Revenue Integrity Analyst

Orthofix

. Conduct detailed reviews of third-party claims (including commercial, federal, and third-party liability payers) classified as uncollectable to validate root causes and confirm all appropriate collection efforts have been exhausted.

Posted 4/22/2026full-timeRemote • 🇺🇸 United StatesMid-LevelSenior💰 $65,000 - $75,000 per yearWebsite

About the role

Key responsibilities & impact

Conduct detailed reviews of third-party claims (including commercial, federal, and third-party liability payers) classified as uncollectable to validate root causes and confirm all appropriate collection efforts have been exhausted
Analyze denial drivers, including but not limited to timely filing, documentation deficiencies, authorization issues, eligibility errors, benefit exclusions, non-contracted status, coding or place-of-service inaccuracies, and invalid or incomplete prescriptions
Differentiate between payer-driven denials and internal operational breakdowns across order intake, clinical documentation, billing, and follow-up workflows
Identify, categorize, and quantify denial and write-off trends across payers, product lines, and internal functional areas to uncover systemic revenue leakage
Develop and deliver recurring reporting (monthly and quarterly) highlighting key findings, financial impact, and prioritized, actionable recommendations
Present insights and strategic recommendations to Order-to-Cash, Revenue Cycle, and Sales leadership, translating complex reimbursement issues into clear, executive-level guidance
Partner cross-functionally with Order Processing, Billing, Sales, and Payer Relations teams to address root causes and implement sustainable process improvements
Support the implementation, monitoring, and effectiveness tracking of corrective actions, including training initiatives, workflow redesign, and documentation standardization
Maintain a strong working knowledge of payer policies, coverage criteria, and DME billing requirements to ensure accurate analysis and recommendations
Contribute to continuous improvement initiatives focused on denial reduction, revenue recovery, and operational efficiency across the revenue cycle

Requirements

What you’ll need

Bachelor’s degree in Healthcare Administration, Business, or related field, or equivalent combination of education and experience
Minimum of 3 years of experience in healthcare revenue cycle, preferably within DMEPOS, medical device, or related reimbursement environments
Strong understanding of the full claims lifecycle, including billing, adjudication, denials management, and appeals processes
Experience reviewing claims for documentation accuracy, compliance, and payer alignment (non-financial audit focus)
Familiarity with commercial, federal, and third-party liability payer requirements and common denial drivers
Strong analytical and problem-solving skills, with the ability to identify trends and translate findings into actionable insights
Proficiency in Microsoft Excel and/or reporting tools for data analysis, visualization, and presentation
Effective communication skills, with the ability to collaborate across cross-functional teams and present findings to leadership
High attention to detail with the ability to manage multiple priorities in a fast-paced, deadline-driven environment.

Benefits

Comp & perks

Bonuses based on performance
Health Insurance
Paid Time Off
Professional Development Opportunities

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

claims lifecycledenials managementbillingadjudicationdocumentation accuracycompliancepayer alignmentdata analysisreportingrevenue cycle

Soft Skills

analytical skillsproblem-solving skillseffective communicationcollaborationattention to detailtime managementpresentation skillsstrategic thinkingcross-functional teamworkactionable insights