Product Delivery Analyst, Revenue Cycle Analytics

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🕒 5 dias atrás

🏈 Alabama, Arizona, +18 estados a mais – Remoto

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⏰ Tempo Integral

🟡 Pleno

🟠 Sênior

🧐 Analista

🦅 Patrocina Visto H1B

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👻 Score fantasma 10%

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🗣️🇺🇸🇬🇧 Inglês obrigatório

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Logo of Knowtion Health

Knowtion Health

501 - 1000 funcionários

Fundada em 2008

💼 Consultoria

🛡️ Seguros

📦 Logística

💰 Private Equity Round em 2020-09

Consulting • Insurance • Logistics

A Knowtion Health é uma empresa que auxilia hospitais na gestão de reivindicações negadas e complexas, recuperação de contas de baixo saldo, e defesa contra auditorias de pagadores. Ao utilizar tecnologia avançada e uma equipe de especialistas, a Knowtion Health visa maximizar a receita e melhorar a experiência dos pacientes. Seus serviços incluem o tratamento de negações clínicas e a gestão de várias classes desafiadoras de pagadores, posicionando-se como um forte defensor para seus clientes no setor de saúde.

Descrição

• Analyze healthcare claims, remittance, and payment data to support client engagements • Perform detailed analyses to ensure accuracy, consistency, and integrity of analytical outputs and client deliverables • Support Interest & Penalties and Physician Underpayment solution lines • Use SQL, Snowflake, and BI tools to investigate data, validate results, and answer business questions • Interpret healthcare transaction data, including 835 Electronic Remittance Advice (ERA) and 837 Claims • Apply knowledge of reimbursement methodologies, payer adjudication, payment posting, denials, and revenue cycle workflows when evaluating analytical outcomes • Present findings and analytical insights to client stakeholders • Respond to questions regarding analytical results and reimbursement concepts

🎯 Requisitos

• Bachelor's degree in Analytics, Information Systems, Healthcare Administration, Data Science, or a related field • 3–6 years of healthcare analytics, revenue cycle analytics, reimbursement analysis, payment integrity, healthcare consulting, or related experience • Experience working with healthcare claims, remittance, and payment data • Familiarity with X12 transaction standards, including 835 and 837 files • Working knowledge of SQL for data analysis and validation • Experience using Snowflake or similar cloud-based data platforms • Dedicated, distraction-free workspace at home • Valid government-issued photo ID required during screening and/or interviews • Applicants located in AL, AR, AZ, FL, GA, ID, IN, KS, ME, MI, MO, MS, NC, NM, OK, PA, SC, TN, TX, UT, VA, WI, or WV are given priority

🏖️ Benefícios

• Medical insurance • Dental insurance • Vision insurance • Life insurance • Short-term disability • Long-term disability • Paid holidays • 401(k) • Generous PTO policy • Remote work arrangement

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