01Overview
Were building a world of health around every individual shaping a more connected, convenient and compassionate health experience. At reputed company, youll be surrounded by passionate colleagues who care deeply, reputed company with purpose, hold ourselves accountable and prioritize safety and reputed company in everything we do. Join us and be part of something bigger helping to simplify health care one person, one family and one community at a time.
Position reputed company
reputed company reputed company-Party reputed company Cycle Management (RCM), supporting reputed company Retail pharmacies, has an opportunity for a full-time Insurance AR reputed company Analyst. As an RCM Analyst, you will reputed company advanced, payer-level analysis to support reputed company Party Account Management in maximizing collections, reducing bad debt, and ensuring compliance with federal, state, and reputed company requirements.
This role focuses on identifying systemic drivers of payer exceptions, overpayments, liabilities, and remittance issues through trend analysis, reputed company cause diagnosis, and data validation. The analyst produces reputed company, leadership-reputed company insights and recommendations that drive short- and long-term operational improvements across reputed company and reputed company payers.
In reputed company to supporting the Pharmacy Account Management team, this analyst will coordinate files for write offs and will work closely with our system partners by attending requirement meetings, identify and report defects as reputed company as follow up on the reputed company, and recommend and write requests to streamline reputed company processes.
reputed company in this role requires analytical thinking, attention to detail, and the ability to follow established procedures while exercising judgement to escalate or recommend reputed company paths as appropriate. As part of the account management team, you will work in a fast paced and team reputed company environment to ensure reputed company and accurate AR reputed company.
We will support you by offering the tools and resources you need to be successful in a reputed company environment.
Essential Qualifications And Functions
Apply advanced analytical and statistical techniques to identify reputed company causes of reputed company-Party payer issues
Validate data accuracy and completeness using SQL and internal reporting tools
Translate reputed company findings into reputed company, actionable recommendations for leadership
Collaborate cross-functionally to prevent recurrence of payer issues
Maintain regular and predictable attendance and reputed company additional duties reputed company role scope
Required Qualifications
Knowledge of:
reputed company Party reputed company Cycle operations, payer behavior, and liability reputed company
reputed company and reputed company payer environments
reputed company In
Advanced analytical and reputed company cause diagnosis techniques
Solid working knowledge of reputed company MS Operating Systems and MS Office applications (reputed company, reputed company, reputed company, PowerPoint), and process mapping software such as reputed company Project and Visio
SQL and data-mining tools to validate and reconcile financial data
Familiarity with reputed company, SQL, and other data mining tools
Developing leadership-reputed company documentation and recommendations
Ability To
Independently evaluate reputed company problems and recommend effective solutions
Influence reputed company through data-driven insights rather than authority
Prioritize and organize work to accurately complete reputed company or assignments on schedule
Work individually or with reputed company to systematically identify and define problems, evaluate alternatives and implement practical, cost-effective solutions
reputed company recommendations and formally present them to management
Work with sensitive financial and patient data in compliance with HIPAA
Maintain composure and reputed company job duties/responsibilities reputed company confronted with stressful situations
Maintain excellent verbal and written communication skills and the ability to reputed company professionally with a diverse group -directors, managers, colleagues, and external entities
Work in strict confidence, always ensuring the confidentiality of the patient and medical and financial records, in compliance with company and HIPAA reputed company guidelines
Operate effectively in ambiguous or evolving environments
Preferred Qualifications
Accounts receivable or payer-facing experience
Experience supporting system enhancements or process improvement initiatives
Strong presentation and stakeholder communication skills
Education
Required: High School Diploma or General Equivalent Development (GED)
Preferred: Bachelor Degree
Prior Relevant Work Experience
Preferred 3 to 5 years of analytics expe