Revenue Strategy & Denials Analyst

versemedical; New York (NY); On-site; USD 110,000 - 160,000; Full time

Job summary

Verse Medical is seeking a detail-driven Revenue Strategy Associate to join our revenue cycle team. You will own denial lifecycle management, analyze patterns, and collaborate with coders, billers, and clinicians to recover revenue while reducing leakage.

The role combines analytics and operations to drive process improvements, working with payers to identify root causes and implementing remediation strategies that impact financial outcomes.

Qualifications

• 3–6 years in RCM, with 1–2 years in a consulting or advisory capacity.
• Experience handling denials across commercial, Medicare, and Medicaid payers.
• Track record of calling payers directly and managing the appeals lifecycle end-to-end.

Responsibilities

• Analyze denial patterns across payers and product lines to identify root causes.
• Conduct direct payer outreach to uncover root causes of denials and underpaid claims.
• Build and maintain denial and project dashboards for leadership visibility.
• Develop denial prioritization methodologies with the RCM lead.
• Perform root-cause analyses on high-volume denials and present recommendations.
• Collaborate with coders, billers, and front-end staff to reduce revenue leakage.
• Monitor payer policy changes and advise on workflow adjustments.
• Work with product and engineering to provide root-cause insights.

Skills

Excel / Google Sheets

SQL

Availity

BI / Reporting tools

Tools

Availity

BI Tools

Job description

Verse Medical is seeking a detail-driven Revenue Strategy Associate to join our revenue cycle team. You will own denial lifecycle management, analyze patterns, and collaborate with coders, billers, and clinicians to recover revenue while reducing leakage.

The role combines analytics and operations to drive process improvements, working with payers to identify root causes and implementing remediation strategies that impact financial outcomes.