Senior Billing Strategy Analyst

📋 Description

• Perform intricate data analysis and interpretation to aid decision-making by organizational stakeholders.

• Deliver prompt financial and business analytics, which includes monitoring and reporting on essential performance indicators.

• Examine payer contract adherence, prior authorization processes, denial, and reimbursement trends.

• Conduct thorough reviews and audits to pinpoint issues/trends and formulate actionable remediation strategies.

• Design, implement, and assess improvement initiatives based on insights derived from data.

• Create actionable plans for enhancing workflows and processes.

• Collaborate with various teams to drive process improvements and optimize efficiency.

• Oversee compliance with SOPs, SLAs, productivity, and quality standards established by leadership.

• Assist in project management to ensure the successful and timely execution of tasks.

• Support governance and the rollout of Natera SOP documentation.

• Employ tools such as Excel, Power BI, and other business intelligence platforms for a variety of analytical functions.

• Adhere to HIPAA/PHI privacy regulations during PHI handling and complete mandatory training within 30 days of hiring.

⛳️ Requirements

• A bachelor's degree in business, economics, a related field, or an equivalent qualification is preferred.

• At least 8 years of experience in business administration, information systems, health sciences, insurance companies, or healthcare billing organizations.

• Advanced proficiency in quantitative software applications (Microsoft Excel, Google Sheets).

• Comprehensive understanding of medical billing, insurance policies, and healthcare reimbursement mechanisms.

• Demonstrated experience presenting to a diverse range of stakeholders, including senior management.

• Advanced knowledge of SQL with the capability to query databases.

• Experience with BI tools (Power BI, Tableau) and constructing dashboards is preferred.

• Strong problem-solving abilities, with the capacity to identify issues, gather and reconcile data, and verify data against source information.

• Self-driven and proactive in a dynamic environment.

• Dedicated to achieving team and organizational objectives while delivering high-quality results.

• Committed to the continuous improvement of processes and outcomes.

• Exceptional client/customer service skills, with the capability to surpass service and quality expectations.

• Strong collaboration and communication skills to work effectively within teams.

🏝️ Benefits

• Comprehensive medical, dental, vision, life, and disability plans for eligible employees and their dependents.

• Complimentary testing for employees and their immediate families.

• Fertility care benefits.

• Leave for pregnancy and bonding with a new baby.

• 401k benefits.

• Commuter benefits.

• Generous employee referral program.