Analyst Reimbursement Managed Care - Remote

Employer Industry: Healthcare ServicesWhy Consider This Job Opportunity Benefits from Day One Opportunity for career development and growth within the organization Support for whole person wellbeing, including mental health resources Remote work opportunity with a Monday-Friday schedule from 8:00 am to 5:00 pm Chance to be part of a community focused on uplifting others in body, mind, and spiritWhat To Expect (Job Responsibilities) Ensure timely and accurate loading of providers with Managed Care contracted payers Evaluate professional fee contractual adjustments for accuracy in accordance with payer contracts and federally mandated guidelines Identify and recommend corrective actions on payment variances and provider profiles with payers Review and resolve claim denials related to credentialing and enrollment status Analyze data to provide insights on payer reimbursement trends and load accuracy for provider profilesWhat Is Required (Qualifications) High School diploma or equivalent required Minimum of 3 years of relevant experience in healthcare reimbursement, including Commercial and Government payers In-depth knowledge of reimbursement rules and regulations for Commercial and Government programs Strong analytical reasoning, critical thinking, and problem-solving skills Proficiency in Microsoft Office applications and payment variance softwareHow To Stand Out (Preferred Qualifications) Bachelor's degree in healthcare, business administration, or a related field Experience with Athena/Epic systems for identifying payment variances Strong interpersonal skills and detail-oriented approach Ability to learn new technology applications used by the employer Experience in claim denial follow-up with payers#HealthcareServices #RemoteWork #CareerDevelopment #MentalHealthSupport #ReimbursementAnalysisWe prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately.We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer.Talentify helps candidates around the world to discover and stay focused on the jobs they want until they can complete a full application in the hiring company career page/ATS.