Business Analyst

• Prepares future medical cost projections and Medicare Set-aside Allocation reports
• Interacts regularly with customers providing excellent customer service
• Communicates daily with internal teams at IMPAXX
• Reviews and analyzes medical records, claim file documents, hearing orders, and depositions for preparation of allocation reports
• Researches Medicare coverage, jurisdictional, and regulatory guidelines
• Communicates frequently and effectively with Team Leader, Coding Team, Clinical Director, and Referral Coordinators
• Reviews resources on the Analyst iPortal and IMPAXX Intranet frequently, including customer handling instructions
• Ensures thorough and accurate file documentation including data entered into MyConnect
• Responsible for data entry into the medical tab for development of allocation preparation
• Provides rationale for allocation and identifies mitigation opportunities
• Reviews auto-MyConnect pricing function to ensure accuracy
• Proofreads both calculation and summary generated
• Provides feedback for possible improvements to workflow processes within the MyConnect system
• Delivery of allocation report to customer identifying exposure and mitigation opportunities
• Responds to direct inquiries from customer regarding delivered allocations or other MSP compliance questions from customer or facilitates the direction to the appropriate team
• Reviews, analyzes, and communicates CMS counter opinions as assigned
• Produces a minimum of 1.2 allocation reports per day based on a fiscal month end average
• Maintains confidentiality and security of all medical records received and reviewed

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