Demo

Reimbursement Analyst

Praesum Healthcare
Worth, FL Full Time
POSTED ON 2/18/2025
AVAILABLE BEFORE 4/16/2025
Praesum Healthcare:
Position Title: Reimbursement Analyst

Founded in 2003, Praesum Healthcare provides administrative services for healthcare providers in key geographical locations throughout the Northeast, mid-Atlantic, and Southeast regions. Praesum is an established leader in the healthcare industry. With a solid, growth-focused business model, strong finances, and expert management team, Praesum will continue to grow in the years to come. Praesum currently provides services to behavioral health facilities providing all levels of care from inpatient psychiatric and substance abuse detoxification, through SUD and mental health outpatient clinics.

Reimbursement Analyst Job description:
This role requires a solutions-oriented approach to the oversight and management of our third-party payer contracting activities. The Reimbursement Analyst will analyze, negotiate, and implement contracts with all third-party payers, including but not limited to; commercial insurance, managed Medicaid, County, Government, and VA insurance providers. This position is accountable for ensuring effective implementation of new as well as existing contracts.

Reimbursement Analyst Duties/Responsibilities:
  • Manage the development and implementation of new contracts
  • Participate in the development of new business, acquisitions, and facility expansion.
  • Influence contract strategy in complex contract negotiations and discussions.
  • Lead contract discussions with third party payers, including rate and language negotiation in accordance with established guidelines.
  • Establish and maintain positive working relationship with third party payer network.
  • Coordinates the implementation of executed contracts to properly communicate contract requirements/changes internally.
  • Review solicitations and prepare routine response for proposals, bids, and contract modifications, as necessary.

Reimbursement Analyst Requirements:
  • Bachelor’s Degree
  • 3-5 years healthcare or healthcare contracting experience
  • Commercial Insurance experience required
  • Knowledge and ability in contract negotiations
  • Ability to effectively manage priorities, drive results and take initiative

Reimbursement Analyst Schedule:
  • Full Time

Reimbursement Analyst Compensation:
  • Salary rate competitive with experience and location

Full time employees may be eligible for the following:
  • Insurance: Medical, Dental, Vision, and STD options
  • Medical FSA and Dependent Care Account
  • 401k with company match up to 5%
  • Accrued Paid Time Off (PTO)
  • Education reimbursement
  • Career Advancement Opportunities

*** This job does NOT sponsor visa's and we are unable to consider out of country applicants ***

If you are interested in this opportunity or know someone that you respect who would be a good fit for this position, please email:
James - James@praesumhealthcare.com Healthcare Recruiter
Clay- Clay@praesumhealthcare.com Healthcare Recruiter

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