Healthcare Reimbursement Analyst

Job not on LinkedIn

🔥 1 minute ago

⚜️ Louisiana – Remote

⚜️ Louisiana – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

🧐 Analyst

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 12%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

Blue Cross and Blue Shield of Louisiana

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1934

🏥 Healthcare

🛡️ Insurance

⚕️ Healthcare Insurance

Healthcare • Insurance • Healthcare Insurance

Blue Cross and Blue Shield of Louisiana is an independent licensee of the Blue Cross Blue Shield Association, offering a range of health insurance products and services in the state of Louisiana. The company provides health, dental, and travel insurance options, including Medicare Advantage plans such as HMO and PPO. They focus on delivering comprehensive healthcare coverage through various plans to meet varying customer needs, while partnering with doctors, hospitals, and clinics to ensure quality care and support. Additionally, the company emphasizes wellness programs, cost-saving opportunities, and accessibility for its members.

📋 Description

• Provide analytical support in the healthcare insurance reimbursement department • Manage hospital, physician, and other healthcare provider contracts governing billing and payments • Develop and implement project/program narratives • Respond to concerns regarding reimbursement programs, billing guidelines, and system requirements • Ensure accurate implementation and maintenance of provider reimbursement programs • Assist Network Administration, Network Operations, Information Technology, Benefits Administration, and Provider Audit staff • Audit contracts and respond to RFI/RFP requests • Research Medicare and other industry policies and reimbursement methodologies • Compile fee disclosure requests and price daily claim inquiries • Develop, implement, oversee, analyze, and report on reimbursement contracts and related billing, payment, and health-service utilization • Design system changes, training documentation, and billing/payment guidelines • Provide ad hoc analyses and statistical reports • For senior-level work, independently research, analyze, develop, and maintain complex reimbursement programs and system specifications

🎯 Requirements

• Bachelor's degree in statistics, accounting, finance, mathematics, health informatics, or related field • Excellent analytical, oral, and written communication skills • Report preparation skills with the highest degree of accuracy • Proficiency with Microsoft Excel, including Pivot Tables • Experience with Microsoft Access or SQL Server for building queries and statistical reports • Staff level: 2+ years of professional financial, reimbursement, or analysis experience • Senior level: 4+ years of experience in health industry accounting functions, including billing, coding, Medicare, or statistical analysis of financial information • Experience with medical coding and interpreting, explaining, summarizing, and making recommendations based on research and statistical analysis preferred • Provider contract analysis and/or reimbursement program implementation experience strongly preferred • Excellent attention to detail, research, and documentation skills • Residency in or relocation to Louisiana preferred • Must be authorized to work for Louisiana Blue in the United States without employer-sponsored immigration support • Must complete background and pre-employment drug screening; employment is contingent upon satisfactory drug testing results

🏖️ Benefits

• Resources to live well and be healthy • Continued learning and skill development • Professional growth opportunities • Opportunity to serve local communities • Smoke- and tobacco-free company properties • Pre-employment drug screening and background screening