Revenue Strategy Associate

The role

This person will analyze denial patterns and conduct payer outreach to identify root causes. They will build tracking dashboards and partner with various teams to reduce revenue leakage.

What you will do

• Analyze denial patterns across payers, HCPCS codes, and product lines.
• Conduct direct payer outreach by calling insurance representatives and escalating cases.
• Build and maintain denial, issue, and project tracking dashboards and reporting packages.
• Develop methodologies for denial prioritization in coordination with the head of RCM.
• Perform root cause analysis on high-volume and high-dollar denials.
• Partner with coders, billers, and front-end staff to reduce revenue leakage.
• Monitor payer policy changes and flag impacts to billing practices.
• Collaborate with product and engineering to provide insights into denial root causes.

Required qualifications

• 3–6 years in RCM
• At least 1–2 years in a consulting or advisory capacity
• Demonstrated experience working denials across commercial, Medicare, and Medicaid payers
• Track record of calling payers directly, navigating payer portals, and managing the appeals lifecycle end-to-end
• Proficiency in Excel / Google Sheets for data manipulation and pivot analysis
• Familiarity with payer portals such as Availity
• Familiarity with SQL
• Experience with reporting tools or BI platforms
• Working knowledge of CPT, ICD-10, and HCPCS coding conventions
• Exceptional attention to detail

Benefits

• Competitive benefits
• Professional development opportunities
• Culture that prioritizes work-life balance and continuous improvement

About the company

Verse Medical is a Series C company building modern software infrastructure to connect providers, payors, and patients. Their mission is to provide hospital-quality care everywhere.