Senior Reimbursement Analyst

🕒 4 dias atrás

🌲 North Carolina – Remoto

🌲 North Carolina – Remote

💵 $62.000 - $85.000 / ano

⏰ Tempo Integral

🟠 Sênior

🧐 Analista

🦅 Patrocina Visto H1B

Esta empresa já patrocinou vistos H1B no passado.

Candidatar-se

Encontrar Vagas Remotas Similares

Receber Emails de Vagas Remotas

📊 Verifique sua pontuação de currículo para esta vaga

Melhore suas chances de conseguir uma entrevista verificando sua pontuação de currículo antes de se candidatar.

Enviar Currículo

Labcorp

SiteLinkedInTodas as Vagas

10.000+ funcionários

Fundada em 1969

💊 Farmacêutico

🧬 Biotecnologia

💰 Post-IPO Debt em 2019-06

Healthcare • Pharmaceuticals • Biotechnology

A Labcorp é uma empresa global líder em ciências da vida que oferece serviços abrangentes de laboratório clínico e desenvolvimento de medicamentos de ponta a ponta. A empresa oferece uma ampla gama de testes e serviços diagnósticos para pacientes, provedores e empresas biofarmacêuticas. A Labcorp se especializa em áreas como oncologia, saúde da mulher, neurologia e genética, oferecendo testes laboratoriais de rotina e especializados. Ela apoia sistemas e organizações de saúde com testes laboratoriais clínicos, avaliações de saúde e programas de bem-estar para funcionários. A Labcorp também desempenha um papel significativo no setor biofarmacêutico, fornecendo pesquisa não clínica, serviços de laboratório central e consultoria para desenvolvimento e comercialização de medicamentos. Com seu compromisso com a ciência e inovação, a Labcorp visa melhorar a saúde e mudar vidas em todo o mundo.

Descrição

• 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 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 • Perform other duties as assigned

🎯 Requisitos

• Bachelor’s degree with 7 years’ Healthcare Billing Systems experience and Payor and Policy experience and advanced analytics or Associate degree with 9 years Healthcare Billing Systems experience and Payor and Policy experience and advanced analytics or HS diploma or GED with 11 years Healthcare Billing Systems experience and Payor and Policy experience and advanced analytics required • 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 advanced Microsoft Excel (formulas, pivot tables)

🏖️ Benefícios

• Medical • Dental • Vision • Life • STD/LTD • 401(k) • Paid Time Off (PTO) or Flexible Time Off (FTO) • Tuition Reimbursement • Employee Stock Purchase Plan