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Orthofix transforms patient lives worldwide through medical technologies that heal musculoskeletal pathologies.
Revenue Integrity Analyst
Location
United States
Posted
37 days ago
Salary
$65K - $75K / year
Seniority
Senior
Job Description
Revenue Integrity Analyst
Orthofix
• Conduct detailed reviews of third-party claims (including commercial, federal, and third-party liability payers) classified as uncollectable to validate root causes and confirm all appropriate collection efforts have been exhausted• Analyze denial drivers, including but not limited to timely filing, documentation deficiencies, authorization issues, eligibility errors, benefit exclusions, non-contracted status, coding or place-of-service inaccuracies, and invalid or incomplete prescriptions• Differentiate between payer-driven denials and internal operational breakdowns across order intake, clinical documentation, billing, and follow-up workflows• Identify, categorize, and quantify denial and write-off trends across payers, product lines, and internal functional areas to uncover systemic revenue leakage• Develop and deliver recurring reporting (monthly and quarterly) highlighting key findings, financial impact, and prioritized, actionable recommendations• Present insights and strategic recommendations to Order-to-Cash, Revenue Cycle, and Sales leadership, translating complex reimbursement issues into clear, executive-level guidance• Partner cross-functionally with Order Processing, Billing, Sales, and Payer Relations teams to address root causes and implement sustainable process improvements• Support the implementation, monitoring, and effectiveness tracking of corrective actions, including training initiatives, workflow redesign, and documentation standardization• Maintain a strong working knowledge of payer policies, coverage criteria, and DME billing requirements to ensure accurate analysis and recommendations• Contribute to continuous improvement initiatives focused on denial reduction, revenue recovery, and operational efficiency across the revenue cycle
Job Requirements
- Bachelor’s degree in Healthcare Administration, Business, or related field, or equivalent combination of education and experience
- Minimum of 3 years of experience in healthcare revenue cycle, preferably within DMEPOS, medical device, or related reimbursement environments
- Strong understanding of the full claims lifecycle, including billing, adjudication, denials management, and appeals processes
- Experience reviewing claims for documentation accuracy, compliance, and payer alignment (non-financial audit focus)
- Familiarity with commercial, federal, and third-party liability payer requirements and common denial drivers
- Strong analytical and problem-solving skills, with the ability to identify trends and translate findings into actionable insights
- Proficiency in Microsoft Excel and/or reporting tools for data analysis, visualization, and presentation
- Effective communication skills, with the ability to collaborate across cross-functional teams and present findings to leadership
- High attention to detail with the ability to manage multiple priorities in a fast-paced, deadline-driven environment.
Benefits
- Bonuses based on performance
- Health Insurance
- Paid Time Off
- Professional Development Opportunities
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