Accounts Payable Analyst

Pivotal Health

. Run the weekly fee-refund upload for won or ineligible IDR cases, matching remit amounts against received bricks and escalating discrepancies to Finance .

Posted 10/1/2026full-timeWilliamsburg • New York • United StatesJuniorMid-Level💰 $80,000 - $100,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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

Demonstrates expertise in healthcare operations and revenue cycle management, with strong analytical skills to evaluate payment and refund processes. Proficient in data reconciliation and communication across multiple stakeholders to drive efficient refund operations.

Highest-signal resume keywords

Healthcare Operations ExperienceRevenue Cycle ManagementData Analysis Using MetabasePayment Reconciliation SkillsFamiliarity With No Surprises Act

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Data AnalysisPayment ReconciliationRefund ProcessingSQLDetail-Oriented MatchingClaim EvaluationRoot Cause AnalysisPayment PostingRefund Reconciliation835 Remittance Processing

Soft Skills

Strong Written CommunicationDetail-OrientedAbility To Manage High Volume

Tools & Technologies

MetabaseBigQueryExcelGoogle SheetsAsanaNotion

Industry Keywords

IDR ProcessPayor ComplianceHealth Insurance PayorTPA StructuresPayment Data

Tech Stack

Tools & technologies

BigQuerySQL

About the role

Key responsibilities & impact

Run the weekly fee-refund upload for won or ineligible IDR cases, matching remit amounts against received bricks and escalating discrepancies to Finance
Serve as the primary contact for Client Success refund inquiries, tracking missing or delayed refunds using Metabase and the dispute status tool
Build and maintain relationships with Independent Dispute Resolution Entities to expedite outstanding refunds owed to practices
Drive communications between Client Success, IDREs, Business Operations, and Accounting
Establish and drive new processes to meet evolving business and customer needs
Maintain and improve Payor Compliance SOPs as workflows evolve
Identify patterns in payment and refund exceptions that indicate systemic issues and escalate them
Identify platform errors where lost disputes are marked as wins and escalate them to Engineering with supporting evidence
Reconcile payments and refunds, identify structural payment blockers, and support payment processing through the manual intervention queue

Requirements

What you’ll need

2–3 years of experience in healthcare operations, revenue cycle, managed care, or a related field
Comfort working directly in data using Metabase, BigQuery, or similar tools; basic SQL is a plus
Strong written communication
Detail-oriented and thorough
Ability to manage a high-volume weekly refund cycle and multiple open payment exceptions
Comfort working in Excel, Google Sheets, Metabase, or BigQuery
Analytical ability to evaluate claim and payor data, identify root causes, and determine next steps
Strong data-entry accuracy and detail-heavy matching-based reconciliation skills
Familiarity with the No Surprises Act, federal IDR process, or health insurance payor/TPA structures is extra credit
Comfort working with payment and remittance data, including 835 remits, is extra credit
Experience with Asana, Notion, Metabase, or similar workflow and reporting tools is extra credit
Background in revenue cycle payment posting, refund reconciliation, 835 remittance processing, accounting, bookkeeping, or accounts payable/receivable is extra credit
Must be authorized to work in the United States without current or future employer sponsorship

Benefits

Comp & perks

Competitive compensation, including equity
Full health, dental, and vision coverage
Retirement savings plan through 401(k)
Flexible time off
Opportunities for company-wide connection and events
Remote and hybrid flexibility varies by role and team