Revenue Recovery Analyst

Mount Nittany Health

. Identify and resolve underpayments and overpayments across government and commercial payers .

Posted 10/24/2026full-timeBellefonte • Pennsylvania • United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in healthcare revenue cycle management, including underpayment analysis, payer compliance, and reimbursement methodologies. Proficient in data analysis and reporting, with strong collaboration skills across cross-functional teams.

Highest-signal resume keywords

Healthcare Revenue Cycle ExperienceUnderpayment AnalysisPayer Compliance MonitoringAdvanced Excel ProficiencyRevenue Cycle Systems Knowledge

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Underpayment AnalysisPayment Variance AnalysisReimbursement MethodologiesData AnalysisRoot Cause AnalysisCPT Codes KnowledgeHCPCS Codes KnowledgeUB-04 Claim Structure KnowledgeCMS-1500 Claim Structure KnowledgePayer Contract Interpretation

Soft Skills

Attention to DetailOrganizational SkillsEffective CommunicationProblem-Solving SkillsAbility to Manage Multiple Priorities

Tools & Technologies

ExcelMeditechEpicQuadaxPerformance Monitoring Tools

Industry Keywords

Healthcare AdministrationPayer MethodologiesGovernment Payer GuidelinesCommercial Payer GuidelinesRevenue Integrity

About the role

Key responsibilities & impact

Identify and resolve underpayments and overpayments across government and commercial payers
Review accounts by comparing expected versus actual reimbursement
Initiate and manage payer appeals and refund processes
Track and document recovery activity, outcomes, and aging
Escalate complex payer issues to the Manager of Reimbursement
Monitor payer policies, bulletins, and payment methodology updates
Develop reports monitoring reimbursement performance by payer, service line, CPT/HCPCS, and DRG
Perform population-level analysis to identify systemic payment issues and trends
Conduct root cause analysis and implement corrective actions with cross-functional teams
Quantify revenue at risk and recovery opportunities
Monitor payer compliance with contractual reimbursement terms
Identify process improvement and automation opportunities
Support expected reimbursement models, payer payment logic, rate tables, and reimbursement assumptions
Provide data support for payer discussions and dispute resolution
Assist with Epic expected reimbursement readiness and optimization
Prepare recurring and ad hoc reports for reimbursement leadership
Communicate trends and risks to reimbursement leadership
Collaborate with Revenue Integrity, Patient Access, Coding, Patient Accounts, and Contracting
Support dashboards and performance monitoring tools
Participate in cross-functional revenue cycle improvement initiatives
Maintain compliance with payer contracts, Medicare, Medicaid, and commercial payer guidelines
Support audit readiness and documentation standards
Stay current on reimbursement rule changes and payer policy updates

Requirements

What you’ll need

Bachelor’s degree in Healthcare Administration, Finance, Business, or related field preferred
Equivalent combination of education and relevant experience considered
Minimum 3–5 years healthcare revenue cycle experience preferred
Demonstrated experience in underpayment or payment variance analysis preferred
Experience working with hospital and/or outpatient reimbursement preferred
Familiarity with government and commercial payer methodologies preferred
Strong understanding of hospital and outpatient reimbursement methodologies
Ability to interpret payer contracts and remittance advice
Advanced analytical and problem-solving skills
Proficiency in Excel, including pivot tables, lookups, and data analysis
Experience with revenue cycle systems such as Meditech, Epic, Quadax, or similar preferred
Knowledge of UB-04 and/or CMS-1500 claim structure preferred
Strong attention to detail and organizational skills
Ability to manage multiple priorities and meet deadlines
Effective written and verbal communication skills
Ability to work both independently and collaboratively
Knowledge of CPT and HCPCS codes preferred
None required for license/certification/registration

Benefits

Comp & perks

Hybrid work arrangement
Full-time employment
8-hour shifts
No weekends required
No holidays required
No on-call requirement