Hybrid Senior Reimbursement Analyst

at Labcorp

• Job title: Senior Reimbursement Analyst
• Job type: Full Time
• Experience level: Senior
• Salary: Not specified
• Degree requirement: Associate's Degree
• Location requirements: Hybrid, Burlington, United States

About the role

• Senior Reimbursement Analyst providing analytical support for third-party denials and reimbursement issues at Labcorp. Collaborating with teams to implement process improvements and ensure compliance with healthcare regulations.

Responsibilities

• Analyze third-party denial trends and reimbursement issues to identify root causes and recommend corrective actions
• Lead and support appeals initiatives, collaborating with Reimbursement Administrator, including identifying appeal opportunities, tracking outcomes, and collaborating with internal and external teams to improve success rates
• Conduct detailed analyses of data related to existing or proposed revenue cycle projects, including payer performance and denial resolution
• Develop and present findings through graphs, charts, written summaries, and presentations for leadership review
• Collaborate with Revenue Cycle Operations to identify areas for improvement and support the implementation of strategic projects
• Assist in the development and documentation of Standard Operating Procedures (SOPs) for denial management and appeals processes
• Manage the implementation of process improvements across the revenue cycle, ensuring alignment with organizational goals
• Provide timely and accurate updates to management on outstanding denial and appeal trends using defined systems and tracking mechanisms
• Ensure timely follow-up on unresolved issues to minimize business risks and revenue loss
• Stay current with payer guidelines, regulatory changes, and industry best practices related to reimbursement and appeals
• Perform other duties as assigned.

Requirements

• Associates degree with 6+ years of experience in healthcare billings OR 8 years experience with no degree
• Experience analyzing and manipulating large data sets in a healthcare revenue cycle setting
• Advanced proficiency in Microsoft Excel
• Strong knowledge of payer contracts, medical terminology, commercial and government health insurance, billing guidelines, and appeals processes
• Proven analytical and critical thinking skills
• Experience with data tools such as SAS, Crystal Reports, Business Objects, or similar platforms preferred
• Excellent communication and presentation skills
• Ability to work independently and collaboratively in a fast-paced environment.

Benefits

• Medical
• Dental
• Vision
• Life
• STD/LTD
• 401(k)
• Paid Time Off (PTO)
• Flexible Time Off (FTO)
• Tuition Reimbursement
• Employee Stock Purchase Plan