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Insurance Inspector - Commercial & Residential

El Paso Children's Hospital

Insurance Inspector - Commercial & Residential

Goodlettsville, TN +1 location
Full Time
Paid
  • Responsibilities

    Under the supervision of the Director of Case Management, the Case Management Data Analyst is responsible for supporting the Case Management Director, Physician Advisor, and all aspects of the Case Management department as a whole. Duties include creating, analyzing, and maintaining database information, supporting overall operations, and coordinating and preparing reports for presentation to various committees and monthly meetings. The Case Management Data Analyst must exhibit excellent communication, organizational, prioritizing, planning and technical skills. This position interfaces with all hospital personnel, physicians, community partners, and payers.

    Required Skills

    1. Advanced communication and interpersonal skills with all levels of internal and external customers required.
    2. Regularly demonstrates strong organizational, multi-tasking, interpersonal, excellent written/verbal communication, time management, critical thinking, creative problem solving, and conflict management skills required.
    3. Ability to analyze data and develop reports and/or dashboards required.
    4. Strong computer skills including the use of Microsoft Word, Excel, and PowerPoint, in order to develop spreadsheets, visual dashboards, and presentations required.
    5. Bilingual (English/Spanish) preferred.
    6. Knowledge of HIPAA standards required.

    Required Experience

    A. Work Experience:

    Two years of experience working in a hospital environment with knowledge of case management, clinical documentation, chart review, utilization management, managed care, and/or claims denials and appeals process.

    B. License/Registration/Certification:

    None

    C. Education and Training:

    Bachelor’s degree in Business Administration, Healthcare Management or related field required.

  • Qualifications
    1. Advanced communication and interpersonal skills with all levels of internal and external customers required.
    2. Regularly demonstrates strong organizational, multi-tasking, interpersonal, excellent written/verbal communication, time management, critical thinking, creative problem solving, and conflict management skills required.
    3. Ability to analyze data and develop reports and/or dashboards required.
    4. Strong computer skills including the use of Microsoft Word, Excel, and PowerPoint, in order to develop spreadsheets, visual dashboards, and presentations required.
    5. Bilingual (English/Spanish) preferred.
    6. Knowledge of HIPAA standards required.
  • Industry
    Hospital and Health Care
  • Locations
    Bensenville, IL • Goodlettsville, TN