Revenue Integrity Analyst

Berkshire Health Systems; Pittsfield (MA); On-site; USD 41,000 - 62,000; Full time

Benefits offered by this job

Health insurance

Dental insurance

Life insurance

Disability insurance

Retirement plan contributions

Paid time off

Job summary

Berkshire Health Systems is seeking a Revenue Integrity Analyst in Pittsfield, MA to identify, analyze, and resolve reimbursement variances and ensure accurate payment according to payer contracts and regulations.

The role focuses on using reimbursement analytics tools to compare expected versus actual payments, supporting appeals and recovery, and monitoring payer contract compliance. Strong knowledge of Medicare, Medicaid, and commercial reimbursement is important.

Qualifications

• 3 years experience in healthcare reimbursement or related analyst role.
• Knowledge of inpatient and outpatient hospital reimbursement, payer contracts, payment methodologies.
• Strong analytical, quantitative, and organizational skills.
• Experience with contract management/reimbursement analytics systems preferred.
• Experience with Expanse and/or Meditech software preferred.
• BA degree in Business Administration, Finance, or related field.

Responsibilities

• Identify, analyze, and resolve reimbursement variances to ensure accurate payments.
• Compare expected payments to actual payments using reimbursement analytics tools.
• Support appeals and recovery efforts with payors.
• Monitor payer contract compliance and reimbursement methodologies.
• Evaluate reimbursement trends and determine root causes of variances.
• Assist with contract modeling, system validation, and process improvements.

Skills

Analytical skills

Quantitative skills

Organizational skills

Communication skills

Teamwork

Problem solving

Education

BA degree in Business Administration, Finance, or Accounting

Tools

Expanse

Meditech

Microsoft Excel

Microsoft Word

Microsoft Outlook

Job description

BHS Management Services · BMS Reimbursement

Hourly Pay Range: 29.8200 through 44.7200

Full Time , Shift 1 , 40 , 8:00am-4:30pm

Monday - Friday

Posted 10/23/2026

DEFINITION/PRIMARY FUNCTIONS

The Revenue Integrity Analyst is responsible for identifying, analyzing, and resolving reimbursement variances to ensure Berkshire Health Systems receives accurate payment in accordance with payer contracts, fee schedules, and applicable regulatory requirements. The position primarily utilizes reimbursement analytics tools to compare expected versus actual payments, identify payer underpayments, investigate payment discrepancies, support appeals and recovery efforts, and monitor payer compliance with contractual reimbursement terms. Working collaboratively and supporting Revenue Cycle, Patient Financial Services, Payor Contracting, Information Technology, and operational leaders, this role evaluates reimbursement trends, determines root causes of payment variances, assists with contract modeling and system validation, and recommends process improvements that strengthen payment accuracy and net revenue. Knowledge of Medicare, Medicaid, and commercial payer reimbursement methodologies, hospital billing practices, and contract interpretation is important to the role. Charge capture, coding, documentation, and denial analysis may be performed as needed to support reimbursement investigations and payment recovery.

POSITION QUALIFICATIONS

(Minimum qualifications are required unless stated otherwise.)

Experience

• 3 years experience in healthcare reimbursement, revenue cycle, contract management, payment integrity, or a related analyst role.
• Knowledge of inpatient and outpatient hospital reimbursement, payer contracts, payment methodologies, and Medicare, Medicaid, and commercial reimbursement practices required.
• Strong quantitative, analytical and organizational skills required.
• Experience with contract management/reimbursement analytics systems strongly preferred.
• Experience with Expanse and/or Meditech software, preferred.
• Evidence of strong computer skills required.

Education and Training

• BA degree required in Business Administration, Finance, Accounting, or a closely related field.

License, Certification & Registration

• None.

Other Requirements

• Exceptional communication skills, both written and verbal, and interpersonal relationship skills are required.
• Advanced experience with Microsoft Office, especially Excel, Word and Outlook.
• Establishes and maintains effective relationships.
• Ability to handle stressful situations calmly and rationally and work under deadline pressures.
• Willing to accept additional responsibilities/duties as position requires.
• Must be self-motivated and able to work with autonomy, possessing skills in problem solving.
• Demonstrates and promotes a culture of continuous improvement.
• Demonstrates experience working in a team-oriented, collaborative environment.

The minimum and maximum of the hourly pay range for this position is shown above. Actual rates of pay may vary based on a range of factors including but not limited to experience and qualifications. In addition to base pay, we offer a comprehensive benefits package that includes health and dental insurance, life and disability insurance, a competitive retirement plan contribution and a paid time off program.