Revenue Strategy Associate

Verse Medical•New York, NY

8d•$130,000 - $150,000

About The Position

Verse Medical is seeking a detail-driven Revenue Strategy Associate to join their revenue cycle team. This role sits at the intersection of analytics and operations, focusing on identifying and resolving denials and underpaid claims. The ideal candidate is a proactive problem-solver with the technical skills to analyze complex datasets and the industry knowledge to navigate payer systems. This role will own the denial lifecycle from root-cause identification to resolution, translating trends into process improvements and recovering revenue.

Requirements

3–6 years in RCM, with at least 1–2 years in a consulting or advisory capacity.
Demonstrated experience working denials across commercial, Medicare, and Medicaid payers.
Track record of calling payers directly, navigating payer portals, and managing the appeals lifecycle end-to-end.
Proficiency in Excel / Google Sheets for data manipulation and pivot analysis.
Familiarity with payer portals such as Availity.
Familiarity with SQL.
Experience with reporting tools or BI platforms.
Working knowledge of CPT, ICD-10, and HCPCS coding conventions.
Exceptional attention to detail. You catch what others miss.

Responsibilities

Analyze denial patterns across payers, HCPCS codes, and product lines to identify systemic root causes and develop actionable remediation strategies.
Conduct direct payer outreach, including calling insurance representatives and escalating cases, to determine the root cause of denials and underpaid claims.
Build and maintain denial, issue, and project tracking dashboards and reporting packages for leadership visibility.
Develop methodologies for denial prioritization in coordination with the head of RCM.
Perform root cause analysis on high-volume and high-dollar denials, documenting findings and presenting recommendations.
Partner with coders, billers, and front-end staff to share insights and reduce revenue leakage from upstream gaps (eligibility, auth, coding, documentation).
Monitor payer policy changes and updates, flagging impacts to current billing practices and advising on workflow adjustments.
Collaborate with product and engineering teams to provide insights into denial root causes and assist in crafting solutions.