Analyst Reimbursement Managed Care - Remote

OverviewEmployer Industry: Healthcare ServicesWhy consider this job opportunity:Opportunity for career advancement and growth within the organizationWork remotely Monday to Friday from 8:00 am to 5:00 pmComprehensive benefits available from Day One, including mental health resources and supportEngaging work environment focused on community and the well-being of individualsChance to contribute to meaningful projects that have a positive impact on healthcare reimbursementWhat to Expect (Job Responsibilities)Ensure timely and accurate loading of providers with Managed Care contracted payersEvaluate professional fee contractual adjustments for accuracy according to payer contracts and guidelinesReview and resolve claim denials related to the credentialing and enrollment status of providersIdentify and analyze payment variances for professional fee contracts and government payersLiaise with payers to request provider profile updates and negotiate discounts as neededWhat is Required (Qualifications)High School diploma or equivalent requiredMinimum of 3 years of relevant experience in healthcare reimbursement with Commercial and Government payers requiredIn-depth knowledge of reimbursement rules and regulations for Commercial and Government programsProficient in payment variance software and Microsoft Office applicationsStrong analytical reasoning, critical thinking, and problem-solving skillsHow to Stand Out (Preferred Qualifications)Bachelor's degree in healthcare, business administration, or a related fieldExperience with Athena/Epic systems for identifying payment variancesAbility to research and interpret payer rules and regulationsExcellent interpersonal skills and ability to work independentlyWell-organized and detail-oriented with strong time management skills#HealthcareServices #RemoteWork #CareerGrowth #HealthcareReimbursement #TeamCollaborationWe prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately. 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. #J-18808-Ljbffr

Created: 2025-09-27