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.
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