Revenue Recovery Analyst

Mount Nittany Health • Bellefonte, PA

8h

About The Position

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.

Requirements

• Bachelor’s degree in Healthcare Administration, Finance, Business, or related field preferred
• Equivalent combination of education and relevant experience considered
• Minimum 3–5 years healthcare revenue cycle experience preferred
• Demonstrated experience in underpayment or payment variance analysis preferred
• Experience working with hospital and/or outpatient reimbursement preferred
• Familiarity with government and commercial payer methodologies preferred
• 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)
• 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

Nice To Haves

• Experience with revenue cycle systems (Meditech, Epic, Quadax, or similar) preferred
• Knowledge of UB-04 and/or CMS-1500 claim structure preferred
• Knowledge of CPT and HCPCS codes preferred.

Responsibilities

• identifying, analyzing, and resolving hospital and physician payment variances
• performing account-level recovery activities and population-level analytics
• detecting underpayment and overpayment trends
• validating contract compliance
• supporting proactive mitigation of revenue leakage
• partnering closely with the Manager of Reimbursement, Revenue Integrity, Patient Accounts, and Finance to support expected reimbursement accuracy, payer performance monitoring, and root cause remediation
• preparing the organization for Epic expected reimbursement functionality and advancing data-driven reimbursement strategy

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level