Senior Business Applications Analyst
USAA
SDLC
Senior Reimbursement Analyst
Labcorp
full-time
Posted on:
Location Type: Hybrid
Location: Burlington • North Carolina • 🇺🇸 United States
Visit company websiteJob Level
Senior
About the role
- Analyze third-party denial trends and reimbursement issues to identify root causes and recommend corrective actions
- Lead and support appeals initiatives, collaborating with Reimbursement Administrator, including identifying appeal opportunities, tracking outcomes, and collaborating with internal and external teams to improve success rates
- Conduct detailed analyses of data related to existing or proposed revenue cycle projects, including payer performance and denial resolution
- Develop and present findings through graphs, charts, written summaries, and presentations for leadership review
- Collaborate with Revenue Cycle Operations to identify areas for improvement and support the implementation of strategic projects
- Assist in the development and documentation of Standard Operating Procedures (SOPs) for denial management and appeals processes
- Manage the implementation of process improvements across the revenue cycle, ensuring alignment with organizational goals
- Provide timely and accurate updates to management on outstanding denial and appeal trends using defined systems and tracking mechanisms
- Ensure timely follow-up on unresolved issues to minimize business risks and revenue loss
- Stay current with payer guidelines, regulatory changes, and industry best practices related to reimbursement and appeals
- Perform other duties as assigned
Requirements
- Associates degree with 6+ years of experience in healthcare billings OR 8 years experience with no degree
- Experience analyzing and manipulating large data sets in a healthcare revenue cycle setting
- Advanced proficiency in Microsoft Excel
- Strong knowledge of payer contracts, medical terminology, commercial and government health insurance, billing guidelines, and appeals processes
- Proven analytical and critical thinking skills
- Experience with data tools such as SAS, Crystal Reports, Business Objects, or similar platforms preferred
- Excellent communication and presentation skills
- Ability to work independently and collaboratively in a fast-paced environment
Benefits
- Medical, Dental, Vision, Life, STD/LTD, 401(k), Paid Time Off (PTO) or Flexible Time Off (FTO)
- Tuition Reimbursement
- Employee Stock Purchase Plan
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
data analysisdata manipulationrevenue cycle managementdenial managementappeals processesMicrosoft ExcelSASCrystal ReportsBusiness Objectsmedical terminology
Soft skills
analytical skillscritical thinkingcommunication skillspresentation skillscollaborationindependenceorganizational skillsproblem-solvingattention to detailadaptability
