Fortrea · 12 hours ago
Position Senior Reimbursement Analyst - Hybrid
Burlington NC
Full-time
Hybrid
Senior Level
6+ years expLabcorp is part of a journey to accelerate life-changing healthcare breakthroughs and improve the delivery of care for all. The Senior Reimbursement Analyst is responsible for providing advanced analytical support related to third-party denials, reimbursement issues, and appeals initiatives, conducting detailed data analyses, and collaborating with Revenue Cycle Operations to implement process improvements that maximize revenue and ensure compliance with payer and regulatory guidelines.
Clinical TrialsHealth Care
Responsibilities
Analyze third-party denial trends and reimbursement issues to identify root causes and recommend corrective actions
Lead 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 related to existing or proposed revenue cycle projects, including payer performance and denial resolution
Develop and present findings through graphs, charts, written summaries, and presentations for leadership review
Collaborate with Revenue 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 revenue 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 revenue loss
Stay current with payer guidelines, regulatory changes, and industry best practices related to reimbursement and appeals
Perform other duties as assigned
Qualification
Required
Associates degree with 6+ years of experience in healthcare billings OR 8 years experience with no degree
Experience analyzing and manipulating large data sets in a healthcare revenue cycle setting
Advanced proficiency in Microsoft Excel
Strong knowledge of payer contracts, medical terminology, commercial and government health insurance, billing guidelines, and appeals processes
Proven analytical and critical thinking skills
Excellent communication and presentation skills
Ability to work independently and collaboratively in a fast-paced environment
Preferred
Experience with data tools such as SAS, Crystal Reports, Business Objects, or similar platforms preferred
Benefits
Medical
Dental
Vision
Life
STD/LTD
401(k)
Paid Time Off (PTO)
Flexible Time Off (FTO)
Tuition Reimbursement
Employee Stock Purchase Plan
Company
Fortrea
Fortrea is a provider of comprehensive Phase I through IV clinical trial management, clinical pharmacology, patient access solutions.
10001+ employees
Funding
Current Stage
Late StageLeadership Team
Anshul Thakral
Chief Executive Officer
Agnieszka Gallagher
General Counsel, Chief Compliance Officer and Corporate Secretary
Recent News
2026-01-06
Business Wire
2025-12-11
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