Healthlink Advisors

Analyst

• Ticket Backlog Resolution: Review, analyze, and resolve outstanding tickets related to professional billing and claims workflows
• Prioritize issues based on claim impact, financial risk, and compliance requirements
• Provide clear, detailed documentation of resolution steps and communicate effectively with requesters
• Claims Workflow Support: Support end-to-end professional billing claims processes, including charge capture, claim edits, scrubbing, submission, denials, and remittance
• Identify patterns in recurring issues and recommend long-term process or system fixes
• Partner with IT to validate system build/configuration changes and test claim workflows
• Collaboration & Escalation: Collaborate with billing teams, patient financial services, compliance, and IT teams to troubleshoot and resolve issues
• Act as a subject matter expert (SME) for professional billing claims workflows
• Escalate systemic, high-priority, or compliance-related issues to leadership and external vendors as appropriate

Billing Claims Analyst, Epic