Adzuna logo

Senior Analyst Revenue Services 2

Location: India
Company: Greenway Health
Direct Employers
Apply for this job
Job Summary
Claims Analysts are responsible for analyzing, auditing, and investigating their assigned client's Accounts Receivable (A/R) process in order to ensure quality, resolve errors, and provide strategic solutions. Generally, supports a single GRS platform and specialty.
Essential Duties & Responsibilities
· Develop a solid understanding of assigned client's process in order to strategically review and analyze their A/R functions
· Conduct regular audits of Medical Billing Specialist claim work for accuracy and quality; manages clean claim ratios for assigned clients
· Provide direction to Client Leads on claim audit corrections and resolution
· Prepare and analyze reports of audit reviews and performance issues with a focus on identifying trends, instituting continuous quality improvement initiatives, and identifying and providing on-going training opportunities for specialists
· Provide second-tier review on advanced and escalated claim issues to a satisfactory resolution
· Resolves outsource vendor's escalates claims and claim rework
· Log all client issues encountered in internal tracking system, including enhancement requests, bugs, errors, and inquiries. Make management aware of any client issues or problems
· Modifies process and procedures to prevent claim rework through automation ideas
· Participate in continuing education of applicable software and hardware
Experience
Education
· A high school diploma/GED required
· Bachelor's degree preferred but not required
Minimum Qualifications
· Quality control auditing and analysis experience preferred
· Medical billing knowledge and Healthcare experience preferred
Skills/Knowledge
- Strong analytical skills; ability to conduct research, creatively solve problems, and deal with ambiguity
- Highly developed verbal and written communication skills
- Able to read, analyze, and interpret complex documents
- Independent, logical, strategic thinker with high focus and attention to detail
- Effective written and verbal communication and presentation style
- Proficient compute skills including Microsoft Office, Word, and Excel
- Excellent interpersonal skills and able to work with a variety of personality types
- Excellent organizational skills; ability to multitask, set priorities, and meet deadlines
- Strong customer services skills and a high level of professionalism
Work Environment/Physical Demands
- While at work, this position is primarily a sedentary job and requires that the associate can work in an environment where they will consistently be seated for the majority of the work day
- This role requires that one can sit and regularly type on a key board the majority of their work day
- This position requires the ability to observe a computer screen for long periods of time to observe their own and others' work, as well as, in-coming and out-going communications via the computer and/or mobile devices
- The role necessitates the ability to listen and speak clearly to customers and other associates
- The work environment is an open room with other associates and noise from others will be part of the regular workday
Apply for this job

Similar jobs

Senior Analyst Revenue Services 2
Vista Equity Partners
Bangalore
Analyst Revenue Services
Greenway Health
India
Analyst Revenue Services
Vista Equity Partners
Bangalore
Revenue Recognition Analyst 2
Viavi Solutions
Pune, State of Mahārāshtra
Senior Revenue Analyst
Marriott International
Jodhpur