Position Summary:
The Sr. Reimbursement Analyst is responsible for providing advanced analytical support related to third-party denials, reimbursement issues, and appeals initiatives. This role conducts detailed data analyses, identifies billing and payor trends, and collaborates with Revenue Cycle Operations and the lead Reimbursement Administrator to implement process improvements that maximize revenue and ensure compliance with payor and regulatory guidelines.

Key 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 payor 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 payor guidelines, regulatory changes, and industry best practices related to reimbursement and appeals.
• Perform other duties as assigned.

Minimum Qualifications:

• Bachelor’s Degree or equivalent work experience.and 6+ years of experience analyzing and manipulating large data sets in a healthcare revenue cycle setting.or Associates degree with 8+ years with same experience

Preferred Qualifications:

• Advanced proficiency in Microsoft Excel.
• Strong knowledge of payor contracts, medical terminology, commercial and government health insurance, billing guidelines, and appeals processes.
• Proven analytical and critical thinking skills.
• Experience with data tools such as SAS, Crystal Reports, Business Objects, or similar platforms preferred.
• Excellent communication and presentation skills.
• Ability to work independently and collaboratively in a fast-paced environment.

Application Window Closes: 7-5-26

All job offers will bebased on a candidates skills and prior relevant experience, applicabledegrees/certifications,as well as internal equity and market data.

REMOTE : Applicants who live within 35 miles of either the Burlington, NC or Durham, NC location will follow a hybrid schedule. This schedule includes a minimum of three in office days per week at an assigned location, either Burlington or Durham, supporting both collaboration and flexibility

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. 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 toworka 7 on/7 off schedule are eligible to receive all the foregoing benefits except PTO or FTO. For more detailed information, please.