Senior Revenue Cycle Analyst

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.

Responsibilities

• Full-Cycle AR Management: Oversee the end-to-end accounts receivable process, including claim follow-up, status inquiries, and comprehensive management of rejections, denials, and corrected claims.
• Strategic Partner Liaison: Serve as the primary interface for external partners, leading difficult conversations regarding account discrepancies and financial disputes with diplomacy and professional resilience.
• Cross-System Reconciliation: Reconcile customer accounts, payment applications, and offsets across NetSuite and billing systems (Candid), ensuring 100% transactional accuracy and immediate resolution of balancing variances.
• Data Integrity & Risk Mitigation: Enforce rigorous sub-ledger data standards and proactively isolate high-impact downstream data risks to prevent operational bottlenecks.
• Analytical Problem Solving: Navigate ambiguity by diagnosing billing discrepancies and compiling clear, actionable summaries for leadership, operating effectively without reliance on step-by-step guidance.
• Trend Analysis & Reporting: Analyze payer-specific reimbursement trends to identify and report critically on payment issues, underpayments, and systemic errors.
• Cross-Functional Translation: Convert complex medical billing, denial, and reimbursement issues into clear, actionable insights for non-billing stakeholders to ensure strategic alignment.
• High-Velocity Execution: Manage a demanding, fast-paced workload with independent prioritization, ensuring strict adherence to daily posting activities and critical month-end deadlines.
• Process Evolution: 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.
• Account Maintenance & Adjustments: Monitor credit balances for timely refunds and propose write-offs or bad debt adjustments in strict accordance with payer policies.
• Lead Onboarding & Partner Setup Calls: Facilitate technical setup calls with new health plans and partners to align on billing expectations, establish operational workflows, and ensure launch readiness.
• Ensure Operational Readiness for Seamless Billing: Validate invoicing and claims integrations prior to launch to guarantee error-free submission and timely payment processing.
• Proactively Prevent & Resolve Payment Blockers: Identify potential billing bottlenecks during onboarding and coordinate directly with payer contacts to establish clear resolution pathways before issues arise.
• Other duties as assigned

Qualifications

• Revenue Cycle Expertise: 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.
• Billing Operations: Proficiency in B2B and patient billing/collections, paired with technical literacy in MS Office and Google Workspace.
• Operational Autonomy: Proven track record of managing high-velocity, complex workloads independently. Ability to navigate ambiguity and create processes from scratch without reliance on existing SOPs.
• Strategic Communication: Exceptional ability to lead high-stakes, external partner meetings and translate complex billing issues into clear insights for non-billing stakeholders.
• Execution & Accuracy: 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.

Preferred Qualifications

• Startup & Project Management: Background in high-growth healthcare startups, with experience coordinating data-driven reconciliation or onboarding projects.
• Systems Power-User: 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
• This remote opportunity based out of the U.S. 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.