Provider Reimbursement Analyst
Company: VirtualVocations
Location: Vista
Posted on: May 7, 2025
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Job Description:
A company is looking for a Provider Reimbursement Analyst who
will analyze provider reimbursement fluctuations and ensure
accurate capitation payments.
Key Responsibilities
Compile and analyze weekly claim runs to explain variances and
fluctuations
Resolve provider reimbursement issues, including capitation and
claim refunds
Ensure accuracy of capitation payments by reviewing and
investigating capitation data
Required Qualifications
Bachelor's Degree or equivalent, required
Three years of managed care and healthcare experience,
preferred
Experience in communicating with technical and business
constituencies
Ability to prepare capitation analysis reports
Familiarity with provider reimbursement processes
Keywords: VirtualVocations, Placentia , Provider Reimbursement Analyst, Professions , Vista, California
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