Payer Payment Analyst (42)

Summary

Working full-time, the Payer Payment and Reimbursement Analyst will configure and maintain healthcare reimbursement systems, analyze regulatory updates, and evaluate large healthcare data sets to ensure accurate claims adjudication.Key responsibilitiesConfigure payment, pricing, and contract logic within healthcare reimbursement systemsAnalyze vendor bulletins and regulatory updates to assess impacts on internal processesCollaborate with government agencies and internal teams to clarify reimbursement policies and implement software design requirementsRequired qualifications3-4 years of professional experience in healthcare provider payment and reimbursementWorking knowledge of healthcare billing, compliance, and payer reimbursement regulationsExperience with various payment fee schedules and methodologiesStrong ability to collect, interpret, and document complex information into business requirementsSQL reporting experience preferred

Job Description

Working full-time, the Payer Payment and Reimbursement Analyst will configure and maintain healthcare reimbursement systems, analyze regulatory updates, and evaluate large healthcare data sets to ensure accurate claims adjudication.Key responsibilitiesConfigure payment, pricing, and contract logic within healthcare reimbursement systemsAnalyze vendor bulletins and regulatory updates to assess impacts on internal processesCollaborate with government agencies and internal teams to clarify reimbursement policies and implement software design requirementsRequired qualifications3-4 years of professional experience in healthcare provider payment and reimbursementWorking knowledge of healthcare billing, compliance, and payer reimbursement regulationsExperience with various payment fee schedules and methodologiesStrong ability to collect, interpret, and document complex information into business requirementsSQL reporting experience preferred