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Payer Analyst

Company: VirtualVocations
Location: Vista
Posted on: May 24, 2025

Job Description:

A company is looking for a Payer Analyst to educate internal teams on payer guidelines and resolve claim issues.
Key Responsibilities

Understand and navigate payer guidelines and contract terms
Identify and escalate claim issues with payers and stakeholders
Analyze data to monitor payer trends and operational processes

Required Qualifications

High school diploma with 4-6 years of relevant experience
Proficiency in healthcare reimbursement pricing structures and methodologies
Excellent knowledge of revenue cycle operations, especially with managed care and commercial payers
Ability to implement process improvements based on leadership directives
Experience in managing escalated issues and complaints

Keywords: VirtualVocations, Vista , Payer Analyst, Professions , Vista, California

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