LMS Administrator managing training programs within EIT RawMaterials. Overseeing course management and learner support in a hybrid work environment.
About the role
- Reimbursement Administrator analyzing payer performance and enhancing reimbursement strategies within healthcare revenue cycle operations. Collaborating to optimize financial performance and compliance.
Responsibilities
- Analyze data related to payer performance, denials, and reimbursement trends to identify root causes and opportunities for improvement.
- Develop and present high-level reports using visualizations (charts, graphs) and written summaries to communicate findings to leadership.
- Partner with Revenue Cycle Operations to streamline workflows, enhance reimbursement strategies, and ensure adherence to payer and regulatory requirements.
- Lead the implementation of process improvement initiatives across the revenue cycle, aligning efforts with organizational goals.
- Provide regular updates to management on denial trends using established tracking systems.
- Ensure timely resolution of outstanding issues to mitigate revenue loss and business risk.
- Stay current with payer policies, regulatory changes, and industry best practices to support compliance and maximize reimbursement outcomes.
- Support Third Party Analysts through structured training, mentoring, and expert guidance.
- Perform additional duties as assigned
Requirements
- Associates degree with 5+ years experience analyzing large data sets in a healthcare revenue cycle environment, OR 7+ years experience with no degree
- Advanced proficiency in Microsoft Excel.
- Strong understanding of payer contracts, billing guidelines, medical terminology, and appeals processes for both commercial and government payers.
- Demonstrated analytical and critical thinking skills.
- Experience with data tools such as SAS, Crystal Reports, Business Objects, or similar platforms (preferred).
- Excellent written and verbal communication skills, including presentation capabilities.
- Ability to work independently and collaboratively in a dynamic, fast-paced environment.
Benefits
- Medical
- Dental
- Vision
- Life
- STD/LTD
- 401(k)
- Paid Time Off (PTO) or Flexible Time Off (FTO)
- Tuition Reimbursement
- Employee Stock Purchase Plan
Job title
Job type
Experience level
Salary
Not specified
Degree requirement
Location requirements
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