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Lead I - Business Analysis (US Healthcare + Billing)
Piktorlabs
posted 4mon ago
Job Role Insights
Flexible timing
Key skills for the job
Job Description
Role Proficiency:
- Business Analyst - Billing (US Healthcare) is responsible for providing advanced support for healthcare billing systems and processes, ensuring timely and accurate resolution of billing-related issues specific to the US healthcare industry.
- This role involves deep collaboration with cross-functional teams, L2 support and Product engineering team.
- Key Responsibilities: Billing Support and Issue Resolution: Provide second-level support for billing-related inquiries and issues within the US healthcare system.
- Diagnose and resolve complex billing problems and payment discrepancies. Ensure all billing issues are resolved within SLA timeframes and comply with healthcare regulations.
- US Healthcare Billing Expertise: Stay updated on changes in healthcare regulations, insurance policies, and reimbursement procedures.
- Assist in the implementation and support of billing systems that comply with HIPAA and other regulatory standards. Process Improvement: Analyze existing billing processes and identify opportunities for improvement specific to the US healthcare context. Implement enhancements to streamline billing operations and reduce errors.
- Document and maintain updated procedures and workflows for billing processes. Collaboration and Communication: Work closely with customer teams to resolve billing issues and implement process improvements.
- Facilitate communication between technical teams and end-users to ensure clear understanding of billing requirements and solutions and delivery schedule.
- Conduct regular meetings with stakeholders to review and discuss billing performance and areas for improvement.
- Data Analysis and Reporting: Monitor billing performance and identify trends and discrepancies in healthcare billing system.
- Generate and analyze reports to provide insights into billing operations and support decision-making.
- Present findings and recommendations to management and other stakeholders.
- Training and Knowledge Sharing: Develop and deliver training sessions for team members and other departments on healthcare billing systems and processes.
- Create and maintain a knowledge base of common billing issues and solutions.
- Stay updated on industry best practices and emerging trends in healthcare billing and support services.
- Compliance and Quality Assurance: Ensure all billing processes comply with healthcare regulations and company policies. Conduct regular audits and quality checks to maintain high standards of accuracy and compliance.
- Implement corrective actions for any identified issues or discrepancies.
- Qualifications: Education: Bachelor s degree in business administration, Finance, Information Technology, Healthcare Administration, or a related field.
- Experience: Minimum of 3-5 years of experience in a business analyst or support role, with a focus on healthcare billing systems.
- Experience in US healthcare billing. Skills: Strong analytical and problem-solving skills. Excellent communication and interpersonal skills. Familiarity with healthcare billing software systems.
- Knowledge of HIPAA regulations and other relevant healthcare compliance standards.
- Ability to work independently and as part of a team in a fast-paced environment.
- Personal Attributes: Detail-oriented with a focus on accuracy.
- Proactive and self-motivated. Customer-focused with a commitment to delivering high-quality support. Strong organizational and time management skills
Employment Type: Full Time, Permanent
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based on 12 employees
Flexible timing
Monday to Friday
No travel
Day Shift
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