Reimbursement Specialist Compliance

Location: Remote
Compensation: Hourly
Staff Reviewed: Fri, May 10, 2024
This job expires in: 13 days

Job Summary

A healthcare organization is seeking a Reimbursement Specialist for Contract Compliance.

Key Responsibilities:
  • Evaluate payment variances in Epic WQs against payer contracts and disposition variances based on protocols
  • Identify trends through data analysis to resolve errors in billing and manage care contracting efforts
  • Serve as a liaison to internal and external teams to mitigate revenue leakage and denials

Required Qualifications:
  • High School Diploma or equivalent
  • Minimum of 3 years experience in revenue cycle insurance follow up or denial management
  • Extensive knowledge of managed care contract interpretation
  • Associate's Degree preferred
  • 3 years of work experience in a complex billing/reconciliation environment preferred

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