Senior Reimbursement Analyst - Medical Group
MaineHealth•Westbrook, ME
About The Position
The Senior Reimbursement Analyst - MHMG is responsible for assigned work related to projecting and reporting payor reimbursement, monitoring payor performance, and completing ad hoc reporting and analysis. The role also assists with month-end accounts receivable analysis and annual contractual allowance budgeting.
Requirements
- Bachelor’s degree in Computer Science, Business Administration, Healthcare Management, Finance, Statistics, or a related field.
- Five years of directly related experience.
- Experience with medical billing, contract management, and claims payment validation systems.
Nice To Haves
- Advanced Excel skills.
- Knowledge of provider reimbursement methodologies, including RVRVS, DRGs, Per Diems, Case Rates, APS, and OPPS.
Responsibilities
- Project and report on payor reimbursement.
- Monitor payor performance.
- Complete ad hoc reporting and analysis.
- Assist with month-end accounts receivable analysis.
- Assist with annual contractual allowance budgeting.
Benefits
- Paid parental leave
- Flexible work options
- Student loan assistance
- Professional development opportunities
- Well-being resources
- Comprehensive benefits
- Recognition programs
- Career growth opportunities
- Shift differentials or other incentives, where applicable
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What This Job Offers
Job Type
Full-time
Career Level
Senior
