Revenue Analyst II

Mass General Brigham - Somerville, MA

Full-time

Somerville, 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 ensuring effective communication across teams.

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 of internal processes.
• Prepare and present regular reporting of department recoveries or overpayments at senior management meetings.
• Conduct bi-annual contract implementation audits and draft findings and recommendations for management.
• Collect data and compile the departmental 'Variance Activity Report' regularly.
• Represent the department at payer operations and revenue analyses meetings as necessary.
• Respond to ad-hoc financial analysis requests independently or collaboratively, maintaining a tracking log 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 clarification on payment variance details for both internal and external parties.
• Participate in the development of required reporting for the Payment Variance team from available databases.
• Input/correct rates within the Harvest modeling system and communicate with the vendor regarding fee schedules and logic building.
• Actively participate in process improvement initiatives.

Requirements

• Bachelor's degree preferred in Healthcare Administration, Management, Finance, Business Administration, or related field.
• Minimum of five years prior relevant healthcare experience, billing, financial analysis, or revenue cycle experience required.

Nice-to-haves

• Strong interpersonal skills to effectively communicate with cross-functional teams.
• Ability to negotiate and collaborate with individuals of different skill sets and backgrounds.
• Strong problem-solving and negotiation skills.
• Ability to conduct both formal and informal meetings with minimal direction.

Benefits

• Opportunities for personal development and career growth.
• Supportive work culture focused on teamwork and collaboration.