Member Revenue Analyst

Member Revenue Operations Analyst

Thank you for considering Progyny! We are seeking a highly analytical, detail-oriented Member Revenue Operations Analyst to join our Finance team.

• Perform detailed reconciliations of member accounts, payment activity, and financial transactions to ensure billing accuracy and maintain financial integrity.
• Investigate and resolve complex member billing issues by researching payment discrepancies, reimbursement inquiries, claim processing errors, and account exceptions.
• Manage a high-volume portfolio of member emails and Salesforce cases, providing timely, accurate resolutions while meeting established service level agreements.
• Review accounts for receivable balances, payment postings, claim adjustments, and member responsibility to identify discrepancies and determine appropriate account resolution.
• Process member refunds, account adjustments, and approved balance corrections in accordance with internal controls and financial policies.
• Review bankruptcy documentation, coordinate with Legal for required approvals, and execute approved account write-offs and balance adjustments.
• Partner with Accounting, Claims Revenue Operations, Member Services, Engineering, Product, IT, and external vendors (including Patient Pay) to troubleshoot operational issues, resolve system defects, and improve the member billing experience.
• Serve as subject‑matter expert on billing operations by researching complex issues, identifying root causes, and recommending scalable solutions that improve accuracy and efficiency.
• Utilize SQL, advanced Excel, and Power BI to analyze large datasets, perform reconciliations, identify trends, and support operational reporting and decision‑making.
• Participate in system enhancements, user acceptance testing (UAT), and cross-functional initiatives to ensure successful implementation of new processes and technology.
• Develop and maintain standard operating procedures, process documentation, and training materials to support operational consistency and knowledge sharing.
• Identify opportunities to automate manual processes, streamline workflows, and improve operational performance through continuous process improvement.

• Bachelor's degree in finance, Accounting, Health Administration, Business Administration, or related field, or equivalent work experience.
• 3+ years of experience in Revenue Operations, Billing Operations, Healthcare Finance, Accounts Receivable, Financial Operations, or a similar analytical role.
• Strong analytical mindset with exceptional problem-solving and investigative skills.
• Advanced Microsoft Excel skills, including working with large datasets and complex formulas.
• Working knowledge of SQL for querying and validating data.
• Experience with Power BI or other business intelligence/reporting platforms.
• Experience working with Salesforce or comparable case‑management systems.
• Familiarity with healthcare billing, insurance claims, Explanation of Benefits (EOBs), payment posting, collections, refunds, and reimbursement processes.
• Excellent organizational skills with the ability to manage multiple priorities in a fast‑paced environment.
• Strong written and verbal communication skills with the ability to explain complex financial information clearly.
• Demonstrated ability to collaborate across departments and influence outcomes through partnership.
• Passion for continuous improvement, automation, and operational excellence.

• Healthcare, health tech, or insurance industry experience.
• Experience supporting payment platforms or third‑party billing vendors (e.g., Patient Pay).
• Experience with workflow automation or process improvement initiatives.
• Knowledge of financial reconciliations and month‑end support activities.
• Experience with data validation, quality assurance, and operational reporting.

• This is more than a billing position— it's an operations-focused role where you'll solve complex financial challenges, partner across the organization, leverage data to drive decisions, and improve the systems and processes that support our members.
• You'll have the opportunity to influence…