Responsible for enhancing, supporting, and maintaining IT applications at Virtua Health System. Collaborate on new functionality development and vendor release implementations.
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
Job type
Experience level
Salary
Not specified
Degree requirement
Location requirements
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