As a Revenue Cycle Analyst, you will be a part of the finance and accounting team. The Revenue

Cycle Analyst will be a key member of a team and responsible for ensuring the success and accuracy

of our technology driven member’s claim volume workflow. This role is crucial to understand and

resolve medical claim challenges, while guiding the company towards scalable solutions that delight our

patients and enable the growth of our business.

Responsibilities:

• Monitor the health of our claims pre and post adjudication, while driving resolution of issues with the Payers and/or vendors.
• Participate in cross-functional efforts to increase efficiency of systems and processes related to the revenue cycle.
• Be a third layer of escalation for patient pay related issues/reporting.
• Perform in depth research to look for trends in our invoice balances to propose reconciliation both internally and with external vendors.
• Work with Product, Engineering, Finance, and Operations to close gaps within our claim volume workflow.
• Monitor and implement best practices necessary for a healthy revenue cycle.
• Work closely with external vendors and systems that influence the success of our payer integrations.

Requirements:

• Ability to consistently comb through large amounts of data and draw insights from it.
• High standards of accuracy and precision.
• Understanding of insurance plan benefit design, as well as ANSI 5010 837 and 835 files.
• Excellent analytical and quantitative abilities.
• Excellent verbal and written communication skills.
• Capable of presenting complex claims billing workflow information in an easy to understand format.
• Can work with employees at all levels of the organization in a highly collaborative environment.
• Preferred: Strong technical acumen (understanding of JSON, XML, X12/EDI, SQL, system configuration management, and database structures). Experience with business intelligence tools can be a substitute for this.
• Three (3) years of progressively responsible and directly related work experience.
• 1-2 years of statistical analysis experience.
• 2-3 years Hospital Billing / denial experience.

#LI-Remote

About Included Health

Included Health is a new kind of healthcare company, delivering integrated virtual care and navigation. We’re on a mission to raise the standard of healthcare for everyone. We break down barriers to provide high-quality care for every person in every community — no matter where they are in their health journey or what type of care they need, from acute to chronic, behavioral to physical. We offer our members care guidance, advocacy, and access to personalized virtual and in-person care for everyday and urgent care, primary care, behavioral health, and specialty care. It’s all included. Learn more at includedhealth.com.

-----

Included Health is an Equal Opportunity Employer and considers applicants for employment without regard to race, color, religion, sex, orientation, national origin, age, disability, genetics or any other basis forbidden under federal, state, or local law. Included Health considers all qualified applicants in accordance with the San Francisco Fair Chance Ordinance.