Reimbursement Analyst- remote

Labcorp; Burlington (NC); Remote; USD 55,000 - 65,000; Full time

Job summary

A leading healthcare services firm is seeking a Reimbursement Analyst to analyze billing claims and ensure compliance with various guidelines. This role involves identifying discrepancies, providing insights on reimbursement trends, and working closely with internal and external stakeholders. Applicants should possess strong analytical skills and a solid understanding of healthcare regulations. Opportunities for remote work and career advancement are provided.

Benefits

Comprehensive benefits package

401(k)

Paid Time Off (PTO)

Opportunity for career advancement

Qualifications

• High School diploma or equivalent required.
• Strong analytical and problem-solving skills.
• Solid understanding of healthcare regulations including HIPAA and CMS guidelines.

Responsibilities

• Analyze billing claims for accuracy and completeness.
• Identify discrepancies between billing submissions and reimbursement, and recommend corrective actions.
• Compile detailed reports with actionable insights to support decision-making.

Skills

Analytical skills

Problem-solving skills

Education

High School diploma or equivalent

Associate's degree with 6 years of healthcare billing experience

Tools

Excel

Data analysis tools (i.e., SAS EG)

Job description

Employer Industry: Healthcare Services

Why consider this job opportunity:
- Salary up to $65,000
- Comprehensive benefits package including Medical, Dental, Vision, Life, STD/LTD, 401(k), and Paid Time Off (PTO)
- Opportunity for career advancement and growth within the organization
- Work remotely, providing flexibility in your work environment
- Engage in meaningful work that directly impacts reimbursement processes and financial health of the organization

What to Expect (Job Responsibilities):
- Analyze billing claims for accuracy and completeness in accordance with payer contracts and regulatory guidelines
- Identify discrepancies between billing submissions and reimbursement received; recommend corrective actions and coordinate with payer contacts to resolve issues
- Track, monitor, and report reimbursement trends, highlighting areas with potential revenue impact
- Compile detailed reports with actionable insights to support strategic decision-making for staff and management
- Serve as the primary point of contact for reimbursement issues, mediating discussions between internal stakeholders and payer representatives

What is Required (Qualifications):
- High School diploma or equivalent required; Associate's degree with 6 years of healthcare billing experience or no degree with 8 years of healthcare billing experience required
- Strong analytical and problem-solving skills with proficiency in Excel and data analysis tools (i.e., SAS EG) required
- Solid understanding of applicable healthcare regulations, including HIPAA, CMS guidelines, and payer-specific requirements
- Excellent written and verbal communication skills, with the capacity to present data-driven insights to stakeholders at multiple organizational levels

How to Stand Out (Preferred Qualifications):
- Experience in healthcare billing and reimbursement processes
- Knowledge of payer-specific requirements and regulations
- Familiarity with data visualization tools
- Previous experience negotiating with third-party payers

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About the company

Laboratory Corporation of America Holdings, more commonly known as Labcorp, is an American S&P 500 company headquartered in Burlington, North Carolina.

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