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Job opportunity
Payor Reimbursement & Claims Remediation Specialist
Optima Dermatology
Portsmouth, NH
Source: Optima Dermatology careers · View original posting
Employer job description
From Optima Dermatology's posting. “We” and “our” refer to the employer.
Multi-site Dermatology Group Seeks Payor Reimbursement & Claims Remediation Analyst in Portsmouth, NH
Optima Dermatology is recruiting a Payor Reimbursement & Claims Remediation Analyst to join our Practice Support Center, based in Portsmouth, NH.
Location:
Hybrid, 111 New Hampshire Ave. Portsmouth, NH 03801
Position Details:
The Payor Reimbursement & Claims Remediation Analyst analyzes payor payment performance and resolves systemic payor claims issues that affect reimbursement accuracy and timeliness. The role pairs hands-on data analysis with operational payor remediation.
The Analyst uses established Power BI reports to analyze payor adherence to contracted fee schedules, recognizes patterns of incorrect payment, and leads project-level remediation efforts covering underpayments, incorrect claims adjudication, credentialing-related issues, and payor policy misapplication.
This position serves as the primary operational liaison between Optima Dermatology and payor claims, provider operations, contracting, and credentialing teams. The Analyst prepares the reporting and data files that drive payor remediation projects and works closely with Revenue Cycle leadership, FP&A, Accounts Receivable management, billing, and credentialing to recover underpayments, resolve payor issues, and implement forward-looking process improvements.