Payer Payment Analyst

A company is looking for a Payer Payment & Reimbursement Analyst. Key Responsibilities Perform system configuration tasks related to contracts, pricing, and reimbursement for healthcare claims Review and analyze vendor bulletins and healthcare data sets for applicability and changes to internal processes Coordinate with developers and other team members to ensure accurate implementation of business requirements Required Qualifications and Experience 2-3 years of professional experience in provider payment/reimbursements for healthcare Proficiency in Trizetto Facets NetworX Pricer Experience Experience with healthcare billing, compliance, and payer reimbursement guidelines/regulations Knowledge of various payment systems and methodologies, including Medicare and DRGs Ability to collect, research, and translate diverse information into clear written requirements

Mar 26, 2025 - 02:07

A company is looking for a Payer Payment & Reimbursement Analyst. Key Responsibilities Perform system configuration tasks related to contracts, pricing, and reimbursement for healthcare claims Review and analyze vendor bulletins and healthcare data sets for applicability and changes to internal processes Coordinate with developers and other team members to ensure accurate implementation of business requirements Required Qualifications and Experience 2-3 years of professional experience in provider payment/reimbursements for healthcare Proficiency in Trizetto Facets NetworX Pricer Experience Experience with healthcare billing, compliance, and payer reimbursement guidelines/regulations Knowledge of various payment systems and methodologies, including Medicare and DRGs Ability to collect, research, and translate diverse information into clear written requirements