PRIMARY RESPONSIBILITIES:
- Participate in regularly scheduled meetings with managers/supervisors to assess issues and to identify and implement improvements for more-efficient operations
- Provide strong, timely financial and business analytics for decisions by organizational stakeholders
- Develop actionable roadmaps for improving workflows and processes
- Performs in-depth reviews/audits to identify issues/trends and create remediation plan(s)
- Coordinate with multiple teams within the organization for process improvement/efficiencies
- Support management of projects to ensure successful and timely completion
- Support management in monitoring and tracking adherence of SOPs, SLA , productivity and quality standards set by leadership
- Evaluate key performance indicators, provide ongoing reports, and recommend business plan updates
- Support the Billing Strategy team in management of projects and preparation of ad-hoc/weekly reports and presentations
- Performs a wide range of analytics functions in a fast-paced team environment using tools such as Excel, Power BI and other business intelligence tools
- Analyzes payer and product prior authorization, denial, and reimbursement trends
- Designs and executes improvement projects
- Conducts complex data analysis and data interpretation
- Meets established deadlines timely, accurately, and with a sense of urgency
- Performs other duties as assigned
- This role works with PHI on a regular basis both in paper and electronic form and have an access to various technologies to access PHI (paper and electronic) in order to perform the job
- Employee must complete training relating to HIPAA/PHI privacy, General Policies and Procedure Compliance training and security training as soon as possible but not later than the first 30 days of hire
- Must maintain a current status on Natera training requirements
QUALIFICATIONS:
- Bachelor’s Degree in business, economics, related field, or equivalent required.
- Minimum of 5 years of experience working in business administration, information systems, health sciences, insurance company or healthcare billing organization.
KNOWLEDGE, SKILLS, AND ABILITIES:
- Advanced proficiency with quantitative software programs (Microsoft Excel, Google Sheets).
- Basic SQL and ability to query databases knowledge is required. Billing systems experience a plus.
- Experience with BI tools preferred. Ability to define problems, collect and reconcile data, validate data against source information.
- Motivated, shows initiative, and ability to work in fast paced environment.
- Drive for Results (Service, Quality, and Continuous Improvement).
- Commitment to the successful achievement of team and organizational goals. Demonstrate a focus on listening to and understanding client/customer needs and then delighting the client/customer by exceeding service and quality expectations.
