Labcorp is seeking a HYBRID Senior Reimbursement Analyst (III) to join our team!

Work Schedule: Monday - Friday; 8:00am-5:00pm EST

This hybrid position offers a balanced schedule of three in-office workdays at our Burlington or Durham, NC locations and two remote workdays per week, supporting both collaboration and flexibility.

The Senior Reimbursement Analyst is responsible for leading the identification, prioritization, and strategic development of appeal opportunities through advanced analytics and payer policy expertise. This role focuses on designing scalable appeal strategies, identifying systemic denial issues, and guiding appeal positioning to maximize reimbursement and reduce revenue leakage.

This position leverages large healthcare datasets, advanced analytics, and emerging technologies to identify high-value recovery opportunities and improve efficiency in reimbursement strategy execution.

The role partners closely with Revenue Cycle Operations, Payor Solutions, and Reimbursement leadership to implement scalable solutions and address root causes of

Responsibilities:

Appeals Strategy & Optimization

• Identify and prioritize high-value, scalable appeal opportunities across commercial and government payers
• Develop and standardize appeal strategies and frameworks based on payer policy, denial trends, and financial impact
• Draft complex or exemplar appeals to establish best practices and reusable templates
• Partner with operational teams to enable execution of appeals at scale, rather than performing routine claim-level submissions

Data Mining & Advanced Analytics

• Analyze large healthcare datasets (claims, remittance, denial, and clinical data) to identify trends, root causes, and recovery opportunities
• Design and execute advanced data mining techniques to surface actionable insights and quantify financial impact
• Translate data insights into enterprise-level appeal strategies and recovery initiatives, not individual claim resolution

Payer Policy & Reimbursement Expertise

• Interpret payer policies, LCD/NCDs, and medical necessity criteria to assess appeal viability
• Apply knowledge of billing guidelines, coding (CPT/HCPCS), and reimbursement methodologies
• Identify policy misalignment and develop targeted appeal strategies or escalation approaches

Cross-Functional Collaboration

• Partner with Revenue Cycle, Denial Operations, and Payor Solutions teams to address systemic denial issues
• Provide subject matter expertise and guidance on appeal strategy and policy interpretation
• Support process improvement initiatives aimed at reducing denials and optimizing reimbursement

Minimum Qualifications:

• Bachelor's degree with 7+ years of experience in healthcare revenue cycle, reimbursement, or denial management OR Associate degree with 9 years of experience in healthcare revenue cycle, reimbursement, or denial management OR HS diploma or GED with 11 years of experience in healthcare revenue cycle, reimbursement, or denial management

Preferred Qualifications:

• 7+ years of experience in healthcare revenue cycle, reimbursement, or denial management
• 5+ years of hands-on experience analyzing healthcare datasets, including claims, denials, and remittance data, with demonstrated ability to identify trends and actionable insight
• Advanced proficiency in Microsoft Excel, including large dataset manipulation and data analysis
• Direct experience managing appeals and denials across commercial and/or government payers, including tracking outcomes and driving resolution strategies
• Demonstrated experience drafting appeal letters with supporting clinical and policy rationale
• Strong knowledge of medical terminology and healthcare billing/coding concepts
• Proven ability to interpret payer policy language and translate policy criteria into actionable appeal strategies or reimbursement opportunities

• Experience with laboratory billing, diagnostics, or molecular/genetic testing
• Clinical or coding credentials (e.g., RN, LPN, MT/MLS, CPC, CCS)
• Experience with policy research or reimbursement optimization

• Advanced Microsoft Excel (required)
• SQL or similar data query tools (preferred)
• Data visualization tools (Tableau, Power BI) (preferred)
• Analytical tools (SAS) (preferred)

Application Window Closes: 8-1-26

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