Senior Reimbursement Analyst -REMOTE

Labcorp is a global leader in laboratory services, providing insights and answers that help healthcare providers, patients, researchers, pharmaceutical companies, and health systems make confident decisions and improve outcomes. Through unparalleled science, data, technology, and a vast laboratory network, we advance diagnostics, accelerate innovation, and address critical health challenges. This role offers the opportunity to do meaningful work, grow your career, and make a real impact on people’s health worldwide.

About the role

The Senior Reimbursement Analyst provides advanced analytical support related to third-party denials, reimbursement issues, and appeals initiatives. This role conducts detailed data analyses, identifies billing and payor trends, and collaborates with Revenue Cycle Operations and the lead Reimbursement Administrator to implement process improvements that maximize revenue and ensure compliance with payor and regulatory guidelines.

Responsibilities

• Analyze third-party denial trends and reimbursement issues to identify root causes and recommend corrective actions.
• Lead and support appeals initiatives, collaborating with Reimbursement Administrator, including identifying appeal opportunities, tracking outcomes, and working with internal and external teams to improve success rates.
• Conduct detailed analyses of data related to existing or proposed revenue cycle projects, including payor performance and denial resolution.
• Develop and present findings through graphs, charts, written summaries, and presentations for leadership review.
• Collaborate with Revenue Cycle Operations to identify areas for improvement and support the implementation of strategic projects.
• Assist in the development and documentation of Standard Operating Procedures (SOPs) for denial management and appeals processes.
• Manage the implementation of process improvements across the revenue cycle, ensuring alignment with organizational goals.
• Provide timely and accurate updates to management on outstanding denial and appeal trends using defined systems and tracking mechanisms.
• Ensure timely follow-up on unresolved issues to minimize business risks and revenue loss.
• Stay current with payor guidelines, regulatory changes, and industry best practices related to reimbursement and appeals.
• Perform other duties as assigned.

Requirements

• Bachelor’s degree with 7 years’ healthcare revenue cycle environment experience, or
• Associate degree with 9 years’ healthcare revenue cycle environment experience, or
• HS diploma or GED with 11 years’ healthcare revenue cycle environment experience.

Qualifications

• Proven analytical and critical thinking skills.
• Excellent communication and presentation skills.
• Ability to work independently and collaboratively in a fast-paced environment.

Preferred Qualifications

• 5 or more years of experience with payor contracts, medical terminology, commercial and government health insurance, billing guidelines, and appeals processes.
• 3 or more years of experience with SAS, Crystal Reports, Business Objects, or similar platforms.
• 5 or more years of Microsoft Excel experience.

Schedule

Monday – Friday; 8:00am–5:00pm EST

Pay

$62,000–$85,000 per year. All job offers will be based on a candidate’s skills, prior relevant experience, applicable degrees/certifications, as well as internal equity and market data.

Benefits

Employees regularly scheduled to work 20 or more hours per week are eligible for comprehensive benefits including:

• Medical, Dental, and Vision insurance
• Life, Short-Term Disability (STD), and Long-Term Disability (LTD) insurance
• 401(k) retirement plan
• Paid Time Off (PTO) or Flexible Time Off (FTO)
• Tuition Reimbursement
• Employee Stock Purchase Plan

Employees regularly scheduled to work less than 20 hours, Casual, Intern, and Temporary employees are eligible only for the 401(k) Plan. Employees on a 7-on/7-off schedule receive all benefits except PTO or FTO.