Benefits Systems Analyst - Healthcare jobs in New Bedford, MA
Benefits Systems Analyst - Healthcare implements and maintains benefits systems for managed care and provider data. Assigns the rate coding to ensure the system takes the appropriate discounts, per diems, case costs, and fee schedule. Being a Benefits Systems Analyst - Healthcare coordinates the implementation and verification of loading the fee schedules. Runs analysis to verify the accuracy of the system. Additionally, Benefits Systems Analyst - Healthcare leads the training of fee loading processes and ensures coding and schedules are accurate. May require a bachelor's degree. Typically reports to a supervisor. The Benefits Systems Analyst - Healthcare works independently within established procedures associated with the specific job function. Has gained proficiency in multiple competencies relevant to the job. To be a Benefits Systems Analyst - Healthcare typically requires 3-5 years of related experience. (Copyright 2024 Salary.com)
Recently Added Benefits Systems Analyst - Healthcare jobs
Jr Insurance Benefits Analyst
- Cape Cod Healthcare
-
Hyannis, MA
FULL_TIME
-
To financially clear all scheduled patients within 48 hours of their office visit and/or procedure. Resolve issues with accounts due to errors with authorizations, registration and eligibility. The job responsibilities include working effectively with the interdisciplinary team of Physician Offices, Insurance Companies, and CCHC Revenue Cycle to assure the protection and recovery of all revenues associated with services provided by MACC. Assists with the review, analysis, development, and implementation of Process Improvement changes for the department to improve efficiency and workflow.Description:
- Troubleshoot and evaluate work product of staff, make recommendations to management and assists with implementing changes.
- Participate with management in strategizing for Process Improvement initiatives to improve cash flow.
- Attend and participate in management meetings.
- Assists management on special organizational projects for CCHC.
- Provide input and feedback for employee evaluations.
- Work collaboratively with Patient Access Managers, Scheduling Managers, Business Office Managers, Vendors and Customers across the enterprise to ensure that Registrars and Schedulers are fully capable of using technology to properly register our patients.
- Assists with review of financial clearance and registration procedures and ensure effective communication with physician practices, patients and internal departments.
- Work with department managers to continuously identify and correct issues identified by reporting.
- Assist Patient Access Managers with Quality Control assessments of their staff related to eligibility and pre-registration errors.
- Verifying insurance eligibility using available technologies, payer websites, or by phone contact with third party payers. Working in accordance with required State and Federal regulations and CCHC policies.
- Contact patients as needed to gather demographic and insurance information, and updates patient information within the EMR as necessary.
- Ensure correct insurance company name, address, plan, and filing order are recorded in the patient accounting system.
- Processes outgoing referrals to specialists outlined by the patient’s insurance plans in a timely manner.
- Utilize payer websites and/or Epic/Experian to process, obtain and verify insurance referrals.
- Utilizing the incoming referral work queue will request, obtain and link insurance referral authorizations to upcoming specialty appointments as outlined by the patient’s insurance plan in a timely manner.
- Track, document and communicate the status of referrals as they move through the referral process, ensuring proper follow-up, documentation and communication when the referral has been completed.
- Maintain core competency and current knowledge of regulatory payer authorization and eligibility requirements.
- Obtain and verify authorizations to ensure payment for services provide through CCHC.
- Work accounts in assigned work queues to resolve billing errors and edits to ensure all claims are filed in a timely manner.
- Follow-up and work registration/authorization claim denial work queues to identify and take the appropriate action to fix errors for claim resubmission to payers.
- Maintain close coordination with Practice Managers, Clinical/Front End staff, and Physicians to advise of any changes or updates to insurance payer requirements.
- Responds to all practice inquiries and questions about insurances, referrals, and authorizations.
- Meets and maintains daily productivity and quality standards established in departmental policies.
- Assists the department, work unit and/or fellow staff members by cross-covering for absences, participating in special projects, and attending ongoing training sessions, etc.
- Attends and participates in educational programs, in-service meetings, workshops, and other activities as related to job knowledge and state guidelines.
- Ability to work with minimum supervision and in a team environment.
- Performs other job-related duties and assignments as requested/directed.
- Demonstrates the ability to adjust to unexpected changes to assure all responsibilities/duties are met during absences or increases in work volume.
Qualifications:- Associate Degree strongly preferred, High School diploma or GED required
- Minimum of one (1) year experience in a large hospital’s Revenue Cycle Department with an emphasis on Patient Access and or Scheduling is strongly desired.
- Experience with large hospital information systems is required, preferably Epic and/or Siemens is preferred.
- Excellent interpersonal, problem solving and critical thinking skills
- Excellent PC skills with a strong emphasis on the Outlook suite of products
- Excellent verbal and written communication skills are required.
- Medical Terminology knowledge preferred
- Experience utilizing insurance payer websites preferred.
- 2 Months Ago
HR Services & Benefits Analyst
- SC-HR Comp-Benefit
-
New Bedford, MA
FULL_TIME
- SC-HR Comp-BenefitNew Bedford, MAManagerial/ProfPay Grade: SC021Full-time, Day shift, 40Req # 78582 Work for One of the World's Best Hospitals! For Five Consecutive Years, Newsweek named Southcoast He...
- 6 Days Ago
Financial Systems Analyst
- Robert Half
-
Basking Ridge, NJ
PER_DIEM
- Publicly traded Consumer Products company located in Central New Jersey seeks a Financial Systems Analyst. This is a hybrid role (In office 3days/week) Responsibilities:• Translates business requireme...
- 12 Days Ago
Technology Systems Analyst
- Robert Half
-
Piscataway, NJ
PER_DIEM
- We are seeking a Technology Systems and Support Coordinator to oversee and manage activities, projects, and processes to support digital innovation and transformation initiatives. This role will lead ...
- 2 Months Ago
Business Systems Analyst
- Woods Hole Oceanographic Institution
-
Woods Hole, MA
OTHER
- Job Summary The Business Systems Analyst at WHOI will play a pivotal role in the implementation, enhancement, and optimization of the institution's Workday technology ecosystem, encompassing Human Cap...
- 2 Months Ago
Acushnet Company I Business Systems Analyst
- Acushnet
-
Fairhaven, MA
FULL_TIME
- WE ARE A PRODUCT COMPANY. WE ARE A PROCESS COMPANY. ABOVE ALL, WE ARE A PEOPLE COMPANY. The history of the Acushnet Company is tightly woven into the fabric of golf. From the start, we’ve been committ...
- 5 Days Ago
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0 Benefits Systems Analyst - Healthcare jobs found in New Bedford, MA area
Human Resources/Recruiting
- BHI Energy
-
Weymouth, MA
- Human Resources/Recruiting Weymouth, MA Posted: 4/1/2022 Job Description Job ID#: 336400 Job Category: Human Resources/R...
- 5/11/2024 12:00:00 AM
Payroll/Benefits Coordinator
- Navigant Credit Union
-
Smithfield, RI
- ABOUT: People helping people. That's what a credit union, and in particular Navigant Credit Union, is all about. Our mis...
- 5/11/2024 12:00:00 AM
Workday Payroll Systems Analyst
- Public Consulting Group
-
Providence, RI
- **Overview** Public Consulting Group LLC (PCG) is a leading public sector solutions implementation and operations improv...
- 5/11/2024 12:00:00 AM
Payroll Systems Analyst - JK
- Bay Shore Staffing
-
Wrentham, MA
- Join Our Team: Are you seeking a workplace where family comes first, where your daily commute is hassle-free, and where ...
- 5/11/2024 12:00:00 AM
HR Services & Benefits Analyst
- Southcoast Health System, Inc.
-
New Bedford, MA
- Overview: Find out for yourself why Southcoast Health has been voted Best Place to Work for 6 years in a row! Join South...
- 5/10/2024 12:00:00 AM
Human Resources Analyst
- Flagship Staffing Services
-
Providence, RI
- Job Description Job Description Must have a clear background. Contract Position 18 months plus. 35-hour work week. 8am t...
- 5/9/2024 12:00:00 AM
Talent Community - Sr Compensation Analyst / Partner
- CBRE
-
Providence, RI
- Talent Community - Sr Compensation Analyst / Partner Job ID 92187 Posted 25-Oct-2022 Role type Full-time Areas of Intere...
- 5/9/2024 12:00:00 AM
HRIS Business Analyst II
- Arbella Insurance Group
-
Quincy, MA
- Employer: Arbella Insurance Group Job Site: 1100 Crown Colony Drive, Quincy, MA 02169 Job Title: HRIS Business Analyst I...
- 5/8/2024 12:00:00 AM
About New Bedford, Massachusetts
New Bedford is a city in Bristol County, Massachusetts, United States. As of the 2010 census, the city had a total population of 95,072, making it the sixth-largest city in Massachusetts. New Bedford is nicknamed "The Whaling City" because during the 19th century, the city was one of the most important whaling ports in the world, along with Nantucket, Massachusetts and New London, Connecticut. The city, along with Fall River and Taunton, make up the three largest cities in the South Coast region of Massachusetts and is known for its fishing fleet and accompanying seafood producing industries ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Benefits Systems Analyst - Healthcare jobs
$64,142 to $86,114
New Bedford, Massachusetts area prices
were up 1.6% from a year ago
were up 1.6% from a year ago