Pivotal Health
Pivotal Health
Pivotal Health एक हेल्थकेयर टेक्नोलॉजी कंपनी है, जो अस्पतालों और विशेषज्ञ चिकित्सा संस्थानों को एकीकृत स्वतंत्र विवाद समाधान (IDR) प्लेटफ़ॉर्म के माध्यम से उचित प्रतिपूर्ति प्राप्त करने में मदद करती है। इसका SaaS समाधान वर्कफ़्लो ऑटोमेशन, डेटा और प्रबंधित सेवाओं को जोड़कर पात्रता जाँच, सबमिशन और अपील की प्रक्रिया में सहायता करता है तथा प्रमुख रेवेन्यू साइकिल मैनेजमेंट प्रणालियों से जुड़ता है। Pivotal Health पूरी प्रक्रिया के दौरान व्यावहारिक सहयोग भी प्रदान करती है और परिणाम-आधारित मॉडल अपनाती है, जिसमें ग्राहक सफल परिणाम मिलने के बाद भुगतान करते हैं। कंपनी का कार्य प्रदाता संगठनों के लिए राजस्व वसूली, पारदर्शिता और परिचालन दक्षता में सुधार पर केंद्रित है।

Accounts Payable Analyst – Healthcare Payments

Manage refunds, payment reconciliation, and payor compliance for Pivotal Health’s healthcare reimbursement platform. Support independent dispute resolution workflows and resolve payment issues with clients and internal teams.

विवरण

  • Process weekly fee-refund uploads for won or ineligible IDR cases, compare remit amounts with received bricks, and escalate discrepancies to Finance
  • Act as the primary contact for Client Success refund questions, using Metabase and the dispute status tool to track missing or delayed payments
  • Develop and maintain relationships with Independent Dispute Resolution Entities to accelerate outstanding refunds owed to practices
  • Coordinate communications among Client Success, IDREs, Business Operations, and Accounting
  • Create and implement processes that address changing business and customer needs
  • Maintain and enhance Payor Compliance SOPs as workflows develop
  • Analyze payment and refund exceptions for recurring patterns that may signal systemic issues, then escalate findings
  • Investigate platform errors in which lost disputes are recorded as wins and provide supporting evidence to Engineering
  • Reconcile payments and refunds, identify structural payment blockers, and assist processing through the manual intervention queue

आवश्यकताएँ

  • 2–3 years of experience in healthcare operations, revenue cycle, managed care, or a related field
  • Comfort working directly with data in Metabase, BigQuery, or similar tools; basic SQL is a plus
  • Strong written communication skills
  • A detail-oriented and thorough approach to work
  • Ability to manage a high-volume weekly refund cycle alongside multiple open payment exceptions
  • Proficiency with Excel, Google Sheets, Metabase, or BigQuery
  • Analytical skills for evaluating claim and payor data, identifying root causes, and determining next steps
  • Highly accurate data entry and careful matching-based reconciliation skills
  • Familiarity with the No Surprises Act, the federal IDR process, or health insurance payor and TPA structures is a plus
  • Experience handling payment and remittance data, including 835 remits, is a plus
  • Experience with Asana, Notion, Metabase, or similar workflow and reporting tools is a plus
  • Background in revenue cycle payment posting, refund reconciliation, 835 remittance processing, accounting, bookkeeping, or accounts payable and receivable is a plus
  • Authorization to work in the United States without current or future employer sponsorship

लाभ

  • Competitive compensation with equity
  • Full health, dental, and vision coverage
  • 401(k) retirement savings plan
  • Flexible time off
  • Company-wide connection opportunities and events
  • Remote and hybrid flexibility varies by role and team

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