Member Revenue Operations Analyst - Billing & Automation

PROGYNY; New York (NY); On-site; USD 65,000 - 75,000; Full time

Benefits offered by this job

Family benefits

Equity

Bonus program

401(k) plan with company match

Health insurance

Mental health support

Paid time off

Learning and development programs

Mentorship program

Volunteer day

Onsite meals and snacks

Job summary

Progyny is seeking a highly analytical Member Revenue Operations Analyst to join our Finance team. This role focuses on member accounts receivable, reconciliations, refunds, collections, payment activity, and complex billing investigations.

You will partner across Finance, Engineering, Accounting, Claims Revenue Operations, Member Services, Product, and external vendors to drive operational excellence, automate processes, and improve the member billing experience.

Qualifications

• Bachelor's degree in finance, Accounting, Health Administration, Business Administration, or related field.
• 3+ years of experience in Revenue Operations, Billing Operations, Healthcare Finance, Accounts Receivable, Financial Operations, or a similar analytical role.
• Strong analytical mindset with exceptional problem-solving and investigative skills.
• Advanced Microsoft Excel skills, including working with large datasets and complex formulas.
• Working knowledge of SQL for querying and validating data.
• Experience with Power BI or other BI/reporting platforms.
• Experience working with Salesforce or comparable case management systems.
• Familiarity with healthcare billing, insurance claims, EOBs, payment posting, collections, refunds, and reimbursement processes.

Responsibilities

• Perform detailed reconciliations of member accounts, payment activity, and financial transactions to ensure billing accuracy and financial integrity.
• Investigate and resolve complex member billing issues by researching payment discrepancies, reimbursement inquiries, claim processing errors, and account exceptions.
• Manage a high-volume portfolio of member emails and Salesforce cases, providing timely, accurate resolutions while meeting established service level agreements.
• Review accounts for receivable balances, payment postings, claim adjustments, and member responsibility to identify discrepancies and determine appropriate resolution.
• Process member refunds, account adjustments, and approved balance corrections in accordance with internal controls and financial policies.
• Review bankruptcy documentation, coordinate with Legal for required approvals, and execute approved account write-offs and balance adjustments.
• Partner with Accounting, Claims Revenue Operations, Member Services, Engineering, Product, IT, and external vendors to troubleshoot operational issues, resolve system defects, and improve the member billing experience.
• Serve as a subject matter expert on billing operations by researching complex issues, identifying root causes, and recommending scalable solutions that improve accuracy and efficiency.
• Utilize SQL, advanced Excel, and Power BI to analyze large datasets, perform reconciliations, identify trends, and support operational reporting and decision-making.
• Participate in system enhancements, user acceptance testing (UAT), and cross-functional initiatives to ensure successful implementation of new processes and technology.
• Develop and maintain standard operating procedures, process documentation, and training materials to support operational consistency and knowledge sharing.
• Identify opportunities to automate manual processes, streamline workflows, and improve operational performance through continuous process improvement.

Skills

SQL

Excel (Advanced)

Power BI

Data analysis

Education

Bachelor's degree in finance or related field

Tools

Salesforce

Job description

Progyny is seeking a highly analytical Member Revenue Operations Analyst to join our Finance team. This role focuses on member accounts receivable, reconciliations, refunds, collections, payment activity, and complex billing investigations.

You will partner across Finance, Engineering, Accounting, Claims Revenue Operations, Member Services, Product, and external vendors to drive operational excellence, automate processes, and improve the member billing experience.