Payer Analyst

A company is looking for a Payer Analyst to educate internal teams on payer guidelines and resolve claim issues. Key Responsibilities Understand and navigate payer guidelines and contract terms Identify and escalate claim issues with payers and stakeholders Analyze data to monitor payer trends and operational processes Required Qualifications High school diploma with 4-6 years of relevant experience Proficiency in healthcare reimbursement pricing structures and methodologies Excellent knowledge of revenue cycle operations, especially with managed care and commercial payers Ability to implement process improvements based on leadership directives Experience in managing escalated issues and complaints

Apr 24, 2025 - 21:17

A company is looking for a Payer Analyst to educate internal teams on payer guidelines and resolve claim issues. Key Responsibilities Understand and navigate payer guidelines and contract terms Identify and escalate claim issues with payers and stakeholders Analyze data to monitor payer trends and operational processes Required Qualifications High school diploma with 4-6 years of relevant experience Proficiency in healthcare reimbursement pricing structures and methodologies Excellent knowledge of revenue cycle operations, especially with managed care and commercial payers Ability to implement process improvements based on leadership directives Experience in managing escalated issues and complaints