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Reimbursement Analyst (Remote)
Reimbursement Analyst (Third Party Analysis)
Reimbursement Analyst (Remote)
Reimbursement Analyst (Third Party Analysis)
Third Party Analysis & Reimbursement is seeking a Reimbursement Analyst to join our team. This position is responsible for managing, analyzing, and resolving reimbursement issues for Third Party payers including commercial insurers, Medicare, and Medicaid. The successful candidate will ensure that reimbursement processes are compliant, efficient, and optimized to reflect the true value of our services. This role demands a high attention to detail, an analytical mindset, and strong collaboration skills to interface with internal departments and external payer representatives.
Roles And 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.
- Engage with third-party payers to negotiate and clarify reimbursement arrangements.
- Serve as the primary point of contact for reimbursement issues, mediating discussions between internal stakeholders and payer representatives to foster positive relationships and timely resolutions.
Experience Preferred
- High School diploma or equivalent required; (If have Associates degree- 6 years healthcare billing work experience required- if no degree, 8 years healthcare billing work 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 strongly preferred.
- Excellent written and verbal communication skills, with the capacity to present data-driven insights to stakeholders at multiple organizational levels preferred.
Application Window Closes: 6-5-25
Pay Range: $48-65K (State minimum wages apply if higher)
Shift: Monday-Friday; 8:00am-5:00pm EST
All job offers will be based on a candidate’s skills and prior relevant experience, applicable degrees/certifications, as well as internal equity and market data.
Benefits: Employees regularly scheduled to work 20 or more hours per week are eligible for comprehensive benefits including: Medical, Dental, Vision, Life, STD/LTD, 401(k), Paid Time Off (PTO) or Flexible Time Off (FTO), Tuition Reimbursement and Employee Stock Purchase Plan. Casual, PRN & Part Time employees regularly scheduled to work less than 20 hours are eligible to participate in the 401(k) Plan only. For more detailed information, please click here
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Labcorp Is Proud To Be An Equal Opportunity Employer
Labcorp strives for inclusion and belonging in the workforce and does not tolerate harassment or discrimination of any kind. We make employment decisions based on the needs of our business and the qualifications and merit of the individual. Qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex (including pregnancy, childbirth, or related medical conditions), family or parental status, marital, civil union or domestic partnership status, sexual orientation, gender identity, gender expression, personal appearance, age, veteran status, disability, genetic information, or any other legally protected characteristic. Additionally, all qualified applicants with arrest or conviction records will be considered for employment in accordance with applicable law.
We encourage all to apply
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2511974Seniority level
Seniority level
Mid-Senior level
Employment type
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FinanceIndustries
Hospitals and Health Care
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