Job Description:
• Apply advanced analytical and statistical techniques to identify root causes of Third-Party payer issues
• Validate data accuracy and completeness using SQL and internal reporting tools
• Translate complex findings into clear, actionable recommendations for leadership
• Collaborate cross-functionally to prevent recurrence of payer issues
• Maintain regular and predictable attendance and perform additional duties within role scope
Requirements:
• Knowledge of Third Party Revenue Cycle operations, payer behavior, and liability resolution
• Skill in Advanced analytical and root cause diagnosis techniques
• Solid working knowledge of all MS Operating Systems and MS Office applications (MS Word, Excel, Access, PowerPoint), and process mapping software such as Microsoft Project and Visio
• SQL and data-mining tools to validate and reconcile financial data
• Familiarity with MicroStrategy, SQL, and other data mining tools
• Developing leadership-ready documentation and recommendations
• Ability to independently evaluate complex problems and recommend effective solutions
• Ability to influence decisions through data-driven insights rather than authority
• Ability to prioritize and organize work to accurately complete projects or assignments on schedule
• Ability to work individually or with a team to systematically identify and define problems, evaluate alternatives and implement practical, cost-effective solutions
• Ability to frame recommendations and formally present them to management
• Ability to work with sensitive financial and patient data in compliance with HIPAA
• Ability to maintain excellent verbal and written communication skills and to interact professionally with a diverse group -directors, managers, colleagues, and external entities
• Ability to work in strict confidence, always ensuring the confidentiality of the patient and medical and financial records, in compliance with company and HIPAA Privacy guidelines
• Ability to operate effectively in ambiguous or evolving environments.
Benefits:
• medical, dental, and vision coverage
• paid time off
• retirement savings options
• wellness programs