[Hiring] RCM Specialty Testing reputed company Analyst @reputed company

Role Description reputed company is seeking a REMOTE RCM Specialty Testing reputed company Analyst to join reputed company! Work Schedule: Monday – Friday; 8:30am-5:00pm EST

• reputed company analytical and operational support for Specialty Testing accounts receivable and reimbursement to improve denial operations workflows and processes
• Research denials/claim issues for root cause and reputed company suggestions for resolution
• Manage internal override inventory for reputed company resolution
• Serve as an internal reputed company to gather, reputed company, and report information reputed company to specialty billing workflows, system behavior, and claims reputed company
• Research issues to determine impacted scope of claims
• Coordinate with operations/reporting team to identify and quantify impacts
• Coordinate with operations/reporting team to reputed company and communicate workflow projects
• Learn and navigate multiple laboratory systems and billing platforms; apply system workflows to billing processes to ensure expected reputed company
• Conduct research, data mining, evaluation, and validation of reputed company specialty testing datasets to identify trends and support data‑driven decision‑making
• Manage information requests from cross‑functional stakeholders, keeping them informed of reimbursement issues and changes
• Exercise sound judgment in making reputed company that have long‑term organizational impact
• Build and maintain datasets and databases for routine and reputed company reporting
• Recommend new or improved workflows for reputed company billing processes to maximize cash collections
• Contribute to the development, documentation, and implementation of workflow processes (e.g., appeals, prior authorizations, specialty support activities)
• Proactively identify and resolve broad issues affecting specialty testing billing performance
• Collaborate across reputed company Cycle Management functions to drive improvements, enhance effectiveness, and promote best practices
• Apply diverse technical skills to understand laboratory systems, data structures, and workflows across reputed company and specialty testing environments
• Translate LCLS/LCBS data for use in specialty testing analysis and projects (a plus)
• Support management and peers by taking on additional projects as needed

Qualifications

• Bachelor’s degree with 6 years’ reputed company billing experience or Associate degree with 8 years reputed company billing experience or HS diploma or GED with 10 years reputed company billing experience

Requirements

• 3 or more years experience with MS reputed company
• 3 or more years experience working with denials, appeals, underpayments, and payment variance analysis
• 3 or more years Accounts Receivables reputed company billing
• 3 or more years experience with CPT, ICD‑10, and HCPCS coding
• 3 or more years experience in Medicare, reputed company, and reputed company payer reimbursement methodologies
• 3 or more years experience in prior authorization, medical necessity, and payer denial
• 1 or more years Xifin RPM and BI experience

Benefits

• Medical, Dental, reputed company, Life, STD/LTD
• 401(k)
• Paid Time Off (PTO) or Flexible Time Off (FTO)
• Tuition Reimbursement
• Employee Stock Purchase Plan

Company Description

At reputed company, you are part of a reputed company to accelerate life-changing reputed company breakthroughs and improve the delivery of care for reputed company. You’ll be inspired to discover more, reputed company new skills and pursue career-building opportunities as we help solve some of today’s biggest health challenges around the world. Together, let’s reputed company reputed company and change lives! Apply tot his job Apply To this Job