Financial Analyst- Specialized Appeals- Remote

Overview

This role is responsible for the daily review and analysis of insurance payment takebacks to identify inaccuracies, trends, and opportunities for recovery. The position prepares executive-level reports summarizing findings and highlighting concerning payer behaviors, focusing on driving accountability through escalation. It also pursues individual account corrections to mitigate inappropriate recoupments. This function supports revenue protection by reducing cash loss, preventing accounts receivable aging growth, and enabling other Revenue Cycle teams to focus on cash-generating activities.

Responsibilities

• Update and maintain financial information.
• Provide reporting and analytics to ensure operational profitability.
• Identify opportunities for revenue enhancement.
• Participate in budget formation.
• Engage in quality assurance activities.
• Contribute to professional development activities.
• Participate in special projects involving financial analysis.
• Remain knowledgeable of current federal, state, and local laws, accreditation standards, and regulatory agency requirements applicable to the area of responsibility and ensure compliance.
• Report any known or suspected unethical or questionable behaviors or conduct, including patient/employee safety, patient privacy, and other compliance-related concerns.

Requirements

• Bachelor's degree in Accounting, Finance, Math, Business Administration, Computer Science, or related field, OR 10 years of relevant professional experience in lieu of a bachelor's degree.
• Computer proficiency with Windows-style applications and various office software packages.
• Effective verbal and written communication skills with the ability to present information clearly and professionally.
• Strong analytical and problem-solving skills.
• Excellent organizational and time management skills.
• Good judgment and decision-making abilities.

Preferred Qualifications

• Master’s degree in Business Administration (MBA) or advanced degree in Accounting, Finance, or related field.
• Experience in financial analysis, forecasting, and reporting.
• Experience in the healthcare industry.
• Certified Public Accountant (CPA) certification or actively pursuing certification.

Physical and Environmental Demands

• Medium work involving exerting 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds frequently, and/or up to 10 pounds constantly to move objects.
• Ability to stoop, bend, reach, and grab with arms and hands; manual dexterity required.
• Ability to sit for prolonged periods.
• Ability to travel throughout and between facilities.
• Ability to work a flexible schedule, potentially more than eight hours a day.
• No routine exposure to blood, body fluids, or tissue; no emergency care or first aid duties.
• Potential occupational risk for exposure to hazardous medications or waste depending on job duties.

Equal Opportunity

The employer is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or disability status.