Analyst - Provider Compliance & Reimbursement

Analyst - Provider Compliance & Reimbursement

• (1 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:

• Bachelors degree in Healthcare Administration, Finance, Business, or related field.
• Professional Degrees in Finance and Accounting are further helpful.
• 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.
• Work location: Wipfli India, Ahmedabad