Operations Support 1
Deluxe
Benefits Coding & Support Quality and Process Improvement Analyst III, Configuration Required
CareSource
full-time
Posted on:
Location Type: Remote
Location: Remote • 🇺🇸 United States
Visit company websiteSalary
💰 $70,800 - $113,200 per year
Job Level
Mid-LevelSenior
About the role
- Perform all auditing functions for the Coding Analysts and Benefit Support Analyst
- Implement and execute processes that support the day-to-day activities of Benefits Coding & Support
- Develop and maintain an audit program to support the BC&S quality requirements
- Perform both regular and targeted quality audits of BC&S work and provide audit results with feedback
- Generate comprehensive, clear, concise, and in-depth reporting and analysis and provide recommendations based on audit findings
- Create, maintain, and/or provide feedback and assistance in the review of SOP’s and provide constructive feedback
- Assist in the development and maintenance of the cross-functional process flows
- Develop and utilize reports to analyze and stratify data to provide answers to benefit issues identified
- Collaborate with BC&S leadership on establishing appropriate performance metrics and visualizing operational data
- Lead continuous improvement initiatives throughout the team focused on quantitative results
- Assist in the Onboarding process
- Assist in training and development of new hires and continuous training for peers
- Facilitate meetings and collaboration
- Act as a change agent/coach to instill and sustain changes
- Perform any other job duties as requested
Requirements
- Bachelor's degree in a related field or equivalent years of relevant work experience is required
- Benefit configuration or coding experience required
- Minimum of three (3) years audit experience is required
- Managed Care or Healthcare experience is required
- Advanced proficiency with Microsoft Suite to include Excel, Word, Visio, and PowerPoint
- Comprehensive understanding of Benefits Requirements
- Understanding of CPT, HCPCS and diagnosis codes
- Excellent problem resolution skills with attention to detail
- Strong interpersonal skills and high level of professionalism
- Critical listening and thinking skills
- Ability to work independently and within a team environment
- Proven ability to juggle multiple, complex priorities within a changing environment
- Excellent written and verbal communication skills
- Time management and the ability to develop, prioritize and accomplish goals
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
audit experiencebenefit configurationcoding experienceCPT codesHCPCS codesdiagnosis codesdata analysisreportingprocess improvementSOP development
Soft skills
problem resolutionattention to detailinterpersonal skillsprofessionalismcritical listeningcritical thinkingindependent workteam collaborationtime managementcommunication skills
