Job Description

Job Description

JOB SUMMARY:

Candidate will have responsibilities in organizing, managing, and analyzing large and varied healthcare data sets, to optimize business operations. We seek a quantitative specialist who understands the business needs of a laboratory and how to use data to meet those needs. The qualified applicant must have the ability to multi-task, impeccable attention to detail, be a collaborative team member, and be a diligent problem solver who uses data in creative ways to reach business goals.

RESPONSIBILITIES:

• Proficiency in database programming using SQL scripts, and Excel formulas

• Compiling and organizing healthcare data

• Import, export, and manipulate large data sets in million row database

• Daily extract and import data from SFTP to SQL

• Design and populate tables for tracking and reporting of data

• Able to develop, and review queries

• Maintain best practices in data storage and data sharing methods

• Investigating data to find patterns and trends

• Utilizing different data sources for analyses

• Converting data into usable information that is easy to understand

• Developing reports and presentations

• In network payer expect fee file maintenance and communication with billing vendor

• Daily deposit administrative prep and reconciliation

• Daily charge reconciliation

• Understand the data we receive from external billing vendor daily for use in routine and adhoc reporting

• Commitment to meeting established reporting timelines

• Assists on special projects and/or assignments

• Reconcile ancillary A/R vendor activity and fees reconciliation

• Adheres to HIPAA regulations, company, and departmental policies

• Other duties as assigned

EDUCATION AND EXPERIENCE:

• Bachelor's degree or equivalent experience
• Two+ years of experience in data analytics
• 1+ year in medical billing with a healthcare facility or billing company

SKILLS, KNOWLEDGE, AND ABILITIES:

• Proficiency with database programming languages including SQL

• Proficient in Microsoft Excel, Power BI, Word, and Outlook

• Proficiency managing electronic medical records

• Ability to identify, analyze and solve problems

• Basic understanding laboratory business operations

• Self-motivated and approach tasks with a positive, proactive demeanor

• Excellent organization and time management skills required

• Ability to communicate effectively in writing, over the telephone, and in-person while always remaining HIPAA compliant

• Familiar with medical billing terminology

• Familiarity with commercial insurances, Medicare, Medicaid, PPO, and HMO plans, and their guidelines

• Work effectively in a team environment

We are an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status or any other status protected under federal, state or local law.

We participate in E-Verify.