Market Access Payor Analyst

Job Summary

A company is looking for a Market Access Payor Analyst.

Key Responsibilities:

• Profile, research, and resolve reimbursement issues for assigned payors and products
• Analyze payor reimbursement patterns and develop strategies to improve reimbursement and reduce denials
• Create management reports and dashboards, presenting findings and recommendations to internal teams

Required Qualifications:

• Bachelor's Degree in a healthcare-related field or equivalent experience
• Minimum of 5 years of experience in revenue cycle or claim analysis
• Project management experience preferred
• Knowledge of CPT/HCPCS, ICD-10, modifier selection, and UB revenue codes
• Proficiency with medical or claim billing systems and Microsoft Excel