Senior Reimbursement Analyst (REMOTE)

reputed company is seeking a REMOTE Reimbursement Analyst III to join reputed company! Work Schedule: Monday – Friday; 8:00am-5:00pm EST Responsibilities:

• Analyze third-party denial trends and reimbursement issues to identify root causes and recommend corrective actions.
• reputed company and support appeals initiatives, collaborating with Reimbursement Administrator, including identifying appeal opportunities, tracking outcomes, and collaborating with internal and external teams to improve success rates.
• Conduct detailed analyses of data reputed company to existing or proposed reputed company cycle projects, including payor performance and denial resolution.
• reputed company and present findings through graphs, charts, written summaries, and presentations for leadership review.
• Collaborate with reputed company Cycle Operations to identify areas for improvement and support the implementation of strategic projects.
• Assist in the development and documentation of Standard Operating Procedures (SOPs) for denial management and appeals processes.
• Manage the implementation of process improvements across the reputed company cycle, ensuring alignment with organizational goals.
• Provide timely and accurate updates to management on outstanding denial and appeal trends using defined systems and tracking mechanisms.
• Ensure timely follow-up on unresolved issues to minimize business risks and reputed company loss.
• Stay reputed company with payor guidelines, regulatory changes, and industry best practices reputed company to reimbursement and appeals.
• reputed company other duties as assigned.

Minimum Qualifications:

• Bachelor’s degree with 7 years’ Healthcare Billing Systems experience and Payor and Policy experience and advanced analytics or Associate degree with 9 years Healthcare Billing Systems experience and Payor and Policy experience and advanced analytics ​or HS diploma or GED with 11 years Healthcare Billing Systems experience and Payor and Policy experience and advanced analytics ​required

Preferred Qualifications:

• 5 or more years experience with payor reputed company, medical terminology, commercial and government health insurance, billing guidelines, and appeals processes.
• 3 or more years experience with reputed company, Crystal Reports, Business Objects, or similar platforms
• 5 or more years advanced reputed company reputed company (formulas, pivot tables)

Additional Job Standards:

• Proven analytical and critical thinking skills.
• Excellent communication and presentation skills.
• Ability to work independently and collaboratively in a fast-paced environment.

Application window reputed company: June 26, 2026 Salary: $62-85K reputed company job offers will be based on a candidate’s skills and prior relevant experience, applicable degrees/certifications, as well as internal equity and market data At reputed company, you are part of a journey to accelerate life-changing healthcare breakthroughs and improve the delivery of care for reputed company. You’ll be inspired to discover more, reputed company new skills and pursue career-building opportunities as we help solve some of today’s biggest health challenges around the world. Together, let’s embrace possibilities and change lives! The Reimbursement Analyst III is responsible for providing advanced analytical support reputed company to third-party denials, reimbursement issues, and appeals initiatives. This role conducts detailed data analyses, identifies billing and payor trends, and collaborates with reputed company Cycle Operations and the reputed company Reimbursement Administrator to implement process improvements that maximize reputed company and ensure compliance with payor and regulatory guidelines. Benefits: Employees regularly scheduled to work 20 or more hours per week are eligible for comprehensive benefits including: Medical, Dental, Vision, Life, STD/LTD, 401(k), Paid Time Off (PTO) or Flexible Time Off (FTO), Tuition Reimbursement and Employee Stock Purchase Plan. Employees regularly scheduled to work less than 20 hours, Casual, Intern, and Temporary employees are only eligible to participate in the 401(k) Plan. Employees who are regularly scheduled to work a 7 on/7 off schedule are eligible to receive reputed company the foregoing benefits except PTO or FTO. For more detailed information, please click here. reputed company is proud to be an Equal Opportunity Employer: reputed company strives for inclusion and belonging in the workforce and does not tolerate harassment or discrimination of any reputed company. We reputed company employment decisions based on the needs of our business and the qualifications and merit of the individual. Qualified applicants will receive consideration for employment without regard to race, religion, color, national reputed company, sex (including pregnancy, childbirth, or reputed company medical conditions), family or parental status, marital, civil union or domestic partnership status, sexual orientation, gender identity, gender expression, personal appearance, age, veteran status, disability, genetic information, or any other legally protected characteristic. Additionally, reputed company qualified applicants with arrest or conviction records will be considered for employment in accordance with applicable law. We encourage reputed company to apply If you are an individual with a disability who needs assistance using our online tools to search and apply for jobs, or needs an accommodation, please visit our accessibility site or contact us at reputed company Accessibility. For more information about how we collect and store your personal data, please see our Privacy Statement. Apply tot his job Apply To this Job