Revenue Recovery Analyst

Whittier, CA - USA

Monthly Salary: USD 69368 - 114441

Posted on: 20 hours ago

Vacancies: 1 Vacancy

Job Summary

This is an on-site position

The Revenue Recovery Analyst identifies collects and determines root causes of underpayment. Maintaining strong internal controls over billing processes and root cause analysis relating to all recovery efforts. This position is responsible for reviewing large amounts of remittance data conduct analysis utilizing databases and modeling tools to identify areas of payment variances to identify revenue optimization opportunities and to take steps (appeals corrected claims etc.) to solve and capture the contractual underpayments.

PIH Health is a nonprofit regional healthcare network that serves approximately 3 million residents in the Los Angeles County Orange County and San Gabriel Valley region. The fully integrated network is comprised of PIH Health Downey Hospital PIH Health Good Samaritan Hospital PIH Health Whittier Hospital 37 outpatient medical office buildings a multispecialty medical (physician) group home healthcare services and hospice care as well as heart cancer digestive health orthopedics womens health urgent care and emergency services. The organization is nationally recognized for excellence in patient care and patient experience and the College of Healthcare Information Management Executives (CHIME) has identified PIH Health as one of the nations top hospital systems for best practices cutting-edge advancements quality of care and healthcare technology. For more information visit or follow us on Facebook Twitter or Instagram.

Required Skills

Negotiation and personal computer (spreadsheet database word processor) skills contract analysis knowledge of claims adjudication process and effective communication and presentation skills.
Thorough understanding of reimbursement methodologies as they relate to managed care contracting is also required.
Basic understanding of medical care and medical terminology preferred
Ability to write and perform basic MS SQL queries

Required Experience:

This is an on-site positionThe Revenue Recovery Analyst identifies collects and determines root causes of underpayment. Maintaining strong internal controls over billing processes and root cause analysis relating to all recovery efforts. This position is responsible for reviewing large amounts of re...