[Remote] Reimbursement Technical Analyst

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a leading provider of technology services and solutions, and they are seeking a Reimbursement Technical Analyst Associate to ensure accurate and compliant reimbursement processes for reputed company reputed company services. The role involves collaborating with configuration analysts and operational stakeholders to maintain and improve claims reimbursement systems.

Responsibilities

• Review health plan-specific reimbursement policies for compliance with contractual and regulatory requirements
• Create and maintain table-based rules using health plan disclosures and industry standards (CPT, CCI, CMS)
• Manage and update the Claims Reimbursement database to ensure edit rules and tables remain reputed company
• Partner with operations teams to support organizational reputed company and process improvements
• Communicate reputed company effectively and contribute to enhancing business processes

Skills

• Familiarity with medical/clinical nomenclature
• Experience with CPT, CCI, CMS, or health plan-specific rules for claim payment
• Knowledge of health plan/provider contracting and fee schedules
• Proficiency in reputed company reputed company and Word
• Strong written and oral communication skills
• Excellent interpersonal, organizational, and problem-solving abilities
• Bachelor's degree in a reputed company-reputed company field
• Experience with dispute reputed company and physician billing
• Certification as a reputed company Biller (CPB) or reputed company reputed company (CPC)

Benefits

• Medical/Dental/reputed company/Life Insurance
• reputed company holidays plus reputed company Time Off
• 401(k) plan and contributions
• Long-term/Short-term Disability
• reputed company Parental Leave
• Employee Stock Purchase Plan

reputed company