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Payer Payment & Reimbursement Analyst
5 days agoWhat's your preference?
Job Description
- Req#: 5001184788906
Employer Industry: Healthcare Payment and Reimbursement
Why consider this job opportunity:
- Competitive pay with additional position-specific incentives
- Comprehensive benefits package including health insurance and fully paid life insurance
- Opportunities for professional development and tuition assistance
- Supportive work-life balance with paid vacation, sick leave, and holidays
- Join a mission-driven organization recognized as a Best Places to Work
- Work in a dynamic environment focused on lowering healthcare administrative costs
What to Expect (Job Responsibilities):
- Configure and maintain payment, pricing, and contract logic within healthcare reimbursement systems
- Analyze vendor bulletins and regulatory updates to assess impacts on internal processes
- Review and evaluate large healthcare data sets to identify trends and required changes
- Collaborate with government agencies on reimbursement and payment policies
- Develop complex Excel models to validate and support payment methodologies
What is Required (Qualifications):
- 3-4 years of professional experience in healthcare provider payment and reimbursement
- Working knowledge of healthcare billing, compliance, and payer reimbursement regulations
- Experience with professional and institutional payment fee schedules
- Strong interpersonal and cross-functional collaboration skills
- Ability to communicate effectively with diverse internal and external stakeholders
How to Stand Out (Preferred Qualifications):
- Proficiency in Microsoft Office applications (Teams, Word, Excel, PowerPoint, Visio, Access)
- Experience using web-based research tools and regulatory resources
- Knowledge of claims adjudication and payment workflows
- Experience configuring TriZetto Facets NetworX
- SQL reporting experience
#HealthcarePayment #ReimbursementAnalysis #ProfessionalDevelopment #BestPlacesToWork #DynamicWorkEnvironment
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