Burlington, North Carolina, United States of America
Full Time
2 weeks ago
Visa Sponsor
Key skills
RCommunication
About this role
Role Overview
Perform routine analysis of reimbursement data for assigned low-complexity payer portfolios
Validate payment accuracy against payer contracts and organizational policies
Identify and resolve discrepancies; escalate complex issues to senior team members
Review and resolve A/R issues and denial issues within established guidelines
Document denial and A/R trend reasons and assist in identifying patterns for process improvement
Support initiatives to reduce reimbursement issues through accurate and timely follow-up
Prepare standard reports and maintain accurate documentation for audit purposes
Ensure compliance with payer requirements and regulatory standards
Monitor KPIs related to denial resolution and reimbursement accuracy
Work closely with billing, coding, and finance teams to support revenue cycle processes
Participate in training and development to build knowledge of payer contracts and reimbursement methodologies
Contribute to team projects and process improvement efforts
Requirements
Bachelor’s degree with two or more years in healthcare billing experience, or Associate’s degree with four years or more healthcare billing experience, or High School diploma or GED with six years of healthcare billing experience
2 or more years in healthcare reimbursement, revenue cycle, or related analytical role preferred
Current or prior Labcorp revenue cycle management employee preferred
1 year or more in MS Excel preferred
Strong attention to detail and organizational skills
Basic understanding of reimbursement methodologies and payer requirements