layiq

/la·yiq/adjective

worthy; deserving; fitting; suitable.

A role, opportunity, or path that merits attention, time, and pursuit.

LAYIQ - Accounts Payable Analyst at Pivotal Health

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.
Who You Are
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 — you’ll regularly write clear explanations of payment and refund issues that Client Success depends on to answer client questions
Detail-oriented and thorough — this role requires following a thread all the way through, going beyond flagging issues
Organized under volume — able to manage a high-volume weekly refund cycle and multiple open payment exceptions simultaneously without dropping the ball
Comfortable working in Excel, Google Sheets, Metabase, or BigQuery to track cases and analyze claims data
Collaborative — you’ll work closely with the Payor Compliance and Client Success teams and need to communicate proactively when things are blocked or unclear
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
Extra Credit if you 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
Why You’ll Love Working Here
We’re a collaborative, low-ego team on a mission to make healthcare reimbursement fairer for providers. While we primarily hire around our core hubs–Los Angeles and New York–we remain open to exceptional talent outside those regions. Remote and hybrid flexibility varies by role and team, and is outlined in each job description.
If you’re excited by solving complex problems and making a real-world impact, we’d love to hear from you.

Accounts Payable Analyst

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