Payment Compliance Analyst - REMOTE

Freddie Mac; Franklin (TN); Remote; USD 45,000 - 70,000; Full time

Job summary

An established industry player in healthcare revenue cycle management is seeking a detail-oriented analyst to join their remote team. This role offers a unique opportunity to engage in meaningful work that directly impacts revenue optimization. You'll analyze contract reimbursements, manage appeals, and collaborate with financial and clinical teams to enhance processes. With comprehensive training and a focus on career advancement, this position is perfect for those looking to grow in a supportive and dynamic environment. If you're passionate about data analysis and making a difference in healthcare, this opportunity is for you.

Qualifications

• 2-4 years of experience in revenue cycle management or healthcare reimbursement analysis.
• Strong understanding of managed care and reimbursement processes.

Responsibilities

• Analyze contract reimbursement and identify trends in underpayments/overpayments.
• Manage underpayment appeals and collaborate with payers to resolve discrepancies.

Skills

Data Analysis

Communication Skills

Interpersonal Skills

Understanding of Managed Care

Contract Compliance

Education

H.S. Diploma or GED

Associate Degree or higher

Tools

Google Suite

Microsoft Office Suite

Excel

Job description

Employer Industry: Healthcare Revenue Cycle Management

Why consider this job opportunity:
- Opportunity for career advancement and growth within the organization
- Work remotely from any location
- Collaborative work environment with financial and clinical teams
- Engage in meaningful work that directly impacts revenue optimization
- Comprehensive training and support for professional development

What to Expect (Job Responsibilities):
- Analyze contract reimbursement, identifying variances, trends in underpayments/overpayments, denials, and revenue leakage to support maximization of reimbursement
- Manage underpayment appeals and account follow-up, collaborating with payers and internal teams to resolve discrepancies
- Interpret contract terms, validate compliance, and provide feedback to ensure accurate reimbursement processes
- Compile, analyze, and present data on payment trends, making recommendations for improvements in revenue cycle processes
- Maintain knowledge of medical coding systems and reimbursement structures to support accurate account adjudication

What is Required (Qualifications):
- H.S. Diploma or GED required
- 2-4 years of experience in revenue cycle management, contract compliance, or healthcare reimbursement analysis required
- Strong understanding of managed care, government contracts, and reimbursement processes
- Proficiency in data analysis, with the ability to compile and interpret complex data sets
- Excellent communication and interpersonal skills for working with internal teams and external payer representatives

How to Stand Out (Preferred Qualifications):
- Associate Degree or higher preferred
- Knowledge of medical coding systems (ICD-10, CPT, HCPCS, DRG, etc.) and their impact on claim adjudication
- Strong organizational skills, with the ability to manage multiple projects and deadlines
- Proficient in Google and Microsoft Office Suite, with intermediate to advanced Excel skills

#HealthcareRevenueCycle #RemoteWork #CareerOpportunity #DataAnalysis #RevenueOptimization

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