Candidate will have responsibilities in organizing, managing, and analyzing large and varied healthcare data sets, to optimize business operations. We are seeking a quantitative specialist who understands the business needs of a laboratory and how to use data to meet those needs. The qualified applicant must have the ability to multi-task, impeccable attention to detail, be a collaborative team member, and be a diligent problem solver who uses data in creative ways to reach business goals.

Responsibilities:

• Proficiency in database programming using SQL scripts, and Excel formulas
• Compiling and organizing healthcare data
• Import, export, and manipulate large data sets in million row databases
• Daily extract and import data from SFTP to SQL
• Design and populate tables for tracking and reporting of data
• Able to develop, and review queries
• Maintain best practices in data storage and data sharing methods
• Investigating data to find patterns and trends
• Utilizing different data sources for analyses
• Converting data into usable information that is easy to understand
• Developing reports and presentations
• In network payer expect fee file maintenance and communication with billing vendor
• Daily deposit administrative prep and reconciliation
• Daily charge reconciliation
• Understand the data we receive from external billing vendor daily for use in routine and ad hoc reporting
• Commitment to meeting established reporting timelines
• Assists on special projects and/or assignments
• Reconcile ancillary A/R vendor activity and fees reconciliation
• Adheres to HIPAA regulations, company, and departmental policies
• Other duties as assigned

Education And Experience:

• Bachelor's degree or equivalent experience
• Two+ years of experience in data analytics
• 1+ year in medical billing with a healthcare facility or billing company

Skills, Knowledge, And Abilities:

• Proficiency with database programming languages including SQL
• Proficient in Microsoft Excel, Power BI, Word, and Outlook
• Proficiency managing electronic medical records
• Ability to identify, analyze and solve problems
• Basic understanding laboratory business operations
• Self-motivated and approach tasks with a positive, proactive demeanor
• Excellent organization and time management skills required
• Ability to communicate effectively in writing, over the telephone, and in-person while always remaining HIPAA compliant
• Familiar with medical billing terminology
• Familiarity with commercial insurances, Medicare, Medicaid, PPO, and HMO plans, and their guidelines
• Work effectively in a team environment