Job Summary
A company is looking for a Reimbursement Analyst (Remote).
Key Responsibilities
- Analyze billing claims for accuracy and completeness according to payer contracts and regulatory guidelines
- Track, monitor, and report reimbursement trends, and compile detailed reports for strategic decision-making
- Engage with third-party payers to negotiate reimbursement arrangements and mediate discussions between stakeholders
Required Qualifications, Training, and Education
- High School diploma or equivalent required; Associates degree with 6 years or no degree with 8 years of healthcare billing experience preferred
- Strong analytical skills with proficiency in Excel and data analysis tools required
- Solid understanding of healthcare regulations, including HIPAA and CMS guidelines, preferred
- Experience in negotiating and resolving reimbursement issues is advantageous
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