Healthcare Payer Reimbursement Analyst — Data-Driven

RadNet, Inc.; United States; On-site; USD 89,100 - 108,900; Full time

Benefits offered by this job

Health Insurance

Life Insurance

Paid Vacation

401(k) Program

Job summary

Signature Performance is seeking a Payer Payment and Reimbursement Analyst to improve healthcare reimbursement methodologies. This role involves working closely with team members and government agencies to ensure accurate claims adjudication.

The ideal candidate will have strong analytical skills and the ability to manage multiple projects. They will interpret healthcare policies and develop complex Excel models to support reimbursement processes.

Qualifications

• Experience analyzing healthcare payment and reimbursement.
• Expertise in healthcare billing and payer reimbursement regulations.
• Knowledge of various payment fee schedules.

Responsibilities

• Manage healthcare payment and reimbursement methodologies.
• Ensure accurate claims adjudication in reimbursement systems.
• Collaborate with government agencies on policies.
• Perform testing of claims and configurations.

Skills

Analytical skills

Attention to detail

Problem-solving

Communication

Team collaboration

Education

3-4 years in healthcare payment

Tools

Microsoft Office

SQL

TriZetto Facets NetworX

Optum Rate Manager

Job description

Signature Performance is seeking a Payer Payment and Reimbursement Analyst to improve healthcare reimbursement methodologies. This role involves working closely with team members and government agencies to ensure accurate claims adjudication.

The ideal candidate will have strong analytical skills and the ability to manage multiple projects. They will interpret healthcare policies and develop complex Excel models to support reimbursement processes.