Senior Business Analyst
Job Summary
Working remotely, the full-time Senior Business Analyst will manage client engagements by analyzing and documenting business requirements, resolving claim posting discrepancies, and ensuring compliance with healthcare objectives.
Key responsibilities
- Participate in client meetings to gather and document business requirements and explore potential solutions
- Post payments to medical and pharmacy claims and reconcile accounts receivable, addressing any discrepancies
- Identify, analyze, and resolve errors in claim postings and payments
Required qualifications
- Bachelor's degree in Business, Healthcare Administration, Finance, or a related field; OR 3-5 years of experience in medical claims posting and reconciliation
- Solid understanding of medical and pharmacy claims adjudication and Medicaid reclamation claims
- Proficiency in SQL and ability to extract and analyze data from relational databases
- Familiarity with PeopleSoft Finance or similar enterprise financial systems
- Experience with FTP protocols and secure file transfer
Complete Job Description
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