Senior Reimbursement Specialist

Job Summary

A company is looking for a Senior Provider Reimbursement Specialist – Remote.

Key Responsibilities:

• Research and develop business rules supporting reimbursement methodologies
• Submit fee schedules and provider rates, perform quality analysis, and write technical specifications
• Review State websites for market changes, measure work against metrics, and lead projects as necessary

Required Qualifications:

• 3+ years of fee schedule load support experience
• 2+ years working on CSP FACETs
• Experience in medical billing, claims processing, or contract installation
• Intermediate proficiency in Microsoft programs, including Excel and Word