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Senior Analyst Revenue Services 2

Location: India
Company: Greenway Health
Direct Employers
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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
· 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
- 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
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