrated success in prioritizing competing deadlines while maintaining 100% data accuracy and high execution velocity. • Excellent problem-solving skills with the ability to manage multiple priorities completely independently without sacrificing accuracy or execution velocity. • Proven track record of managing a heavy workload and tight deadlines independently, with a high degree of comfort in ambiguity and a demonstrated ability to create processes where none exist.

🏖️ Benefits

• A competitive compensation package in line with leading technology companies • A remote and accomplished global team • 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, and 80% coverage for your family; Health Savings Account and Flexible Spending Account options • 401k retirement savings plan