Senior Reimbursement Specialist - Remote

Overview

The Senior Reimbursement Specialist will develop and recommend provider reimbursement standards, policies, and guidelines, serving as a key liaison between various departments to ensure compliance with state requirements.

In Short

• Develop provider reimbursement standards and policies.
• Serve as liaison between health plan management and finance.
• Research provider reimbursement methodologies.
• Conduct impact analysis related to fee schedules.
• Identify technological solutions for payment improvements.
• Oversee project life cycle and resource allocations.
• Develop improvement processes for reimbursement methods.
• Maintain compliance with policies and standards.
• 5+ years of experience in provider reimbursement.
• Bachelor's degree in related field or equivalent experience.

Requirements

• Bachelor’s degree in Business Administration or Healthcare Administration.
• 5+ years of provider reimbursement and analysis experience.
• Experience with Medicare and Medicaid reimbursement.
• Managed care experience preferred.
• Provider billing experience preferred.

Benefits

• Competitive pay and health insurance.
• 401K and stock purchase plans.
• Tuition reimbursement.
• Paid time off plus holidays.
• Flexible work schedules including remote options.