Job Description :
Business Analyst with HIPPA and Claims

Location: Philadelphia, PA

Duration: 12 Months +

Description:

Develop cross-functional knowledge and understanding of client’s end to end experience to support projects that impact multiple operational systems.
Develop enhanced reconciliation processes related to client’s financial operations, including billing, accounts receivable, cash application, and disbursements.
Identify process improvement opportunities that can enhance quality and efficiency without sacrificing service. Liaison between Operations and BTS/Finance/Audit for major initiatives.
Lead the development and preparation of departmental reporting metrics and analytics.
Develop and document End User Procedures / Job Aides / Service Alerts and policies for processes that span multiple functional areas.
Help to conduct and coordinate cross functional workshops within Operations team to communicate system defects / resolutions and enhancements.
Document / prioritize system limitations and coordinate with Health rules (or other vendors) / BTS to identify a technical solution or automation opportunity.
Coordinate development processes for the handling of new products and services.
Requirements:

BA/BS Degree in a Business related field or equivalent experience preferred
Understanding of Enrollment, Billing / Accounts Receivables, and Finance functions within the Healthcare industry.
Ability to work and coordinate reporting, process, and analytics for Operations team. Ability to assist each team in the development of new reports and performance metrics.
Represent Operations during customer integration projects, operational meetings between client’s different divisions, new implementations, integration with new product development, key control audits, regulatory examinations, complete and extensive interaction with Health rules (or other vendors
1 - 3 years’ experience in healthcare.
Acute knowledge of enrollment, billing & accounts receivable. Finance experience a plus.
Must possess the ability to interface with internal/external customers at various levels.
Demonstrated experience in training & development.
Willingness to work in a fast-paced, challenging environment.
Detail oriented and organized, with exceptional prioritization skills.
Ability to effectively communicate with senior management, supervisors, peers and clients.
Proficient in Microsoft Applications.
Proven process improvement methodology and driving change management.