Benefits Systems Analyst - Healthcare jobs in Massachusetts
Benefits Systems Analyst - Healthcare implements and maintains benefits system for managed care and provider data. Runs analysis to verify accuracy of system. Being a Benefits Systems Analyst - Healthcare assists with training of fee loading processes and ensures coding and schedules are accurate. Requires a bachelor's degree. Additionally, Benefits Systems Analyst - Healthcare typically reports to a manager or head of a unit/department. The Benefits Systems Analyst - Healthcare contributes to moderately complex aspects of a project. Work is generally independent and collaborative in nature. To be a Benefits Systems Analyst - Healthcare typically requires 4 to 7 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.
- 23 Days Ago
Business Systems Analyst - Finance
- Veeva Systems
-
Boston, MA
FULL_TIME
- Veeva Systems is a mission-driven organization and pioneer in industry cloud, helping life sciences companies bring therapies to patients faster. As one of the fastest-growing SaaS companies in histor...
- 1 Month Ago
Healthcare Analyst
- Interwell Health
-
Boston, MA
FULL_TIME
- Join our dynamic Healthcare Data team as a versatile, collaborative Healthcare Analyst. Here, you'll be at the forefront of transforming intricate healthcare data into actionable insights, working han...
- 1 Month Ago
Healthcare Systems Engineer
- J2 Interactive
-
Boston, MA
FULL_TIME
- Job description J2 Interactive is looking for qualified candidates to help us provide systems engineering, administration and support to our various clients. You can think of this job as a combination...
- Just Posted
Systems Analyst
- ConRes
-
Bedford, MA
FULL_TIME
- Overview Continental Resources is a women-owned, family business that has been providing innovated IT solutions to business, government, and educational organizations for more than 50 years. The Syste...
- Just Posted
Systems Analyst
- Robert Half
-
Quincy, MA
FULL_TIME
- Job DetailsDescription Robert Half is looking to add a Systems Analyst to our clients project team.Your responsibilities Requirements Resource will be part of CA Privileged Access Management team owni...
- 1 Day Ago
Benefits Systems Analyst - Healthcare jobs at Popular Companies
Benefits Analyst
- EAdvisory
-
Portland, OR
- About US EAdvisory is a staffing and consulting firm. We have niche consultants on technologies, Healthcare IT, Life sci...
- 4/23/2024 12:00:00 AM
Employee Benefits Analyst
- Atlantic Group
-
Philadelphia, PA
- Job Overview - Employee Benefits Analyst: As an Employee Benefits Analyst, you will collaborate closely with a diverse r...
- 4/23/2024 12:00:00 AM
Employee Benefits Analyst
- World Insurance Associates LLC
-
Syosset, NY
- Summary Paul Global Benefits (PGB) is now a part of World Insurance Associates. World Insurance Associates is a unique i...
- 4/23/2024 12:00:00 AM
Benefits Analyst
- Brinson Benefits, Inc.
-
- Are you…… An expert in the field of employee benefits? A logic based, process oriented, and no-nonsense analytical type?...
- 4/23/2024 12:00:00 AM
Benefits Analyst
- Leprino Foods
-
Denver, CO
- Within our Corporate Benefits team located in Denver, Leprino is seeking a Benefits Analyst to elevate our organization'...
- 4/23/2024 12:00:00 AM
Benefits Analyst
- Tundra Technical Solutions
-
Houston, TX
- Responsibilities Provide support for active employees in scope and retirees enrolled in the Health and Welfare Program a...
- 4/23/2024 12:00:00 AM
Benefits Analyst
- Atlantic Health System
-
Morristown, NJ
- Job Description JOB PURPOSE: Assesses and gives advice to supervisors and managers on methods and approaches to resolvin...
- 4/23/2024 12:00:00 AM
Benefits Analyst
- Prestige Staffing
-
Chicago, IL
- Employee Benefits - Benefits Analyst contract at Northwestern Medicine in Chicago, IL 60611 Pay: $23 - $25/hr. W2 Durati...
- 4/23/2024 12:00:00 AM
About Massachusetts
Massachusetts is the 7th-smallest state in the United States. It is located in the New England region of the northeastern United States and has an area of 10,555 square miles (27,340 km2), 25.7% of which is water. Several large bays distinctly shape its coast. Boston is the largest city, at the inmost point of Massachusetts Bay, and the mouth of the Charles River.
Despite its small size, Massachusetts features numerous topographically distinctive regions. The large coastal plain of the Atlantic Ocean in the eastern section of the state contains Greater Boston, along with most of the state's po...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Benefits Systems Analyst - Healthcare jobs
$60,995 to $80,844