Healthcare Data Analyst

GENERAL SUMMARY

The Healthcare Data Analyst position is responsible for analyzing, reporting, and developing recommendations on data related to multiple and varied business metrics. The ideal candidate will possess detailed knowledge of healthcare claims and reimbursement processes and associated related billing data (claims, denials, and reimbursement).

ESSENTIAL FUNCTIONS

• Collect, clean, and organize data from various sources, such as databases, spreadsheets, and other data sets.
• Use statistical and data analysis techniques to extract insights and meaning from the data, and effectively communicate those insights and recommendations to stakeholders.
• Develops reports, templates and spreadsheets that may be related to workflows and other collateral documents as requested by leadership.
• Identify patterns and trends in the data that can inform business decisions and help solve problems.
• Partners with leadership and stakeholders to assess needs, establish decision making criteria, and recommend or implement modifications and document procedural changes.
• Collaborate closely with other teams to ensure that the data analysis process is integrated into larger business processes.
• Facilitates meetings, ensuring stakeholder engagement, appropriate and timely information and tracking methodologies. Supports organizational strategies, priorities and business initiatives.
• Resolve claim problems by researching claim information, reviewing policies and contracts, providing and obtaining information through verbal and written communications with patients, insurance companies, and other payers, and taking corrective action so that accounts are paid, and delays minimized.
• Coordinate activities related to collection of payer accounts over 30 days old based on last activity with other departments to ensure activities are efficient and consistent with the rest of the organization.
• Assist other Billing Specialists with workload and provide back-up support in their absence.
• Keep up to date with health care practices and laws and regulations related to payer claims collections through participation in professional development activities.
• Other duties as assigned.

EXPERIENCE AND EDUCATION

• Bachelor’s degree in business, finance or health administration or related field or 5 years equivalent experience in related fields.
• 3 years of revenue cycle management and/or collections experience in health care.
• 2 years related operational and/or data analysis experience, experience in database structures, and standard query and reporting tools; or any combination of education and experience which would provide an equivalent background.

ABILITITES AND SKILLS

• Proficient in Microsoft applications, including Excel/pivot tables.
• In-depth understanding of Health Plan processes, including but not limited to, claims processing, and payer contracts.
• Knowledge of medical terminology, insurance, and medical billing processes.
• Strong analytical, problem solving, negotiation, and collaboration skills.
• Work independently, take initiative, and handle multiple tasks simultaneously.
• Detail-oriented and organized and can gather information and solve claim problems quickly.
• Strong verbal and written communication skills including the ability to communicate clearly, concisely, and professionally to patients, staff, and others.
• Maintain positive relationships with patients, external contacts, and other departments.
• Maintain strict confidentiality of medical records and other data.
• The ability to manipulate large sets of data is strongly preferred.

Work Location

Initially an in-office position, with the potential for hybrid scheduling upon completion of training.

Benefits & Compensation

• Actual starting pay will vary based on education, skills, and experience.
• We offer a comprehensive Benefits package, including, Health insurance (Premiums 100% Employer paid), Medical Reimbursement Plan, Paid Time Off, and 401K with Profit Sharing.

Health Billing Systems, LLC

Health Billing Systems, LLC (HBS) serves more than 1300 anesthesia providers with billing and management services. With more than 50 talented employees, HBS is committed to providing patients, physicians, and nurse anesthetists with exceptional, accurate and efficient service. HBS is an equal employment opportunity employer.

Our medical billing and management office, located in Plymouth, Minnesota, serves anesthesiologists and nurse anesthetists who practice in hospitals and ambulatory surgery centers located in Minnesota, South Dakota, Iowa, Alaska, and California.

HBS offers flexible hybrid home-and-office work arrangements and so much more! As we continue to grow the organization, we welcome individuals who are smart, flexible, and eager to learn. If this sounds like you, we’d like to hear from you!

*Please note responsibilities and job criteria may change as business needs evolve.

** HBS is an equal employment opportunity employer. If you need a reasonable accommodation in the application process, please contact Human Resources at 763.450.2500.

Job Type: Full-time

Pay: $52,750.00 - $77,015.00 per year

Benefits:

• 401(k)
• 401(k) matching
• Health insurance
• Life insurance
• Paid time off
• Retirement plan

Schedule:

• Monday to Friday

Experience:

• Revenue cycle management: 3 years (Preferred)
• Data analysis skills: 2 years (Preferred)

Work Location: Hybrid remote in Plymouth, MN 55447

Salary : $52,750 - $77,015