Claims Revenue Analyst

Finance New York, New York


Description

We are looking for a Claims Revenue Analyst to join our Finance team. Successful candidates for this role are self-starters with a balance of quantitative and qualitative skills, along with strong verbal and written communication skills. The Claims Revenue Analyst will provide analytical support for all claims and collections processes and own the communication with internal stakeholders. The analyst will be responsible for strategic reporting and reconciliation. The Claims and Member Revenue team is growing rapidly, this is your opportunity to join a fast-paced team.

What you will do…

  • Analyze claims data using Excel and SQL to identify corrective action plans to address root issues.
  • Ownership of a key platform that pushes and pulls information from external and internal platforms, used for customer reports and for financial reporting
  • Create various revenue and claims reports for key stakeholders in the Finance department.
  • Assist with review and delivery of standard monthly and quarterly reports with analysis to various business partners
  • Reconciliation of member and claims payments
  • Review claims to identify instances of denials and under payments in accordance with contracted reimbursement.
  • Monitor and track contractual billing, claims, and posting errors, and provides continuous feedback to management team.
  • Effectively communicate with internal and external stakeholder to perform routine follow-up and escalate issues as required.
  • Compile and batch denied claims, or other pertinent criteria for expedited re-processing of claims.
  • Partner with fellow colleagues to support each other in their work to contribute to overall unit success.
  • Conform to all applicable HIPAA, Billing Compliance and safety policies and guideline

About you...

  • Requires bachelor’s degree required
  • Proficient in Microsoft Excel or similar software is required, and an ability and willingness to learn new systems and programs.
  • SQL knowledge preferred.
  • Accounting experience a plus
  • Excellent verbal and written communication skills
  • Must be a motivated individual with a positive and exceptional work ethic.
  • Ability to work collaboratively with a diverse team, strong customer service skills, demonstrating tact and sensitivity in stressful situations.
  • Excellent analytical skills: attention to detail, critical thinking ability, decision making, and researching skills to analyze a question or problem and reach a solution.
  • Knowledge of billing and claims procedures and claims collection techniques.
  • Individuals who have passion for finance and business administration


About Progyny:   

Progyny is a leading fertility benefits management company in the US. We are redefining fertility and family building benefits, proving that a comprehensive and inclusive fertility solution can simultaneously benefit employers, patients, and physicians. Our benefits solution empowers patients with education and guidance from a dedicated Patient Care Advocate (PCA), provides access to a premier network of fertility specialists using the latest science and technologies, reduces healthcare costs for the nation’s leading employers, and drives optimal clinical outcomes. We envision a world where anyone who wants to have a child can do so.   

Our mission is to make any member’s dream of parenthood come true through a healthy, timely, and supported fertility and family building journey.   

Come join a company that’s been recognized by Modern Healthcare as one of the Best Places to Work in Healthcare.  

  

Our perks:  

  • Family friendly benefits: Paid maternity and paternity, fertility benefits (including egg freezing and IVF), emergency childcare program, parent’s group  
  • Health, dental, vision and life insurance options for employees and family  
  • Paid vacation and summer flex time  
  • Company equity  
  • Bonus program  
  • 401K Match  
  • Company social events  
  • Flex days (3 days a week in the office) for positions located at NY office 
In compliance with New York City's Wage Transparency Law, the annual salary range for NYC-based applicants is: $60,000 - $80,000. Progyny offers a total compensation package comprised of base salary, cash bonus, and equity. 

Progyny is an Equal Opportunity Employer. We respect and seek to empower each individual and support the diverse cultures, perspectives, skills and experiences within our workforce.