Payor Reimbursement & Claims Remediation Specialist

 

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&am