Senior Revenue Cycle Operations Analyst

Twin Health

2d • $80,000 - $95,000 • Remote

About The Position

Twin Health is hiring an experienced Senior Revenue Cycle Analyst to support our rapid expansion and billing operations. The ideal candidate will manage the full revenue cycle, overseeing daily billing, including payer account management to minimize claims issues, and leading the billing setup for new customers. The role requires strong customer service and collaboration with internal partner success teams to meet customer billing needs. The ideal candidate is deeply detail-oriented, exceptionally comfortable navigating data ambiguity, and highly skilled in high-volume cash posting and ledger reconciliation. You must be capable of identifying operational and posting risks, resolving cross-system balancing variances early without close supervision. We are looking for a highly autonomous, results-driven professional who thrives in a fast-paced, high-volume environment. You will be expected to operate with a high degree of independence, navigating complex billing landscapes and project needs.

Requirements

• 5+ years of experience in healthcare revenue cycle management, with comprehensive knowledge of commercial and government payer policies, CPT/HCPCS/ICD-10 coding, and EOB reconciliation.
• Proficiency in B2B and patient billing/collections, paired with technical literacy in MS Office and Google Workspace.
• Proven track record of managing high-velocity, complex workloads independently. Ability to navigate ambiguity and create processes from scratch without reliance on existing SOPs.
• Exceptional ability to lead high-stakes, external partner meetings and translate complex billing issues into clear insights for non-billing stakeholders.
• Demonstrated success in prioritizing competing deadlines while maintaining 100% data accuracy and high execution velocity.
• Excellent problem-solving skills with the ability to manage multiple priorities completely independently without sacrificing accuracy or execution velocity.
• Proven track record of managing a heavy workload and tight deadlines independently, with a high degree of comfort in ambiguity and a demonstrated ability to create processes where none exist.
• Applicants must be authorized to work for any employer in the U.S. We are unable to sponsor or take over sponsorship of an employment Visa at this time.

Nice To Haves

• Background in high-growth healthcare startups, with experience coordinating data-driven reconciliation or onboarding projects.
• Hands-on experience executing complex, cross-system ledger reconciliations using platforms such as NetSuite, LightDash, and standard Revenue Cycle platforms.
• Direct experience executing and troubleshooting cash application, payment posting, and cross-system ledger reconciliation workflows, with hands-on proficiency navigating NetSuite databases for data integrity and sub-ledger matching alongside LightDash and standard Revenue Cycle platforms.
• Background in managing data-driven reconciliation or onboarding projects

Responsibilities

• Oversee the end-to-end accounts receivable process, including claim follow-up, status inquiries, and comprehensive management of rejections, denials, and corrected claims.
• Serve as the primary interface for external partners, leading difficult conversations regarding account discrepancies and financial disputes with diplomacy and professional resilience.
• Reconcile customer accounts, payment applications, and offsets across NetSuite and billing systems (Candid), ensuring 100% transactional accuracy and immediate resolution of balancing variances.
• Enforce rigorous sub-ledger data standards and proactively isolate high-impact downstream data risks to prevent operational bottlenecks.
• Navigate ambiguity by diagnosing billing discrepancies and compiling clear, actionable summaries for leadership, operating effectively without reliance on step-by-step guidance.
• Analyze payer-specific reimbursement trends to identify and report critically on payment issues, underpayments, and systemic errors.
• Convert complex medical billing, denial, and reimbursement issues into clear, actionable insights for non-billing stakeholders to ensure strategic alignment.
• Manage a demanding, fast-paced workload with independent prioritization, ensuring strict adherence to daily posting activities and critical month-end deadlines.
• Act as a subject matter expert, refining internal billing guidelines and establishing new processes where gaps exist to drive continuous improvement in revenue cycle performance.
• Monitor credit balances for timely refunds and propose write-offs or bad debt adjustments in strict accordance with payer policies.
• Facilitate technical setup calls with new health plans and partners to align on billing expectations, establish operational workflows, and ensure launch readiness.
• Validate invoicing and claims integrations prior to launch to guarantee error-free submission and timely payment processing.
• Identify potential billing bottlenecks during onboarding and coordinate directly with payer contacts to establish clear resolution pathways before issues arise.
• Other duties as assigned

Benefits

• A competitive compensation package in line with leading technology companies
• A remote and accomplished global team
• Opportunity for equity participation
• Unlimited vacation with manager approval
• 16 weeks of 100% paid parental leave for delivering parents
• 8 weeks of 100% paid parental leave for non-delivering parents
• 100% Employer sponsored healthcare, dental, and vision for you, and 80% coverage for your family
• Health Savings Account and Flexible Spending Account options
• 401k retirement savings plan

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Education Level: No Education Listed