Revenue Integrity Payment Reconciliation Analyst - R599_41340458935_5

at Waystar, Inc.

Job Description

We are looking for an experienced and driven Payment Reconciliation Analyst. The ideal candidate will have experience working in a Healthcare Revenue Cycle or payer reimbursement setting. This role will serve as a business contact for our clients and is responsible for reconciling our contracted contingency reporting requirements by monitoring expected reimbursement to actual payments received. You must have hands on experience with 835 remittance advice payment review as well as a practical understanding of CPT/ HCPCS and ICD10 coding as applicable in the Healthcare Revenue Cycle space. This position requires strong interpersonal and communication skills and well-developed analytic and organizational skills to effectively support client focus and project management.

As a successful candidate for this Payment Reconciliation Analyst role you will establish yourself as a trusted advisor, both internally with your Waystar peers, and externally as a client facing representative of Waystar. The successful candidate will have the ability to approach analytical reconciliation of payments independently and enjoys working in a fast-paced and collaborative team-based environment

What you'll be doing:

  • Perform monthly analysis of 835 remittanceadvicepayment & adjustmenttransactions
  • Review and analysis of payment variance using custom tools and manual SQLscripts

  • Represent Waystar in client meetings regarding reconciliation of actual payments to expectedpayments
  • Researching complex issues and collaborate with Client Success and Product teams to determine effectiveresolutions
  • Translate business requirements into technical requirements for Productdevelopment
  • Utilizing SQL to pull data elements for in depth analysis of financial transaction and remittanceadvicedetails

What we're looking for:

  • Self-sufficient with strong analytical and research skills
  • Working knowledge of hospital charging practices, payer reimbursement methodology, medical necessity criteria, and applicable industry-based standards
  • Ability to communicateeffectively
  • Demonstrate independent judgment, discretion, and decision-makingabilities
  • Self-motivated, hardworking individual with a high attention to detail

  • Excellent organization skills
  • Proficient using Microsoft Office products and the ability to work effectively with computerized programs anddatabases


  • Bachelor's degreerequired

  • 3+ years of experience in healthcare reimbursement environment including:

  • 835 remittanceadvicereview
  • CPT, HCPCS and ICD10 coding methods

  • 1+ years of SQL experience
  • Proficient in Microsoft Office applications, particularly skilled in Excel

  • Knowledge of payer reimbursement methodology for government and commercial payers is aplus
  • Outstanding communication and interpersonal skills
  • Must possess strong analytical, problem-solving and adjudicationskills

Waystarprovides cloud-based technology that simplifies and unifies healthcare payments.Together, our technology, data and client support streamline workflows and improve financials for our clients, so that they can focus on their patients. We are deeply committed to living out our organizational values: honesty; kindness; passion; curiosity; fanatical focus; best work, always; making it happen; and joyful, optimistic and fun.

Waystar products have won Best in KLAS® or Category Leader every year since 2010 and earned multiple #1 rankings from Black Book™ surveys since 2012. The Waystar platform supports more than 500,000 providers, 1,000 health systems and hospitals, and 5,000 payers and health plans. For more information, visitwaystar.comor follow@Waystaron Twitter.
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Job Posting: 11797324

Posted On: Jan 15, 2022

Updated On: Jan 16, 2022