Member Revenue Analyst
$65,000–$75,000 year
HybridNew York, United States
Job Summary
Conduct detailed reconciliations of member accounts, payment activity, and financial transactions to ensure billing accuracy. Investigate complex billing issues by researching payment discrepancies, claim processing errors, and account exceptions, while managing high-volume Salesforce cases to meet service level agreements. Process refunds, account adjustments, and approved write-offs in accordance with internal controls, and partner with cross-functional teams to troubleshoot operational issues and improve workflows. Utilize SQL, advanced Excel, and Power BI to analyze large datasets, identify trends, and support operational reporting. Identify opportunities to automate manual processes and develop standard operating procedures to drive efficiency.
Required Qualifications
- Bachelor's degree in finance, Accounting, Health Administration, Business Administration, or related field, or equivalent work experience
- 3+ years of experience in Revenue Operations, Billing Operations, Healthcare Finance, Accounts Receivable, Financial Operations, or a similar analytical role
- Strong analytical mindset with exceptional problem-solving and investigative skills
- Advanced Microsoft Excel skills, including working with large datasets and complex formulas
- Working knowledge of SQL for querying and validating data
- Experience with Power BI or other business intelligence/reporting platforms
- Experience working with Salesforce or comparable case management systems
- Familiarity with healthcare billing, insurance claims, Explanation of Benefits (EOBs), payment posting, collections, refunds, and reimbursement processes
- Excellent organizational skills with the ability to manage multiple priorities in a fast-paced environment
- Strong written and verbal communication skills with the ability to explain complex financial information clearly
- Demonstrated ability to collaborate across departments and influence outcomes through partnership
- Passion for continuous improvement, automation, and operational excellence
- Candidates must be authorized to work in United States without the need for sponsorship, now or in the future
Desired Qualifications
- Healthcare, health tech, or insurance industry experience
- Experience supporting payment platforms or third-party billing vendors (e.g., PatientPay)
- Experience with workflow automation or process improvement initiatives
- Knowledge of financial reconciliations and month-end support activities
- Experience with data validation, quality assurance, and operational reporting
- Experience partnering with third-party payment vendors or payment platforms is preferred
Hiring someone like this?
Get your role in front of qualified candidates on Sorce.