Reimbursement and Complex Claims Analyst

The Reimbursement and Complex Claims Analyst negotiates agreements with facilities and providers to establish appropriate reimbursement terms before services are rendered or claims are submitted. The role involves managing a daily inventory of pre-service requests, unpaid claims, and claim disputes while reviewing and prioritizing matters based on processing criteria and financial exposure. This position also supports the reimbursement team with daily operational tasks, complex claim matters, and process improvement initiatives.