Hybrid Reimbursement Administrator

Posted last month

Apply now

About the role

  • 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

Reimbursement Administrator

Job type

Experience level

Mid levelSenior

Salary

Not specified

Degree requirement

Associate's Degree

Location requirements

Report this job

See something inaccurate? Let us know and we'll update the listing.

Report job