Sr Payor Policy Analyst-Xifin -Remote at Labcorp

Burlington, North Carolina, United States -

Full Time

Start Date

Immediate

Expiry Date

18 Jul, 26

Salary

100000.0

Posted On

19 Apr, 26

Experience

5 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Payer policy, Medical billing, Xifin, Revenue cycle management, Coding accuracy, Compliance, Prior authorization, Appeals, Data analysis, Regulatory compliance, Healthcare trends, Policy advocacy, Stakeholder management, Technical troubleshooting, Standard operating procedures

Industry

Medical Practices

Description

Labcorp is a global leader in diagnostic testing and drug development solutions, helping healthcare providers, researchers, and patients make informed decisions that advance care. Join us in our mission to improve health and improve lives. Labcorp is seeking a remote Senior Payer Policy Analyst -Xifin to join our team! Shift: Monday-Friday; 8:00am-5:00pm EST Responsibilities: Works with Manager and Revenue Cycle Management (RCM) team to understand, communicate and track payer policy and payer directed coding recommendations. Manages internal billing system (Xifin) to ensure coding accuracy. Maintains precise tracking documents and repository for compliance purposes. Acts a liaison to billing system vendor to manage and track requested updates and upgrades. Performs detailed analyses to quantify the impact of payer policy and payer directed coding changes and communicates recommendations to RCM team as it relates to these changes. Assists RCM team in maintaining the fidelity of the billing system as the source of truth for all related areas, including cost estimates, prior authorizations, and appeals. Assists in technical management of the patient cost estimator, including trouble shooting, increasing accuracy and expanding its utility over time. Writes, manages and maintains job related standard operating procedures (SOPs). Works directly with Segment Science and Marketing management teams to develop an understanding of existing and emerging technologies to provide education, appeals influence and insight pertaining to payer policy for Government and Commercial payers. Provide support to include attending Payer meetings with Payor Solutions Account Executives to communicate specific policy concerns and denials trends. Regularly monitors payer policy updates and changes such as NCD, LCD and other coverage policies impacting revenue. Functions as a liaison between LabCorp Medical Directors and Government and Commercial Payer Medical Directors on issues pertaining to existing payer policies and proposed policy changes impacting reimbursement. Will assist the Manager with subject matter expertise for the development of comments on regulatory proposals, written testimony, policy position papers and regulations that affect the company, analyzing public policy, legislative and regulatory proposals, and reporting internally as required. Coordinates with the Payer and Policy Relations Team to help develop LabCorp’s policy positions, strategy and tactics, and advocates company positions with regard to new or amended legislation, regulations, or public policy. Helps support efforts in defending against risk of Medicare and private sector payer price erosion associated with the Protecting Access to Medicare Act of 2014(PAMA). Supports efforts at the state and federal levels as appropriate by developing responses, talking points, strategy on key issues while helping to assure policy consistency across the organization. Assists in advocating company positions orally and in writing before, during and after meetings at ACLA (the clinical laboratory trade association), with other trade and professional associations, with laboratory coalitions (e.g., CCLA, PLUGS, AECS, Medicaid Review boards, ICD-10 coalition, CMS Provider Compliance Group), and others. Communicates developments and updates on a regular basis through periodic reporting mechanisms and appropriate internal and external communications channels. Examines health care trends, monitors implementation of Government Health Care Acts to inform business of implications and identify potential opportunities and/or risk for Medicare, Medicaid, Accountable Care Organizations, and Commercial payers. Evaluates laboratory-related state legislation and laws to engage subject matter experts to determine potential impacts and next steps Crafts language based on state laws to assist in appealing claim denials and pursue payer reimbursement. Develops and maintains key contacts and relationships with policy makers for Medicare Contractors, Medicaid Payers and Commercial insurers. Ability to collaborate with third party groups affected by Medicare, Medicaid, and CLIA regulations that impact lab services. Performs other and further duties and responsibilities as shall be assigned by the manager, Director and/or Vice President of Payer Policy. Qualifications: 5 or more years payer or medical billing experience with Bachelor degree or 7 years or more of payer or medical billing experience with Associate degree Preferred Qualifications: 3 months or more Xifin experience 1 year or more work experience in maintenance of diagnostics billing systems 2 years or more payer directed CPT coding in diagnostics experience Additional Job Standards: Masters degree ; MBA, JD, M.A. / M.S., RN. Prior work experience in a clinical or business setting. Prior work experience with insurance guidelines and payer policy. Prior work experience with state and federal agencies and commercial insurance payers. Prior work experience in healthcare revenue cycle (prior authorization, coding, claims, denials, appeals, billing compliance, etc.). At Labcorp, you are part of a journey to accelerate life-changing healthcare breakthroughs and improve the delivery of care for all. You’ll be inspired to discover more, develop new skills and pursue career-building opportunities as we help solve some of today’s biggest health challenges around the world. Together, let’s embrace possibilities and change lives! The Senior Payer Policy Analyst is responsible for assisting the Manager of Payer Policy and Relations with policy and alliance development activities for the company, including assistance with development and implementation of policy strategies to support LabCorp and the laboratory industry at the state and federal levels. The Analyst will act as internal conduit to gather and share information as it relates to policy, billing and reimbursement issues. Application Window Closes: 4-27-26 Salary: 75K-100K All job offers will be based on a candidate’s skills and prior relevant experience, applicable degrees/certifications, as well as internal equity and market data. Employees regularly scheduled to work 20 or more hours per week are eligible for comprehensive benefits including: Medical, Dental, Vision, Life, STD/LTD, 401(k), Paid Time Off (PTO) or Flexible Time Off (FTO), Tuition Reimbursement and Employee Stock Purchase Plan. Employees regularly scheduled to work less than 20 hours, Casual, Intern, and Temporary employees are only eligible to participate in the 401(k) Plan. Employees who are regularly scheduled to work a 7 on/7 off schedule are eligible to receive all the foregoing benefits except PTO or FTO. For more detailed information, please click here. Labcorp is proud to be an Equal Opportunity Employer: Labcorp strives for inclusion and belonging in the workforce and does not tolerate harassment or discrimination of any kind. We make employment decisions based on the needs of our business and the qualifications and merit of the individual. Qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex (including pregnancy, childbirth, or related medical conditions), family or parental status, marital, civil union or domestic partnership status, sexual orientation, gender identity, gender expression, personal appearance, age, veteran status, disability, genetic information, or any other legally protected characteristic. Additionally, all qualified applicants with arrest or conviction records will be considered for employment in accordance with applicable law. We encourage all to apply If you are an individual with a disability who needs assistance using our online tools to search and apply for jobs, or needs an accommodation, please visit our accessibility site or contact us at Labcorp Accessibility. For more information about how we collect and store your personal data, please see our Privacy Statement. We believe in the power of science to change lives. Labcorp is a leading global life sciences company that provides vital information to help doctors, hospitals, pharmaceutical companies, researchers, and patients make clear and confident decisions. Through our unparalleled diagnostics and drug development capabilities, we provide insights and accelerate innovations to improve health and improve lives. Here, you can join our nearly 70,000 employees, serving clients in more than 100 countries, as we work together to transform approaches to patient care.

Responsibilities

The analyst manages payer policy tracking, coding accuracy within the Xifin system, and acts as a liaison between internal teams and external payers. They also support policy strategy development, advocacy efforts, and the technical management of patient cost estimation tools.