Sr. Reimbursement Analyst-Denials/Appeals

Labcorp is a global leader in laboratory services, providing the insights and answers that help healthcare providers, patients, researchers, pharmaceutical companies and health systems make confident decisions and improve outcomes. Through our unparalleled science, data, technology and laboratory network, we advance diagnostics, accelerate innovation and help address some of the world’s most important health challenges. As we shape the future of healthcare, we are leveraging advanced technologies, intelligent digital solutions and data-driven innovation across our operations to enhance how work gets done and deliver greater value to customers and patients. With our global scale and deep expertise, you’ll have the opportunity to do meaningful work, grow your career and make a real impact on people’s health around the world. Together, we’re improving health and improving lives.

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 HYBRID Senior Reimbursement Analyst (III) to join our team!

Work Schedule: Monday – Friday; 8:00am-5:00pm EST

This hybrid position offers a balanced schedule of three in-office workdays at our Burlington or Durham, NC locations and two remote workdays per week, supporting both collaboration and flexibility.

The Senior Reimbursement Analyst is responsible for leading the identification, prioritization, and strategic development of appeal opportunities through advanced analytics and payer policy expertise. This role focuses on designing scalable appeal strategies, identifying systemic denial issues, and guiding appeal positioning to maximize reimbursement and reduce revenue leakage.

This position leverages large healthcare datasets, advanced analytics, and emerging technologies to identify high-value recovery opportunities and improve efficiency in reimbursement strategy execution.

The role partners closely with Revenue Cycle Operations, Payor Solutions, and Reimbursement leadership to implement scalable solutions and address root causes of

Responsibilities:

Appeals Strategy & Optimization

• Identify and prioritize high-value, scalable appeal opportunities across commercial and government payers
• Develop and standardize appeal strategies and frameworks based on payer policy, denial trends, and financial impact
• Draft complex or exemplar appeals to establish best practices and reusable templates
• Partner with operational teams to enable execution of appeals at scale, rather than performing routine claim-level submissions

Data Mining & Advanced Analytics

• Analyze large healthcare datasets (claims, remittance, denial, and clinical data) to identify trends, root causes, and recovery opportunities 
• Design and execute advanced data mining techniques to surface actionable insights and quantify financial impact
• Translate data insights into enterprise-level appeal strategies and recovery initiatives, not individual claim resolution

Payer Policy & Reimbursement Expertise

• Interpret payer policies, LCD/NCDs, and medical necessity criteria to assess appeal viability
• Apply knowledge of billing guidelines, coding (CPT/HCPCS), and reimbursement methodologies
• Identify policy misalignment and develop targeted appeal strategies or escalation approaches

Cross-Functional Collaboration

• Partner with Revenue Cycle, Denial Operations, and Payor Solutions teams to address systemic denial issues
• Provide subject matter expertise and guidance on appeal strategy and policy interpretation
• Support process improvement initiatives aimed at reducing denials and optimizing reimbursement

Minimum Qualifications:

• Bachelor’s degree with 7+ years of experience in healthcare revenue cycle, reimbursement, or denial management OR Associate degree with 9 years of experience in healthcare revenue cycle, reimbursement, or denial management OR HS diploma or GED with 11 years of experience in healthcare revenue cycle, reimbursement, or denial management

Preferred Qualifications:

• 7+ years of experience in healthcare revenue cycle, reimbursement, or denial management
• 5+ years of hands-on experience analyzing healthcare datasets, including claims, denials, and remittance data, with demonstrated ability to identify trends and actionable insight
• Advanced proficiency in Microsoft Excel, including large dataset manipulation and data analysis