Payment Reimbursement Analyst - Physician Billing

Remote Jobs; United States; Remote; USD 60,000 - 80,000; Full time

Job summary

A healthcare recruitment agency is seeking a qualified candidate for a role focused on financial analysis in pediatric healthcare. This position requires an Associate's Degree, with a preference for a Bachelor's Degree, and a minimum of three years of relevant experience. The successful candidate will analyze accounts receivable, review contract terms, and produce reports for senior leadership. Strong analytical skills and proficiency in systems like EPIC and Excel are essential. Competitive compensation is offered.

Benefits

Competitive Pay

Qualifications

• Minimum of three years of experience in healthcare, contracting, financial analysis, or related areas.
• Knowledge of insurance contracts, billing regulations, and medical terminology.
• Attention to detail and accuracy.

Responsibilities

• Analyze outstanding accounts receivable balances to maximize payor reimbursement.
• Review payor contract terms and reimbursement methodologies.
• Produce customized payment variance reports for senior leadership.

Skills

Strong analytical skills

Excellent interpersonal and communication skills

Education

Associate's Degree

Bachelor's Degree

Tools

EPIC

Microsoft Office (Excel)

Business Objects

Job description

Overview

Employer Industry: Pediatric Healthcare

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Note: We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer.

What to Expect (Job Responsibilities)

• Analyze outstanding accounts receivable balances to maximize payor reimbursement
• Review payor contract terms and reimbursement methodologies to guide analysis
• Produce customized payment variance reports and summarize findings for senior leadership
• Act as a liaison between Revenue Integrity, Managed Care Contracting, and Revenue Cycle Operations
• Provide guidance and training to Patient Financial Services and other team members

What is Required (Qualifications)

• Associate's Degree required; Bachelor's Degree preferred
• Minimum of three (3) years of experience in healthcare, contracting, financial analysis, or related areas
• Knowledge of insurance contracts, billing regulations, and medical terminology
• Strong analytical skills with attention to detail and accuracy
• Excellent interpersonal and communication skills

How to Stand Out (Preferred Qualifications)

• At least five (5) years of experience in healthcare, contracting, financial analysis, or related areas
• Certified Revenue Cycle Representative (CRCR) within 12 months of employment
• Proficiency in technology skills/systems such as EPIC, Microsoft Office (especially Excel), and Business Objects

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