Receivables Management Analyst

SUMMARY: The Receivables Management Analyst plays a critical role in managing and optimizing hospital billing operations. This position ensures accurate submission of claims, compliance with regulatory requirements, and timely resolution of complex billing issues. The role involves advanced data analysis, process improvement, and collaboration across departments to support financial performance and revenue integrity.. Brown University Health employees are expected to successfully role model the organization's values of Compassion, Accountability, Respect, and Excellence as these values guide our everyday actions with patients, customers and one another. In addition to our values, all employees are expected to demonstrate the core Success Factors which tell us how we work together and how we get things done. The core Success Factors include: Instill Trust and Value Differences Patient and Community Focus and Collaborate RESPONSIBILITIES: Hospital Billing & Compliance Review and validate UB-04 and CMS-1500 claims for inpatient, outpatient, and ancillary services. Ensure accurate application of CPT, ICD-10, HCPCS codes, and DRG assignments. Monitor payer-specific requirements and resolve claim edits, rejections, and denials. Develop and document workflows to improve efficiency and compliance. Evaluate new technologies for potential implementation. Maintain compliance with HIPAA, CMS, and state regulations. Revenue Cycle Analysis Analyze billing data to identify trends in denials, underpayments, and revenue leakage. Prepare reports on KPIs such as DNFB (Discharged Not Final Billed), AR aging, and clean claim rates. Provide actionable insights to leadership for improving reimbursement and reducing cycle time. Troubleshoot and resolve application issues related to billing and claims Issue Resolution and Escalation Handle escalated payer disputes and negotiate resolutions. Collaborate with coding, patient access, and clinical teams to resolve complex billing issues. Process Improvement & Leadership Identify and implement process enhancements to improve billing accuracy and efficiency. Mentor and train billing analysts and support staff on hospital billing best practices. Participate in system upgrades, testing, and implementation of new billing technologies. MINIMUM QUALIFICATIONS: Education: Bachelors degree in finance, Accounting, Healthcare Administration, or related field preferred. Experience: 5+ years in hospital billing or revenue cycle management. Strong knowledge of UB-04 & 1500, CPT/ICD coding, DRG, and payer reimbursement methodologies. Strong knowledge of hospital and professional billing workflows. Skills: Advanced proficiency in hospital billing systems (Epic, SSI) and MS Excel. Strong knowledge of hospital and professional billing workflows. Strong analytical, leadership, and communication skills. Experience with EHR systems (Epic certification preferred). Core Competencies: Expertise in hospital billing compliance and payer regulations. Ability to manage complex billing scenarios and lead process improvements. Strategic thinking and mentoring capabilities. WORK ENVIRONMENT AND PHYSICAL REQUIREMENTS: Work is performed in a typical office environment requiring extended periods of sitting, walking and/or standing. INDEPENDENT ACTION: Perform independently within department policies and procedures; refers specific problems to supervisor where clarification of departmental policies and procedures may be required. SUPERVISORY RESPONSIBILITY: None. Pay Range: $66,397.24-$109,529.06 EEO Statement: Brown University Health is committed to providing equal employment opportunities and maintaining a work environment free from all forms of unlawful discrimination and harassment. Location: Corporate Headquarters - 15 LaSalle Square Providence, Rhode Island 02903 Work Type: 8 to 5 Work Shift: Day Daily Hours: 8 hours Driving Required: No As Rhode Island's largest health system and private employer, Brown University Health is the state's premier provider of health services and includes the only Level I Trauma Center for southeastern New England. Today, more than 20,000 people work at Brown University Health and bring their unique skills, experiences, and compassion to their jobs every day. Formed in 1994, Brown University Health is a not-for-profit health system based in Providence, RI comprising three teaching hospitals of The Warren Alpert Medical School of Brown University: Rhode Island Hospital and its Hasbro Children's; The Miriam Hospital; and Bradley Hospital, the nations first psychiatric hospital for children; Newport Hospital, Saint Anne's Hospital and Morton Hospital, community hospitals offering a broad range of health services; Gateway Healthcare, the states largest provider of community behavioral health care; and Brown Health Medical Group, the largest multi-specialty practice in Rhode Island. Brown University Health is an equal opportunity employer that values diversity of cultural background, race, gender, age, religion, identity, ability, and perspectives - we are actively committed to a diverse workforce that represents the patients and community that we serve. We are invested in creating a respectful, inclusive, and equitable environment that supports the holistic well-being of our employees and their families. Join us and help build a healthier future for our patients - and for yourself. Company Location Belonging and Engagement Nursing Our Mission