Operations Analyst – Medical Bill Review

Emploi pas sur LinkedIn

🕒 il y a 1 mois

⚔️ Virginia – Distant

⚔️ Virginia – Remote

💵 $75 000 - $95 000 / an

⏰ Temps Plein

🟡 Intermédiaire

🟠 Senior

⚙️ Opérations

Postuler Maintenant

Trouver des Emplois à Distance Similaires

Recevoir des emails pour des emplois à distance

📊 Vérifiez votre score de CV pour ce poste

Améliorez vos chances d'obtenir un entretien en vérifiant votre score de CV avant de postuler.

Télécharger le CV

W. R. Berkley Corporation

Site WebLinkedInTous les Emplois

5001 - 10000 employés

Fondée en 1967

💸 Finance

🤝 B2B

Insurance • Finance • B2B

W. R. Berkley Corporation est une entreprise d'assurance de premier plan opérant à travers plus de 55 entités, offrant une large gamme de solutions d'assurance pour les clients commerciaux et les particuliers fortunés. Avec une expertise approfondie dans divers secteurs, Berkley se spécialise dans l'offre de produits d'assurance sur mesure qui répondent aux marchés de niche. L'entreprise met l'accent sur des partenariats solides avec les agents et les courtiers pour offrir une couverture pour les risques uniques et les besoins émergents, garantissant une protection complète pour ses clients.

Description

• Serve as a subject-matter expert for Medical Bill Review (MBR) operations • Providing advanced production support, driving process improvements, and coordinating cross-functional issue resolution and project execution • Support the processing of workers’ compensation medical and pharmacy bills from bill intake through bill payment • Work directly with Berkley Operating Units to investigate bill processing issues • Responsible for problem-solving, identifying and triaging issues to technical teams • Interface with multiple vendors to facilitate issue resolution, issue documentation, tracking, and reporting • Independently and as part of a team identify issue commonalities and root causes to assist in solution design, monitoring, and controlling

🎯 Exigences

• MBR business process SME including experience with MBR E2E process from a business/operations perspective • Firm understanding of integrated services and workflows including FS/UCR, Nurse and code review, PPO, negotiations, adjustor bill adjudication • Workers compensation regulatory environment experience/understanding • Demonstrated application of successful critical thinking and complex problem solving skills • Experience in a role requiring deep understanding of and experience working with MBR and integrated services technology – not at a developer level – but from a business analyst perspective • Experience gathering business requirements and clearly documenting complex scenarios and use cases to communicate MBR issues accurately for resolution • Communication experience with varied audiences including leadership and peers in business/operational & technology roles • Client-facing acumen • Team-player • Experience with Atlassian/JIRA/SQL

🏖️ Avantages

• Health, Dental, Vision, Life, Disability • Wellness • Paid Time Off • 401(k) • Profit-Sharing plans