Revenue Recovery Analyst

LSMA Management IncSan Bernardino, CA

About The Position

The Revenue Recovery Analyst is responsible for coordinating, analyzing, and executing all activities related to the identification, reporting, billing, and recovery of outstanding receivables. This includes provider overpayments, insured service reimbursements, capitation deductions, and stop-loss collections. The role ensures timely and accurate financial reconciliation, partners with internal departments and external stakeholders, and supports revenue integrity across all managed groups.

Requirements

  • High school diploma or equivalent.
  • 5+ years of experience in the healthcare industry, preferably managed care.
  • Strong background in claims processing and claims auditing.
  • Experience with reimbursement methodologies and financial reconciliation.
  • Strong knowledge of current HCFA/DOC regulatory guidelines.
  • Ability to interpret claims data, reimbursement rules, and contractual provisions.
  • Proficiency in Microsoft Office (Word, Excel).
  • Strong analytical, problem-solving, and investigative skills.
  • Ability to communicate professionally with providers, payers, and internal departments.
  • High level of accuracy, confidentiality, and attention to detail.

Nice To Haves

  • Bachelor’s degree in Business Administration, Finance, Accounting, or related field.
  • Experience analyzing capitation, stop-loss, and health plan payments.
  • Prior work using EZ-Cap or similar claims processing systems.
  • certifications in medical billing or healthcare finance

Responsibilities

  • coordinating, analyzing, and executing all activities related to the identification, reporting, billing, and recovery of outstanding receivables
  • ensuring timely and accurate financial reconciliation
  • partnering with internal departments and external stakeholders
  • supporting revenue integrity across all managed groups
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