Anaheim Admin - Anaheim, CA
posted 3 months ago
Planned Parenthood of Orange and San Bernardino Counties is seeking a dedicated Revenue Recovery Analyst to join our team in Anaheim, CA. This full-time position is critical to our Revenue Cycle Management (RCM) efforts, focusing on identifying, collecting, and analyzing underpaid claims. The Revenue Recovery Analyst will play a vital role in auditing payor performance and ensuring compliance with contractual agreements, which is essential for the operational integrity of our organization. In this role, the Revenue Recovery Analyst will conduct thorough investigations into payment variances, performing deep dives into the processing of claims across our facilities. The position will primarily address the resubmission, reprocessing, and correction of denied or rejected insurance claims, particularly those that are complex or involve high-volume facilities and top payors. This analytical role requires a keen eye for detail and the ability to navigate intricate claim issues effectively. The Revenue Recovery Analyst will also support the RCM collection team by providing training and handling escalated claim follow-ups. This includes compiling billing and payor documentation to create training materials, responding to payment discrepancies, and developing dashboards and reports on key performance indicators. The successful candidate will utilize independent judgment and discretion to ensure timely reviews and audits of underpaid claims, ultimately contributing to the financial health of our organization.