Job Summary
A managed healthcare and insurance company is in need of a Remote Provider Reimbursement Specialist.
Core Responsibilities of this position include:
- Conducting variance analysis and reporting to support the monthly capitation payments to our Medical Groups, Hospitals and Ancillary providers or vendors
- Analyzing month on month data, identifying, documenting and resolving issues to ensure accurate and timely payments
- Researching variances based on upstream impacts from membership and contracting
Applicants must meet the following qualifications:
- Associate degree of higher
- 3+ years Analysis, Accounting or Accounts Payable experience
- Intermediate proficiency in Microsoft Excel (pivot tables and formulas)
- Intermediate proficiency in Microsoft Access (SQL)
