Senior Business Analyst – Healthcare Claims, MMIS
Gainwell Technologies
full-time
Posted on:
Location Type: Remote
Location: United States
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Salary
💰 $69,400 - $99,200 per year
Job Level
About the role
- Ensure that items are prepared for client meetings.
- Ensure Operating Procedure Manuals are updated as required
- Work with the client on change requests, publications and claim adjustments/reprocessing
- Research, identify, and specify solutions to problems.
- Document updates for all reference updates/changes.
- Work with the systems team on any assigned system changes, meeting required timelines
- Assist with quarterly and annual CPT, HCPCS and diagnosis code updates in the system, ensuring rules are correct and working on edit and audit configuration.
Requirements
- 5+ years as a Business Analyst with healthcare claims experience required
- Must be proficient in Excel
- Certified coder is a plus
- Proficient in CPT, HCPCS and ICD-10 coding
- Must work collaboratively in a team environment in making changes to the reference system for CPT, HCPCS and ICD-10 coding updates and benefit plan coverage.
- Build relationships and working collaboratively; effective verbal/ written communication.
- Ability to assist/create manual documentation as well as provider notifications
Benefits
- generous, flexible vacation policy
- 401(k) employer match
- comprehensive health benefits
- educational assistance
- leadership and technical development academies
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
ExcelCPT codingHCPCS codingICD-10 codingdocumentationproblem-solvingaudit configurationedit configuration
Soft Skills
collaborationcommunicationrelationship buildingteamwork
Certifications
Certified coder