Business Analytics, Senior Analyst
Work At Home-Maryland, United States
USD 46K-112K Senior-level Full Time
Tasks
- Analyze claims performance dashboards
- Collaborate on authorization related claims issues
- Conduct quality assurance and payment integrity monitoring
- Coordinate regulatory change updates
- Ensure claims compliance with regulations
- Implement workflow automation initiatives
- Improve auto adjudication rates
- Manage claims adjudication
- Monitor inventory and backlog
- Oversee Medicaid claims processing
- Participate in policy and procedure updates
- Partner on claims reserves and reconciliation
- Perform root cause analysis and corrective actions
- Reduce claims interest and suspended queues
- Resolve claims system issues
- Resolve provider disputes
- Support provider relations for contractual interpretation
Perks/Benefits
Skills/Tech-stack
Auto Adjudication | CMS Requirements | Cause analysis | Claims Audits | Claims Processing | Dashboard Reporting | Data Analysis | Data reporting | Encounter Data | Encounter Data Reporting | Excel | Federal Managed Care | Fee Schedules | Managed care | Medicaid | Medicaid billing | Payment integrity | Process Improvement | QNXT | Quality Assurance | Root Cause Analysis | Root cause
Education
Bachelor of Arts | Bachelor of Engineering | Bachelor of Science
Roles
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