Provider Reimbursement Analyst
A company is looking for a Provider Reimbursement Analyst who will analyze provider reimbursement fluctuations and ensure accurate capitation payments.
Key Responsibilities
Compile and analyze weekly claim runs to explain variances and fluctuations
Resolve provider reimbursement issues, including capitation and claim refunds
Ensure accuracy of capitation payments by reviewing and investigating capitation data
Required Qualifications
Bachelor's Degree or equivalent, required
Three years of managed care and healthcare experience, preferred
Experience in communicating with technical and business constituencies
Ability to prepare capitation analysis reports
Familiarity with provider reimbursement processes
A company is looking for a Provider Reimbursement Analyst who will analyze provider reimbursement fluctuations and ensure accurate capitation payments.
Key Responsibilities
Compile and analyze weekly claim runs to explain variances and fluctuations
Resolve provider reimbursement issues, including capitation and claim refunds
Ensure accuracy of capitation payments by reviewing and investigating capitation data
Required Qualifications
Bachelor's Degree or equivalent, required
Three years of managed care and healthcare experience, preferred
Experience in communicating with technical and business constituencies
Ability to prepare capitation analysis reports
Familiarity with provider reimbursement processes