| 10+ Yrs Business Analyst (Health Plan Encounters) || Remote at Remote, Remote, USA |
| Email: [email protected] |
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From: Love kr, USG [email protected] Reply to: [email protected] Hi, This is Love Kumar from United Software Group. Hope you are doing well. Please have a look at the job, you may reply to this e-mail directly with resume to get in touch with me. Business Analyst (Health Plan Encounters) Remote Contract Description Note : Min 10 years experienced, with multiple years in Health Plan domain. Health Plan Encounters is must Responsibilities: 1. Data Reconciliation: Perform reconciliations of healthcare-related data, including financial transactions, payments, and other metrics. Identify and resolve discrepancies, ensuring data accuracy and integrity. 2. Determine operational objectives by studying business functions, gathering information, evaluating output requirements and formats. 3. Determine descriptions and analysis of Operations and Client needs, business impacts and system process functionality. 4. Analyze individual program/account performance on a regular basis, perform root cause analysis and develop corrective action plans. 5. Managing application management and Intensive research and analysis of new techniques to improve productivity. 6. Generates regular reports and analyze the clients data to monitor accounts receivable, track payments and adjustments. 7. Provide analytical support and identify business trends that require action. 8. Understands the project schedule and plans/prioritizes the work schedule for a team and meets time deadlines consistently. 9. Regulatory Compliance: Stay updated with relevant healthcare regulations, compliance standards, and industry best practices. Ensure reconciliation processes adhere to regulatory requirements and internal policies. 10. Stakeholder Collaboration: Collaborate with various stakeholders and engage in effective communication to understand their needs, provide support, and address reconciliation-related issues. Requirements: Business Analyst with Health Plan Encounter and 837 expertise is a must Strong analytical skills with the ability to analyze and interpret financial and operational data. Familiarity with healthcare financial systems, process of Insurance/Patient payments and adjustments and reimbursement methodologies. Knowledge of healthcare regulations, compliance standards (e.g., HIPAA), and revenue cycle management. Strong problem-solving and critical-thinking skills to identify and resolve discrepancies. Excellent communication and interpersonal skills to collaborate with stakeholders at various levels. Attention to detail and ability to work with large datasets while maintaining data accuracy and integrity. Ability to prioritize tasks, manage deadlines, and adapt to changing priorities. Love Kumar Technical Recruiter United Software Group Inc. 6000 Venture Dr, Suite C & D, Dublin, Ohio 43017, USA [email protected] USG is an Equal Opportunity Employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, gender, age, disability, military status, national origin or any other characteristic protected under federal, state, or applicable local law. Keywords: cprogramm 10+ Yrs Business Analyst (Health Plan Encounters) || Remote [email protected] |
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| 11:07 PM 15-Jan-25 |