Revenue Analyst II

Mass General Brigham - Winter Hill, MA

Full-time

Winter Hill, MA

Ambulatory Health Care Services

About the position

The Revenue Analyst II position at Mass General Brigham involves supporting activities related to payer payment analytics and underpayment recoveries. The role requires independent analysis of payment variances, documentation of appeals, and collaboration with various departments and external payers to optimize revenue capture. The analyst will also prepare reports, conduct audits, and participate in process improvement initiatives, all while adhering to the organization's values and commitment to diversity and inclusion.

Responsibilities

• Analyze third party payment variances and determine root causes for discrepancies using database tools.
• Document and submit appeals to third party payers for underpayment recoveries and track responses.
• Identify overpayments and inform management for financial reserves and remediation.
• Prepare and present regular reports of department recoveries at senior management meetings.
• Conduct bi-annual contract implementation audits and draft findings for management.
• Collect data for the departmental 'Variance Activity Report' on a regular basis.
• Represent the department at payor operations and revenue analyses meetings.
• Respond to ad-hoc financial analysis requests and maintain tracking logs of requests.
• Escalate modeling logic or system issues to management with recommendations for remediation.
• Record and monitor payment variances and communicate them to internal and external parties.
• Serve as the point of contact for payment variance clarifications.
• Develop required reporting for the Payment Variance team from available databases.
• Input/correct rates within the Harvest modeling system and communicate with the vendor.
• Participate in process improvement initiatives.

Requirements

• Bachelor's degree preferred in Healthcare Administration, Management, Finance, Business Administration, or related field.
• Minimum of five years of relevant healthcare experience, including billing, financial analysis, or revenue cycle experience.
• Strong interpersonal skills for effective communication with cross-functional teams.
• Ability to negotiate and collaborate with diverse skill sets and backgrounds.
• Strong problem-solving and negotiation skills.
• Ability to conduct formal and informal meetings effectively.
• Minimal direction required from leadership and quick learning ability.