The Analyst supports compliance initiatives, reimbursement operations, ensures regulatory adherence, prepares reports, and collaborates with teams for process improvement.
Position: Analyst - Provider Compliance & Reimbursement (0 to 3 years of experience Healthcare Compliance or Reimbursement) The Analyst Provider Compliance & Reimbursement plays a key role in supporting compliance initiatives and reimbursement operations. This position ensures accurate documentation, regulatory adherence, and contributes to optimizing revenue cycle processes across healthcare engagements.
Key Responsibilities:Compliance Support • Preparation and Analysis of reports, consulting documents and other client deliverables. • Analyze financial and statistical data to ensure accuracy and completeness of cost reports. • Assist in monitoring provider activities to ensure compliance with federal, state, and payer-specific regulations. • Support internal audits and documentation reviews. • Collaborate with compliance teams to resolve issues and implement corrective actions. Reporting & Documentation • Maintain organized records of compliance and reimbursement activities. • Prepare summaries and reports for internal review and external audits. Team Collaboration • Work closely with Managers to execute assigned tasks. • Provide guidance to junior team members and contribute to knowledge sharing. Process Improvement • Identify opportunities to improve accuracy and efficiency in compliance and reimbursement workflows. • Stay updated on regulatory changes and industry best practices. Qualifications: • Bachelor's degree in Healthcare Administration, Finance, Business, or related field. • Professional Degrees in Finance and Accounting are further helpful. • 0-3 years of experience in healthcare compliance or reimbursement. • Familiarity with Medicare, Medicaid, and commercial payer systems. • Experience with billing software and healthcare documentation systems.
Preferred Skills • Exposure to US healthcare regulations and reimbursement models. • Ability to work independently and collaboratively in a fast-paced environment. • Excellent written and verbal communication skills. • Strong analytical and communication skills. • Attention to detail and ability to manage multiple priorities.
Key Responsibilities:Compliance Support • Preparation and Analysis of reports, consulting documents and other client deliverables. • Analyze financial and statistical data to ensure accuracy and completeness of cost reports. • Assist in monitoring provider activities to ensure compliance with federal, state, and payer-specific regulations. • Support internal audits and documentation reviews. • Collaborate with compliance teams to resolve issues and implement corrective actions. Reporting & Documentation • Maintain organized records of compliance and reimbursement activities. • Prepare summaries and reports for internal review and external audits. Team Collaboration • Work closely with Managers to execute assigned tasks. • Provide guidance to junior team members and contribute to knowledge sharing. Process Improvement • Identify opportunities to improve accuracy and efficiency in compliance and reimbursement workflows. • Stay updated on regulatory changes and industry best practices. Qualifications: • Bachelor's degree in Healthcare Administration, Finance, Business, or related field. • Professional Degrees in Finance and Accounting are further helpful. • 0-3 years of experience in healthcare compliance or reimbursement. • Familiarity with Medicare, Medicaid, and commercial payer systems. • Experience with billing software and healthcare documentation systems.
Preferred Skills • Exposure to US healthcare regulations and reimbursement models. • Ability to work independently and collaboratively in a fast-paced environment. • Excellent written and verbal communication skills. • Strong analytical and communication skills. • Attention to detail and ability to manage multiple priorities.
Top Skills
Billing Software
Healthcare Documentation Systems
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The role involves managing billing, payment processing, claims preparation, and ensuring compliance in the healthcare revenue cycle.
Top Skills:
ExcelMs OutlookMs Word
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