Revenue Recovery Analyst

About

The Role

The Revenue Recovery Analyst plays a critical role in identifying and recovering lost or at‑risk revenue across professional and hospital billing environments. Reporting to the Head of Commercial Strategy, working at the intersection of data, analytics, and client engagement, this role is responsible for delivering actionable insights from curated or created alerts, guiding customers through recommended next steps, and ensuring follow‑through to financial resolution.

The ideal candidate combines analytical rigor with strong communication skills and a deep understanding of healthcare revenue cycle operations.

Alert Analysis & Consultative Delivery:

• Review and interpret curated revenue recovery alerts to identify financial risk and opportunity across professional and hospital billing.
• Serve as a consultative analyst by translating complex data findings into clear, prioritized recommended next actions for customers.
• Determine the appropriate resolution pathway for each alert, including deployment of agent‑initiated actions, outbound phone calls, or API‑based outreach.

Customer Follow‑Through & Engagement:

• Proactively track open items and follow up with customers to ensure timely completion of recommended actions.
• Build trusted relationships with revenue cycle stakeholders, providing ongoing guidance and education throughout the recovery process.
• Document customer interactions, outcomes, and outstanding issues to maintain accurate records and support escalation when needed.

Financial Impact Tracking:

• Quantify and communicate the financial impact of alert‑driven interventions for both professional and hospital billing.
• Monitor recovery trends and report on key performance indicators to demonstrate value delivered to customers.

Product Feedback & Internal

Collaboration:

• Provide structured feedback to the product team based on alert outcomes, customer interactions, and observed gaps in application functionality.
• Identify instances where required data is not available within the application and formally request that data from internal teams (e.g., data engineering, operations, or payer relations).
• Collaborate cross‑functionally to improve alert quality, workflow efficiency, and overall product effectiveness.

Payer & Billing Expertise:

• Apply knowledge of payer contract terms, claim adjudication rules, and billing workflows to contextualize alerts and guide recovery efforts.
• Support both professional billing (physician/provider claims) and hospital/facility billing workflows as needed.

Education:

• Bachelor's degree in Healthcare Administration, Business, Finance, or a related field; equivalent work experience considered.

Experience:

• 3–5 years of experience in healthcare revenue cycle, with exposure to claims management, revenue recovery, denial management, or payer contracting.
• Experience working with revenue cycle technology platforms or analytics tools preferred.
• Familiarity with professional and/or hospital billing workflows required.

Skills &

Competencies:

• Strong analytical and problem‑solving skills with the ability to interpret data and recommend actionable next steps.
• Excellent written and verbal communication skills; comfortable presenting findings and recommendations to non‑technical stakeholders.
• Ability to manage multiple open items and prioritize effectively in a fast‑paced environment.
• Collaborative mindset with a track record of working cross‑functionally across product, operations, and data teams.
• Proficiency in data analysis tools and maintaining data output; experience with SQL or BI platforms is a plus.
• Knowledge of CPT codes, ICD coding, EOB interpretation, CARC (Claim Adjustment Reason Code) and RARC (Remittance Advice Remark Code) uses, and how to navigate…