Accounts Payable Analyst

Pivotal Health is the leading technology platform that helps healthcare providers get paid fairly in an increasingly complex reimbursement landscape. We are looking for an Accounts Payable Analyst to support Pivotal's Payor Compliance team, focused on payment processing and refunds. Refunds are a core, ongoing part of the role: you'll own the weekly fee-refund cycle and serve as the point person for refund questions, alongside supporting payment processing through the manual intervention queue and maintaining Payor Compliance process documentation.

Responsibilities

Run the weekly refund cycle, processing the weekly fee-refund upload (won or ineligible IDR cases) and matching remit amounts against bricks received; Escalate refund discrepancies to Finance; Field refund inquiries from Client Success using the refunds Metabase dashboard and dispute status tool; Build and maintain relationships with Independent Dispute Resolution Entities (IDREs) to expedite collection of outstanding refunds; Drive communications between Client Success, IDREs, Business Operations, and Accounting; Establish and drive new processes to meet evolving business and customer needs; Maintain and improve Payor Compliance SOPs and flag systemic issues across payment and refund exceptions; Support payment processing through the manual intervention queue; Identify cases where the platform incorrectly marks a lost dispute as a win and escalate to engineering with supporting evidence

Requirements

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; Basic SQL is a plus; Strong written communication; Detail-oriented and thorough; Organized under volume, able to manage a high-volume weekly refund cycle and multiple open payment exceptions simultaneously; Comfortable working in Excel, Google Sheets, Metabase, or BigQuery to track cases and analyze claims data; Collaborative, with proactive communication when things are blocked or unclear; Analytical thinker who can evaluate claim and payor data to identify root causes; Strong data entry accuracy and comfort with detail-heavy, matching-based reconciliation work; Authorized to work in the United States without current or future employer sponsorship

Nice to have

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

Competitive compensation, including equity; Full health, dental, and vision coverage; Retirement savings plan through 401(k); Flexible time off; Opportunities for company-wide connection and events