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Payer Payment & Reimbursement Analyst, Temporary
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Job Description
- Req#: 5001172475806
Employer Industry: Healthcare Payment and Reimbursement
Why consider this job opportunity:
- Opportunity for career advancement and growth within the organization
- Work with exceptional team members dedicated to improving healthcare efficiency
- Engage in meaningful work that contributes to lowering healthcare administrative costs
- Collaborative and supportive work environment that values professionalism and integrity
- Chance to develop expertise in healthcare reimbursement methodologies and systems
What to Expect (Job Responsibilities):
- Perform system configuration tasks related to contracts, pricing, and reimbursement for healthcare claims
- Review and analyze vendor bulletins and healthcare data sets for updates and applicability
- Interpret and deliver business requirements covering reimbursement updates and payment policy changes
- Create detailed Excel formulas to explain complex payment methodologies
- Coordinate with developers and other team members to ensure accurate implementation of business requirements
What is Required (Qualifications):
- 3-4 years of professional experience in provider payment/reimbursements for healthcare
- Familiarity with healthcare reimbursement systems and methodologies
- Knowledge of billing, compliance, and payer reimbursement guidelines/regulations
- Strong analytical and problem-solving skills
- Ability to communicate effectively with diverse internal and external stakeholders
How to Stand Out (Preferred Qualifications):
- Proficiency in using MS Office applications (Teams, Word, Excel, PowerPoint, Visio, Access)
- SQL report experience
- Knowledge of claims adjudication and payment
- Experience with TriZetto Facets and Optum Rate Manager
- Familiarity with Ambulatory Payment Classifications (APCs) and Diagnosis Related Groups (DRGs)
#HealthcarePayment #ReimbursementAnalyst #CareerOpportunity #HealthcareIndustry #AnalyticalSkills
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