Senior Payer Contracting & Revenue Analyst

University of Rochester; Oregon; Ibrido; USD 61.000 - 85.000; Tempo pieno

Descrizione del lavoro

The University of Rochester seeks a Sr. Payer Provider Contract Analyst in URMC Payer Contracting & Reimb to support URMFG revenue cycles in Rochester, NY.

You will analyze payer issues, identify trends, and communicate recommendations to management and physicians, shaping reimbursement strategies. A bachelor’s degree and 5+ years of related experience are required; proficiency in EPIC, Excel, and CMS/AMA CPT is highly preferred.

Competenze

• Bachelor's degree and 5 years of experience with medical practice billing/coding/terminology or relevant experience required.

Mansioni

• Independently researches payer issues and resolves denials and policy determinations.
• Interprets reports, monitors negotiated rate variances and recoveries.
• Provides guidance to RCAs & UBO staff on payer reimbursement.
• Represents URMFG to external payer representatives and manages complex revenue/payer issues.
• Ensures documentation and compliance per contract terms and regulations.

Conoscenze

Organizational skills

Problem solving

Customer service

Communication

Teamwork

Excel

EPIC

Tableau

CMS knowledge

CPT knowledge

Formazione

Bachelor's degree + 5 years experience

Strumenti

EPIC

Tableau

Descrizione del lavoro

The University of Rochester seeks a Sr. Payer Provider Contract Analyst in URMC Payer Contracting & Reimb to support URMFG revenue cycles in Rochester, NY.

You will analyze payer issues, identify trends, and communicate recommendations to management and physicians, shaping reimbursement strategies. A bachelor’s degree and 5+ years of related experience are required; proficiency in EPIC, Excel, and CMS/AMA CPT is highly preferred.