Twin Health - Senior Revenue Cycle Integrity and Reporting Analyst

• Quality Assurance & Quality Control • Perform technical configurations of billing systems in accordance with payer contract requirements, specifications and fee schedule • Develop a redundant validation process to ensure accuracy of monthly billing activities • Develop billing operations SOPs and policies in compliance with standard and local healthcare laws and in accordance with contractual agreements • Ensure accuracy of cash applications processes by conducting regular reconciliations of ERP and billing systems • Conduct regular post billing audits to proactively identify gaps in billing processes • Ensure currency and accuracy of billing operations guidelines based on latest payer requirements and policy changes • Collaborate with customer experience, product and data integrations teams in identifying and implementing opportunities for automation to support reliable and scalable billing operations processes • Data Analysis & Reporting • Prepare and validate monthly billing reports and statements in a timely manner to ensure accurate and on time billing • Develop and maintain billing operations KPIs (DSO, clean claims rate, denials and bad debt rate) to track performance success and trends • Develop SLAs and benchmarks in providing billing related service requests to measure customer success and ensure customer satisfaction • Develop and fulfill ad hoc reporting requests from internal and external customers in adherence to contract SLA’s • Lead investigation and research of billing inquiries and disputes by performing data and root cause analysis • Translate complex, large, healthcare data sets into clear reports to provide actionable insights • Develop and maintain process repository for organizing and storing billing related data • Collaborate with accounting and finance teams in developing financial reporting requirements related to billing