Accounts Receivable Optimization Analyst

Med Metrix•Parsippany-Troy Hills, NJ

13d

About The Position

The Accounts Receivable Optimization Analyst is the subject matter expert responsible for identifying and resolving the causes of accounts-receivable underperformance across Medicare, Medicaid, managed care, and commercial payers. The analyst investigates aging, follow-up productivity, and payment behavior, then works with operational leaders and teams to implement and sustain improvement plans that reduce days in AR, accelerate cash collection, and improve recovery. The role analyzes AR performance and inventory, evaluates payer and reimbursement trends, develops dashboards and improvement measures, and leads working sessions to establish root causes and corrective actions. It also monitors results to ensure improvements are sustained and advises operational and client leadership on AR risks, recovery opportunities, and priorities. The position requires compliance with HIPAA and information-security policies, including limiting access to protected health information to the minimum necessary. Occasional travel to client sites and work outside business hours may be required. The employee must have a smartphone or other electronic device capable of downloading applications for multifactor authentication and security purposes.

Requirements

Bachelor’s degree in healthcare administration, business, finance, or a related field, or an equivalent combination of education and progressive revenue-cycle experience.
At least 4 years of progressive experience in hospital accounts receivable, collections, or revenue-cycle analytics, including independently leading AR improvement initiatives.
Advanced knowledge of AR aging, days in AR, cash forecasting, and follow-up processes across Medicare, Medicaid, managed care, and commercial payer environments.
Ability to interpret payer remittances, reimbursement methodologies, contractual terms, denial patterns, and variance drivers across multiple payer types.
Demonstrated ability to identify root causes, lead cross-functional teams through corrective action, and sustain results without day-to-day direction.
Proficiency in Microsoft Office Suite, strong Excel skills including pivot tables and modeling, and data-analysis capability.
Strong interpersonal and influencing skills, with the ability to communicate and present findings at all organizational levels, including executive leadership.
Strong problem-solving and creative skills, and ability to exercise independent judgment and make decisions based on accurate and timely analyses.
High integrity and dependability, with a strong sense of urgency and results orientation.
Excellent written and verbal communication skills.
Ability to work outside business hours occasionally to support business needs.
Must possess a smartphone or electronic device capable of downloading applications for multifactor authentication and security purposes.
Ability to exercise independent judgment, collaborate with others, and handle stress.
Ability to occasionally move around the work area, sit, perform manual tasks, operate office tools and equipment, extend arms, kneel, talk, and hear.

Nice To Haves

Experience with Epic Resolute and enterprise AR work-list tools.
Proficiency with BI tools such as Power BI or Tableau and/or SQL.
Prior experience in a large, multi-facility health system.

Responsibilities

Independently analyze AR aging, days in AR, and cash-collection trends by payer, service location, and financial class to identify issues with the greatest financial impact.
Determine how AR inventory should be segmented and prioritized so follow-up focuses on the highest-value and highest-yield accounts.
Identify gaps in follow-up activity and account coverage, and partner with operational leaders to recommend workflow, resource, or process changes.
Evaluate payment behavior, underpayments, denials, and contractual variances across payer types; identify trends and determine when payer issues warrant escalation.
Design and reconcile dashboards and performance measures for AR aging, resolution rate, cash acceleration, and recovery for operational and client leadership.
Lead working sessions with operational leaders and teams to validate root causes, develop corrective action plans, and drive implementation through resolution.
Identify and design workflow logic, worklist, and automation improvements that increase follow-up efficiency.
Monitor corrective actions against baseline performance, confirm issues are resolved and do not recur, and re-engage teams when results fall short.
Advise operational and client leadership on AR risks, recovery opportunities, and recommended priorities.
Perform other duties as assigned.
Use, protect, and disclose patients’ protected health information only in accordance with HIPAA standards; comply with information-security and HIPAA policies and limit access to PHI to the minimum necessary.