Senior Reimbursement Analyst

🔥 0 minutes ago

🌲 North Carolina – Remote

🌲 North Carolina – Remote

💵 $62k - $85k / year

⏰ Full Time

🟠 Senior

🧐 Analyst

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Labcorp

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1969

💊 Pharmaceuticals

🧬 Biotechnology

💰 Post-IPO Debt on 2019-06

Healthcare • Pharmaceuticals • Biotechnology

Labcorp is a leading global life sciences company that provides comprehensive clinical laboratory and end-to-end drug development services. The company offers a wide range of diagnostic tests and services for patients, providers, and biopharmaceutical companies. Labcorp specializes in areas such as oncology, women's health, neurology, and genetics, offering both routine and specialized laboratory testing. It supports healthcare systems and organizations with clinical lab testing, health assessments, and employee wellness programs. Labcorp also plays a significant role in the biopharma sector, providing nonclinical research, central laboratory services, and consulting for drug development and commercialization. With their commitment to science and innovation, Labcorp aims to improve health and change lives worldwide.

📋 Description

• 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

🎯 Requirements

• 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)

🏖️ Benefits

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