Senior Reimbursement Analyst - Hybrid

Labcorp • Burlington, NC

91d • Remote

About The Position

The Senior Reimbursement Analyst is responsible for providing advanced analytical support related to third-party denials, reimbursement issues, and appeals initiatives. This role conducts detailed data analyses, identifies billing and payer trends, and collaborates with Revenue Cycle Operations and the lead Reimbursement Administrator to implement process improvements that maximize revenue and ensure compliance with payer and regulatory guidelines.

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.

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.

Benefits

• Medical, Dental, Vision, Life, STD/LTD
• 401(k)
• Paid Time Off (PTO) or Flexible Time Off (FTO)
• Tuition Reimbursement
• Employee Stock Purchase Plan

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Industry: Ambulatory Health Care Services
• Education Level: Associate degree