The Analyst supports compliance initiatives, reimbursement operations, ensures regulatory adherence, prepares reports, and collaborates with teams for process improvement.
Position: Analyst - Provider Compliance & Reimbursement (0 to 3 years of experience Healthcare Compliance or Reimbursement) The Analyst Provider Compliance & Reimbursement plays a key role in supporting compliance initiatives and reimbursement operations. This position ensures accurate documentation, regulatory adherence, and contributes to optimizing revenue cycle processes across healthcare engagements.
Key Responsibilities:Compliance Support • Preparation and Analysis of reports, consulting documents and other client deliverables. • Analyze financial and statistical data to ensure accuracy and completeness of cost reports. • Assist in monitoring provider activities to ensure compliance with federal, state, and payer-specific regulations. • Support internal audits and documentation reviews. • Collaborate with compliance teams to resolve issues and implement corrective actions. Reporting & Documentation • Maintain organized records of compliance and reimbursement activities. • Prepare summaries and reports for internal review and external audits. Team Collaboration • Work closely with Managers to execute assigned tasks. • Provide guidance to junior team members and contribute to knowledge sharing. Process Improvement • Identify opportunities to improve accuracy and efficiency in compliance and reimbursement workflows. • Stay updated on regulatory changes and industry best practices. Qualifications: • Bachelor's degree in Healthcare Administration, Finance, Business, or related field. • Professional Degrees in Finance and Accounting are further helpful. • 0-3 years of experience in healthcare compliance or reimbursement. • Familiarity with Medicare, Medicaid, and commercial payer systems. • Experience with billing software and healthcare documentation systems.
Preferred Skills • Exposure to US healthcare regulations and reimbursement models. • Ability to work independently and collaboratively in a fast-paced environment. • Excellent written and verbal communication skills. • Strong analytical and communication skills. • Attention to detail and ability to manage multiple priorities.
Key Responsibilities:Compliance Support • Preparation and Analysis of reports, consulting documents and other client deliverables. • Analyze financial and statistical data to ensure accuracy and completeness of cost reports. • Assist in monitoring provider activities to ensure compliance with federal, state, and payer-specific regulations. • Support internal audits and documentation reviews. • Collaborate with compliance teams to resolve issues and implement corrective actions. Reporting & Documentation • Maintain organized records of compliance and reimbursement activities. • Prepare summaries and reports for internal review and external audits. Team Collaboration • Work closely with Managers to execute assigned tasks. • Provide guidance to junior team members and contribute to knowledge sharing. Process Improvement • Identify opportunities to improve accuracy and efficiency in compliance and reimbursement workflows. • Stay updated on regulatory changes and industry best practices. Qualifications: • Bachelor's degree in Healthcare Administration, Finance, Business, or related field. • Professional Degrees in Finance and Accounting are further helpful. • 0-3 years of experience in healthcare compliance or reimbursement. • Familiarity with Medicare, Medicaid, and commercial payer systems. • Experience with billing software and healthcare documentation systems.
Preferred Skills • Exposure to US healthcare regulations and reimbursement models. • Ability to work independently and collaboratively in a fast-paced environment. • Excellent written and verbal communication skills. • Strong analytical and communication skills. • Attention to detail and ability to manage multiple priorities.
Top Skills
Billing Software
Healthcare Documentation Systems
Wipfli Bengaluru, Karnataka, IND Office
Tower B, 4th Floor, Global Village Tech Park, Mysore Road, Bengaluru, India, 560059
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The role involves managing billing, payment processing, claims preparation, and ensuring compliance in the healthcare revenue cycle.
Top Skills:
ExcelMs OutlookMs Word
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