Minimum 5 years of work experience with systems analysis and integration into business information systems.
Knowledge of pertinent healthcare applications (Regional Center Billing Systems strongly preferred), tables, dependencies, workflows, and outlays.
Working knowledge of healthcare information systems.
Ability to perform “drill down” techniques to get to the root cause of barriers to efficient processes.
Understanding of claim billing and reimbursement processes.
Keen attention to detail.
Proven analytical and creative problem-solving abilities.
Ability to effectively prioritize and execute tasks in a high-pressure environment.
Experience working in a team-oriented, collaborative environment.
Strong organizational, interpersonal, and analytical skills with attention to detail.
Excellent communication skills, both written and verbal, capable of relaying technical information to business stakeholders and business information to technical teams.
Responsibilities:
Develop, audit, and improve process documentation around new and existing billing/contract processes.
Liaise with the internal technology team and external third-party providers to identify and troubleshoot system bugs while optimizing process efficiency opportunities.
Ensure that all internal program information systems are clear, concise, coordinated, updated, and accurate, including unifier cost and configuration management, documentation controls, budget/spend tracking, scheduling, etc.
Identify billing process deficiencies and develop corrective action plans.