Accounts Payable Analyst

Summary

Pivotal Health is a technology platform helping healthcare providers navigate complex reimbursement workflows and recover fair payment. The Accounts Payable Analyst will support payment processing and refunds by owning the weekly fee-refund cycle, reconciling payment data, resolving refund inquiries, coordinating with internal and external stakeholders, and maintaining Payor Compliance processes.

Responsibilities

• Run the weekly refund cycle: Process the weekly fee-refund upload (won or ineligible IDR cases), matching remit amounts precisely against bricks received and escalating any discrepancies to Finance — a high-volume, detail-heavy cycle (roughly $2.5M processed weekly)
• Field refund inquiries: Be the go-to for Client Success “where’s my refund” questions, using the refunds Metabase dashboard and dispute status tool to track down and resolve missing or delayed refunds
• Independently build and maintain relationships with Independent Dispute Resolution Entities (IDREs) to help expedite the collection of outstanding refunds owed to the practice
• Proactively drive communications between Client Success, IDREs, Business Operations, and Accounting to ensure alignment
• Establishing and driving new processes: to meet the evolving needs of the business and our customers
• Maintain process and documentation: Maintain and improve Payor Compliance SOPs as workflows evolve, and flag patterns across payment and refund exceptions that point to systemic issues worth escalating to the team
• Flag payment platform issues: Identify cases where the platform incorrectly marks a lost dispute as a win, and escalate to engineering with supporting evidence

Skills

• 2–3 years of experience in healthcare operations, revenue cycle, managed care, or a related field
• Comfort working directly in data — pulling and interpreting reports in tools like Metabase, BigQuery, or similar
• Strong written communication
• Detail-oriented and thorough
• Organized under volume
• Comfortable working in Excel, Google Sheets, Metabase, or BigQuery to track cases and analyze claims data
• Collaborative
• Analytical thinker who can evaluate claim and payor data to identify root causes and determine appropriate next steps
• Strong data entry accuracy and comfort with detail-heavy, matching-based reconciliation work, where amounts need to line up exactly
• Candidates must be authorized to work in the United States without current or future employer sponsorship
• Basic SQL is a plus
• Familiarity with the No Surprises Act (NSA), the federal IDR process, or health insurance payor/TPA structures
• Comfortable working with payment and remittance data (e.g., 835 remits) to reconcile refunds and resolve payment posting exceptions
• Experience with Asana, Notion, Metabase, or similar workflow and reporting tools
• Background in revenue cycle payment posting, refund reconciliation, or 835 remittance processing
• Accounting, bookkeeping, or accounts receivable/payable background

Qualifications

Must Haves

• 2–3 years of experience in healthcare operations, revenue cycle, managed care, or a related field
• Comfort working directly in data — pulling and interpreting reports in tools like Metabase, BigQuery, or similar
• Strong written communication
• Detail-oriented and thorough
• Organized under volume
• Comfortable working in Excel, Google Sheets, Metabase, or BigQuery to track cases and analyze claims data
• Collaborative
• Analytical thinker who can evaluate claim and payor data to identify root causes and determine appropriate next steps
• Strong data entry accuracy and comfort with detail-heavy, matching-based reconciliation work, where amounts need to line up exactly
• Candidates must be authorized to work in the United States without current or future employer sponsorship

Nice to Haves

• basic SQL is a plus
• Familiarity with the No Surprises Act (NSA), the federal IDR process, or health insurance payor/TPA structures
• Comfortable working with payment and remittance data (e.g., 835 remits) to reconcile refunds and resolve payment posting exceptions
• Experience with Asana, Notion, Metabase, or similar workflow and reporting tools
• Background in revenue cycle payment posting, refund reconciliation, or 835 remittance processing
• Accounting, bookkeeping, or accounts receivable/payable background

Benefits

• Equity
• Full health, dental, and vision coverage
• Retirement savings plan through 401(k)
• Flexible time off
• Opportunities for company-wide connection and events
• Remote and hybrid flexibility varies by role and team