Reimbursement Administrator managing denial resolutions and reimbursement strategies for Labcorp. Leading initiatives to optimize reimbursement and compliance within the Revenue Cycle Management function.
Responsibilities
Direct global analysis, denial resolution and reimbursement strategies across multiple regions and payer portfolios.
Develop and implement enterprise-wide policies and procedures to optimize reimbursement and reduce denials.
Ensure compliance with federal, state, and payer-specific regulations impacting reimbursement.
Lead initiatives to improve denial management processes, targeting denial A/R exceeding $1.5B annually.
Identify root causes of denials and reimbursement issues and implement corrective actions to prevent recurrence.
Drive automation and technology enhancements to streamline workflows and improve efficiency.
Requirements
Bachelor’s degree with 8 years’ healthcare revenue cycle environment experience or Associate degree with 10 years healthcare revenue cycle environment experience or HS diploma or GED with 12 years healthcare revenue cycle environment experience
5 or more years with Payer contracts, billing guidelines, medical terminology, and appeals processes for both commercial and government payers
3 or more years with SAS, Crystal Reports, Business Objects, or similar platforms
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