[Remote] Senior Reimbursement Analyst (REMOTE)

Note: The job is a remote job and is open to candidates in USA. Labcorp is seeking a REMOTE Reimbursement Analyst III to join their team. This role is responsible for providing advanced analytical support related to third-party denials, reimbursement issues, and appeals initiatives while collaborating with Revenue Cycle Operations to implement process improvements that maximize revenue and ensure compliance with payor and regulatory guidelines.ResponsibilitiesAnalyze third-party denial trends and reimbursement issues to identify root causes and recommend corrective actionsLead and support appeals initiatives, collaborating with Reimbursement Administrator, including identifying appeal opportunities, tracking outcomes, and collaborating with internal and external teams to improve success ratesConduct detailed analyses of data related to existing or proposed revenue cycle projects, including payor performance and denial resolutionDevelop and present findings through graphs, charts, written summaries, and presentations for leadership reviewCollaborate with Revenue Cycle Operations to identify areas for improvement and support the implementation of strategic projectsAssist in the development and documentation of Standard Operating Procedures (SOPs) for denial management and appeals processesManage the implementation of process improvements across the revenue cycle, ensuring alignment with organizational goalsProvide timely and accurate updates to management on outstanding denial and appeal trends using defined systems and tracking mechanismsEnsure timely follow-up on unresolved issues to minimize business risks and revenue lossStay current with payor guidelines, regulatory changes, and industry best practices related to reimbursement and appealsPerform other duties as assignedSkillsBachelor's degree with 7 years' Healthcare Billing Systems experience and Payor and Policy experience and advanced analytics or Associate degree with 9 years Healthcare Billing Systems experience and Payor and Policy experience and advanced analytics or HS diploma or GED with 11 years Healthcare Billing Systems experience and Payor and Policy experience and advanced analytics requiredProven analytical and critical thinking skillsExcellent communication and presentation skillsAbility to work independently and collaboratively in a fast-paced environment5 or more years experience with payor contracts, medical terminology, commercial and government health insurance, billing guidelines, and appeals processes3 or more years experience with SAS, Crystal Reports, Business Objects, or similar platforms5 or more years advanced Microsoft Excel (formulas, pivot tables)BenefitsMedicalDentalVisionLifeSTD/LTD401(k)Paid Time Off (PTO) or Flexible Time Off (FTO)Tuition ReimbursementEmployee Stock Purchase PlanEmployees regularly scheduled to work less than 20 hours, Casual, Intern, and Temporary employees are only eligible to participate in the 401(k) PlanEmployees who are regularly scheduled toworka 7 on/7 off schedule are eligible to receive all the foregoing benefits except PTO or FTOCompany OverviewFortrea is a provider of comprehensive Phase I through IV clinical trial management, clinical pharmacology, patient access solutions. It was founded in 2023, and is headquartered in Durham, North Carolina, USA, with a workforce of 10001+ employees. Its website is https://www.fortrea.com.