Health Claims Senior Business Analyst

Employer
basys, inc.
Location
Baltimore, MD
Posted
Apr 20, 2017
Closes
Apr 21, 2017
Function
Analyst, Business
Hours
Full Time
The Health Claims Senior Business Analyst provides the processes, questions, and techniques to synthesize the information needed from our clients for configuring, testing and deploying basys software. In addition, the Analyst is responsible for updating, testing and ensuring proper loading of benefit adjudication rules, benefit categories and systems maintenance. The Analyst will also identify and troubleshoot issues associated with the schedule of benefits, the Summary Plan Document and the system setup. This position requires in-depth knowledge and understanding of health claims as well as current information technology standards. Key Job ResponsibilitiesDevelop a deep knowledge in the basys claims software productsWork collaboratively with our clients to define their requirements and map their business needs to basys technologiesConfigure the basys claims software to meet customer requirementsWork independently to design, implement, and document technical solutionsConduct functional testing of new releasesFacilitate user acceptance testing and testing of new system functionality. Ensure claims are paid in accordance with the appropriate contract agreements and client benefit structure.Communicate project updates and status reports internally and externallyConduct hands-on customer training in preparation of go-live datesPerform expert-level troubleshooting to investigate and resolve customer issuesDocument system enhancements, use case testing, and standard operating procedures Required For SuccessBachelor's Degree in Information Technology, Business Information Systems, Computer Science, or a related technical degreeAdvanced knowledge of healthcare claims processing - must understand the complete claim lifecycle from receipt through payment. Exposure to HIPPA transactions, HIPPA 837, 835, CMS-1500, UB-04At least 3 years prior experience in claims processing, computer operations, data analysis, database management and creation of custom reportsExperience with system updating and testing with CPT, HCPSC, ICD9 coding, fee schedules and benefits plans is preferredAdvanced knowledge of custom reporting tools and database management programs such as SQL and MS AccessExcellent analytical and troubleshooting skillsAbility to handle multiple assignments, prioritize tasks, and meet demanding timelinesClear, effective, and proactive written and verbal communication skillsAbility to conduct effective group presentations and trainingExpertise in core MS Office products (Word, Excel, PowerPoint, and Outlook) Why choose basys? We believe our employees are vital to our success. We provide opportunity, nurture talent, and develop leaders. Imagine a career where you take pride in the work you do. The solutions you develop have a direct impact within the industry. You are appreciated and acknowledged for going above and beyond the bar that is already set high. You receive honest and constructive feedback to propel your career to the next level. A place that values diverse backgrounds, experiences and personalities, where humor and laughter are encouraged. We move fast, take risks, and pride ourselves on staying flexible, fun, and committed to executing each day. Do you want to be surrounded by passionate, dedicated people doing challenging work? Choose basys and join our team! Equal Opportunity Employer Company Description: For four decades basys continuously is the recognized leader in developing, deploying and supporting software solutions in the Taft-Hartley industry. We provide an integrated solution suite to make our customers work more efficiently. Headquartered in Baltimore, Maryland, and with employees working across the United States, our highly-skilled technologists collaborate to solve complex business problems and deliver tailored software applications to suit our customers business needs. Our people are vital to our success. We provide opportunity, nurture talent, and develop leaders Imagine a career where you take pride in the work you do. The solutions you develop have a direct impact within the industry. You are appreciated and acknowledged for going above and beyond the bar that is already set high. You receive honest and constructive feedback to propel your career to the next level. A place that values diverse backgrounds, experiences and personalities, where humor and laughter are encouraged. We move fast, take risks, and pride ourselves on staying flexible, fun, and committed to executing each day. If you want to surround yourself with passionate, dedicated people to collaborate in achieving challenging results, choose basys for your next career move and apply today.