Senior Reimbursement Analyst
Labcorp
full-time
Posted on:
Location Type: Remote
Location: North Carolina • United States
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Salary
💰 $62,000 - $85,000 per year
Job Level
About the role
- Analyze third-party denial trends and reimbursement issues to identify root causes and recommend corrective actions.
- Lead and support appeals initiatives in collaboration 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 payor 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 payor guidelines, regulatory changes, and industry best practices related to reimbursement and appeals.
Requirements
- Bachelor’s degree with 7 years’ healthcare revenue cycle environment experience or Associate degree with 9 years healthcare revenue cycle environment experience or HS diploma or GED with 11 years healthcare revenue cycle environment experience
- 5 or more years experience with payor contracts, medical terminology, commercial and government health insurance, billing guidelines, and appeals processes.
- 3 or more years experience with SAS, Crystal Reports, Business Objects, or similar platforms
- 5 or more years Microsoft Excel.
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 & Tools
data analysisrevenue cycle managementdenial managementappeals processespayor performancemedical terminologybilling guidelinesSASCrystal ReportsMicrosoft Excel
Soft Skills
collaborationleadershipcommunicationproblem-solvinganalytical thinkingpresentation skillsorganizational skillsattention to detailstrategic thinkingtime management