Revenue Analyst II

Mass General Brigham - Somerville, MA

Full-time - Mid Level

Somerville, MA

Ambulatory Health Care Services

About the position

The Revenue Analyst II at Mass General Brigham plays a crucial role in supporting payer payment activities, conducting various analytics, and managing underpayment recoveries. This position involves collaboration with internal departments and external payers to optimize revenue capture, ensuring accurate analysis and reporting of payment variances.

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 reports of department recoveries at senior management meetings.
• Perform bi-annual contract implementation audits and draft findings for management.
• Assist in collecting data for the departmental 'Variance Activity Report.'
• 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 clarification on payment variance details.
• Participate in the development of reporting for the Payment Variance team.
• 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 prior relevant healthcare experience, billing, financial analysis, or revenue cycle experience required.

Nice-to-haves

• Strong interpersonal skills to communicate effectively with cross-functional teams.
• Ability to negotiate and collaborate with individuals of varying skill sets and backgrounds.
• Strong problem-solving and negotiation skills.
• Ability to conduct both formal and informal meetings.
• Minimal direction needed from leadership and quick learning ability.

Benefits

• Comprehensive health insurance coverage.
• Retirement savings plan options.
• Opportunities for professional development and growth.
• Supportive work culture focused on personal development.