Revenue Recovery Analyst

Mount Nittany Health · Bellefonte

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POSITION SUMMARY

The Revenue Recovery Analyst is responsible for identifying, analyzing, and resolving hospital and physician payment variances to ensure accurate reimbursement and support enterprise revenue integrity objectives. This role performs both account-level recovery activities and population-level analytics to detect underpayment and overpayment trends, validate contract compliance, and support proactive mitigation of revenue leakage.

The Analyst partners closely with the Manager of Reimbursement, Revenue Integrity, Patient Accounts, and Finance to support expected reimbursement accuracy, payer performance monitoring, and root cause remediation. This position plays a key role in preparing the organization for Epic expected reimbursement functionality and advancing data-driven reimbursement strategy.

MINIMUM REQUIREMENTS

Education:

1. Bachelor’s degree in Healthcare Administration, Finance, Business, or related field preferred
2. Equivalent combination of education and relevant experience considered

Experience:

1. Minimum 3–5 years healthcare revenue cycle experience preferred
2. Demonstrated experience in underpayment or payment variance analysis preferred
3. Experience working with hospital and/or outpatient reimbursement preferred
4. Familiarity with government and commercial payer methodologies preferred

Knowledge, Skills, Abilities:

• Strong understanding of hospital and outpatient reimbursement methodologies
• Ability to interpret payer contracts and remittance advice
• Advanced analytical and problem-solving skills
• Proficiency in Excel (pivot tables, lookups, data analysis)
• Experience with revenue cycle systems (Meditech, Epic, Quadax, or similar) preferred
• Knowledge of UB-04 and/or CMS-1500 claim structure preferred
• Strong attention to detail and organizational skills
• Ability to manage multiple priorities and meet deadlines
• Effective written and verbal communication skills
• Ability to work both independently and collaboratively
• Knowledge of CPT and HCPCS codes preferred.

License/Certification/Registration:

None required

SUPERVISION RECEIVED

Receives primary supervision from the Manager Reimbursement under the leadership of Director of Revenue Integrity & Reimbursement Strategy. 

SUPERVISION GIVEN

None

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