Reimbursement Analyst
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AI Summary
The analyst is responsible for reviewing and interpreting payer coverage and payment policies across Medicare and Commercial payers to support reimbursement strategies. They will analyze large datasets to create reports and provide insights that ensure accurate payment and informed business decisions.
Are you motivated to participate in a dynamic, multi-tasking environment? Do you want to join a company that invests in its employees? Are you seeking a position where you can use your skills while continuing to be challenged and learn? Then we encourage you to dive deeper into this opportunity. We believe in career development and empowering our employees.
NeoGenomics is looking for a Strategic Reimbursement Analyst who wants to continue to learn in order to allow our company to grow. This position is a temporary, remote role with a Monday - Friday day shift.
Now that you know what we're looking for in talent, let us tell you why you'd want to work at NeoGenomics:
As an employer, we promise to provide you with a purpose driven mission in which you have the opportunity to save lives by improving patient care through the exceptional work you perform. Together, we will become the world's leading cancer reference laboratory.
Position Summary:
Responsible for supporting reimbursement strategy through the review and interpretation of payer coverage and payment policies across Medicare, Medicare Advantage, and Commercial payers. The Analyst supports reimbursement-focused projects by analyzing reimbursement data, creating summarized Excel-based reports, and delivering insights that support accurate payment and informed business decisions.
Core Responsibilities:
• Review and interpret payer coverage and payment policies across all payers as they relate to
coverage, coding, and reimbursement.
• Support reimbursement projects and initiatives through policy interpretation, data analysis,
and reporting.
• Conduct analytical reviews and audits related to coding, coverage, and reimbursement
outcomes.
• Analyze large datasets using advanced Excel skills and develop concise summarized reports.
• Create routine and ad hoc reimbursement performance reports.
• Support LCD and NCD interpretation, edits, and system setup in collaboration with Billing
and operational teams.
• Assist with reimbursement evaluation for new test launches.
• Analyze reimbursement trends, denial patterns, and payment variances.
• Perform other duties as assigned.
Requirements:
• Associate degree preferred or minimum of three (3) years of experience in reimbursement,
billing, business analytics, or related healthcare industry.
• Certified Professional Coder (CPC) certification required.
•Experience reviewing and applying payer coverage and payment policies.
• Knowledge of Medicare, Medicare Advantage, and Commercial reimbursement.
• Strong analytical skills with advanced Excel proficiency (pivot tables, summaries, lookups).
• Ability to synthesize large datasets into actionable insights.
• Familiarity with oncology, pathology, molecular, or specialty testing preferred.
• Strong written and verbal communication skills.
• Ability to manage multiple projects and collaborate cross-functionally.
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