Senior Reimbursement Analyst (REMOTE)
ExternalFull-timeOn-site1d ago
ComplianceDocumentationExcelLeadershipLessSAS
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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 payor 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 payor guidelines, regulatory changes, and industry best practices related to reimbursement and appeals.
- Perform other duties as assigned.
Requirements
- 5 or more years experience with payor contracts, medical terminology, commercial and government health insurance, billing guidelines, and appeals processes.
- 3 or more years experience with SAS, Crystal Reports, Business Objects, or similar platforms
- 5 or more years advanced Microsoft Excel (formulas, pivot tables)
- Additional Job Standards:
- Proven analytical and critical thinking skills.
- Excellent communication and presentation skills.
- Ability to work independently and collaboratively in a fast-paced environment.
- Application window close: June 26, 2026
- Salary: $62-85K
- All job offers will be based on a candidate's skills and prior relevant experience, applicable degrees/certifications, as well as internal equity and market data
- Labcorp is proud to be an Equal Opportunity Employer:
Additional Information
Labcorp is seeking a REMOTE Reimbursement Analyst III to join our team! Work Schedule: Monday - Friday; 8:00am-5:00pm EST
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