Accounts Payable Analyst

The role

The Accounts Payable Analyst supports the Payor Compliance team with payment processing and refunds. You will manage the weekly fee-refund cycle and use Metabase and BigQuery to reconcile payments and refunds.

What you will do

• Run the weekly refund cycle by processing the weekly fee-refund upload
• Field refund inquiries from Client Success
• Build and maintain relationships with Independent Dispute Resolution Entities to expedite refunds
• Drive communications between Client Success, IDREs, Business Operations, and Accounting
• Establish and drive new processes to meet business and customer needs
• Maintain and improve Payor Compliance SOPs
• Flag payment platform issues to engineering

Required qualifications

• 2–3 years of experience in healthcare operations, revenue cycle, managed care, or a related field
• Comfort working directly in data using tools like Metabase, BigQuery, or similar
• Strong written communication
• Detail-oriented and thorough
• Organized under volume
• Comfortable working in Excel, Google Sheets, Metabase, or BigQuery
• Collaborative
• Analytical thinker
• Strong data entry accuracy

Nice to have

• Basic SQL
• Familiarity with the No Surprises Act (NSA), the federal IDR process, or health insurance payor/TPA structures
• Comfortable working with payment and remittance data (e.g., 835 remits)
• Experience with Asana, Notion, Metabase, or similar workflow and reporting tools
• Background in revenue cycle payment posting, refund reconciliation, or 835 remittance processing
• Accounting, bookkeeping, or accounts receivable/payable background

Benefits

• Competitive compensation, including equity
• Full health, dental, and vision coverage
• Retirement savings plan through 401(k)
• Flexible time off
• Opportunities for company-wide connection and events

Before you apply

• Candidates must be authorized to work in the United States without current or future employer sponsorship
• Employment is contingent upon successful completion of applicable background checks

About the company

Pivotal Health is a technology platform that helps healthcare providers get paid fairly through an AI-driven platform that simplifies reimbursement workflows.