Analyste en Approvisionnement au sein de MHIRJ, axé sur la performance des fournisseurs et la gestion des contrats. Développer des stratégies d'approvisionnement et maintenir des relations avec les fournisseurs.
About the role
- Senior Reimbursement Analyst at Labcorp providing analytical support for third-party denials and appeals initiatives. Collaborating with teams to improve revenue cycle processes and compliance.
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) or Flexible Time Off (FTO)
- Tuition Reimbursement
- Employee Stock Purchase Plan
Job title
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