Analyst/ Senior Analyst - Clearing House

What you will do:

• Monitor and manage work queues to ensure inquiries are routed to the appropriate team members with speed and accuracy.
• Respond timely to queries from clients and insurance companies through email and telephone as appropriate.
• Troubleshoot and provide analysis, support and guidance on all issues related to payer enrollments, user access requests, invoices and other general questions.
• Assist portal clients with user account management and permission requests.
• Work with clients, payers and intermediaries to ensure proper enrollment for electronic healthcare responses and facilitate resolution of payer enrollment denials.
• Maintain and document enrollment processes and procedures, including payer/intermediary application processing timelines and requirements.
• Proactively identify potential enrollment issues based on provider type or payer type.
• Develop and maintain both internal and client-facing documentation.
• Communicate issues to management regarding payer, system or escalated account issues.
• Assist Operations Support Analysts in resolving various routine requests from clients.
• Participate and attend meetings and in-house trainings to develop and expand job knowledge.
• Client requested meetings
• Phone support
• Perform all other related duties as assigned.

What you will bring:

• Graduation Degree or equivalent ( B.Tech/ BCA fresher candidates are not eligible)
• 0-3 years of related work experience in the healthcare industry or customer service industry preferred.
• Ability to read, analyze, and interpret professional journals, technical procedures, and governmental regulations
• Strong written / verbal communication, interpersonal, and relationship skills
• Ability to work in a team environment that requires quick turnaround and quality output
• Knowledge of HIPAA, EDI and Healthcare X12 transactions is a plus.
• Must be proficient with personal computers and related software applications such as Microsoft Office Suite
• Ability to adapt quickly to new technologies, processes and changing priorities
• Understanding of and experience in supporting continuous integration/continuous deployment
• Collaboration skills to gather input and then experiment with available solutions to validate assumptions and feasibility.
• A team-oriented mind set
• An enthusiastic, can-do attitude, problem solving skills and a relentless improvement mindset.
• Excellent organizational and time management skills
• Travel required: None.

What we would like to see:

• Excellent verbal and written communication skills, with the ability to present information within a public setting.
• Experience in the healthcare industry.
• Customer service experience preferred.
• Salesforce.com experience is a plus.
• Knowledge of claims rejections/denials experience a plus