Healthcare Systems Analysis Anlst (22743)
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Perot Systems Corporation is a worldwide provider of information technology services and business solutions to a broad range of clients. We are currently looking for a HEALTHCARE Systems Analysis Analyst to join our team in Nashville, TN.
Job Responsibilities:
The HEALTHCARE Systems Analysis Analyst must be a skilled analyst with proven experience in the healthcare profession. They must have demonstrated business analyst skills with the ability to review and coordinate a random review process of documents.
Additional responsibilities:
Oversees the daily operations of the éCapture processes
Ensures the lockboxes are received in accordance with the pre-defined service level agreements
Ensures the entries are worked in 24 hours
Monitors productivity reports for the KFI operators
Provides reports to upper management on a daily basis as the status of completion of the lockboxes; reports all reasons for any uncompleted work
Build Payer specific templates for the Payers remittance advice so the payments will process with little human intervention
Enters tickets for Product Development when encountering system issues
Plan and schedule work for the group ensuring proper distribution of assignments and adequate manning, space and facilities for subsequent performance of duties
Conducts necessary research and or due diligence when needed: vendor specific, state specific or payer specific
Handles special projects within scope as needed
Conducts project management of smaller projects as needed
Conducts second level support for the system modules assigned
Reviews all releases of system modules
Identifies trends and recommends improvements accordingly
Practices Business Owner concept
May perform other duties as assigned
Practice and adhere to the “Code of Conduct” philosophy and “Mission and Value Statement”
Required Skills:
2 Years previous experience in hospital or physician's office
Strong background in customer service with an emphasis on healthcare
Has a strong understanding of the flow processes of a payor type system
Have excellent analytical skills
Has a good appreciation for modern information technologies including: relational databases, internet technology, workflow and process redesign
Has a strong customer focus and is results driven
Shows strong initiative, innovation and motivation
Have strong interpersonal and communications skills
Desired Skills:
Ability to work effectively with others in a group environment
Ability to produce high quality work under circumstances of limited task supervision and to initiate the completion of other tasks not specifically directed
Good communication and interpersonal skills
Ability to plan, organize and document policies and work flow methods for the improvement of the work unit
Ability to plan, organize, direct, coordinate and control the work flow of others in an effective positive manner
Analytical and problem-solving abilities to research and resolve questions and problems
Knowledge of medical terminology
Ability to perform each essential duty satisfactorily
Ability to work independently in a results-oriented manner
Ability to read, analyze, and interpret operational procedures, business systems, and financial reports
Ability to effectively present information to peers, clients, vendors, and top management
Ability to define problems, collects data, establish facts, and draw valid conclusions
Ability to deal with abstract and concrete variables and concepts
Ability to analyze business requirements, effectively presents them in writing, and implements them in practice
Understands relational databases and can guide the development of such based on existing knowledge of business process and potentials changes to business processes
Understands third party reimbursement for physicians and /or hospitals
Understands hospital and/or physician EDI functions related to: eligibility and coverage inquiry, claim submission, ERA, OCR, and EFT
Possess proficient skills in Microsoft Office Products
Minimum Educational Requirements:
High school diploma
Perot Systems is committed to Equal Employment Opportunity. It is the policy of Perot Systems Corporation to encourage and support equal employment opportunity for all Associates and applicants for employment without regard to sex, race, color, ancestry, religious creed, national origin, pregnancy, physical disability, mental disability, medical condition, age, marital status, political affiliation, sexual orientation, disabled veteran or Vietnam era veteran status.
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