Claims Analyst- Full Time

Gray, TN

Hospitals

About the position

The Claims Data Analyst collects, analyzes, and interprets data to support strategic decision making and to make recommendations for revenue capture and process improvements. This position standardizes the data-gathering process and organizes and optimizes the output. This position requires strong critical thinking skills and advanced Excel skills. The Claims Data Analyst acts as the subject matter in reimbursements. To thrive in this role, you should enjoy working with data and researching payment issues.

Responsibilities

• Performs analysis of claims, identifies trends, presents opportunity areas, and prioritizes initiatives for reimbursement capture.
• Establishes an ongoing working relationship with other departments impacting reimbursement.
• Leads meetings to present findings to Senior Leaders of revenue enhancement and process improvement opportunities.
• Develops and maintains databases and spreadsheets for data analysis and reporting to management.
• Provides technical support and guidance to departments regarding data analysis and interpretation.
• Retrieves data for standard and ad hoc reporting to aid in performance measurement for the organization.
• Acts as liaison between Finance and IT department to help ensure systems are working as intended.
• Attends and participates in regularly scheduled staff meetings and in-services and individual program planning staffings as needed.
• All other duties as assigned.

Requirements

• Bachelor's degree in business, computer science or healthcare related field of study.
• Two to three years of recent relevant experience, preferably in a healthcare related field.
• Excel, Crystal Reports, and Claims Analysis skills.
• Revenue Cycle and Billing/Claims experience.
• Strong verbal/written communication skills.
• Ability to solve problems using critical thinking skills.
• Ability to handle many projects at one time.