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.
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