Employer Industry: Healthcare Services
Why Consider This Job Opportunity
Opportunity for career advancement and growth within the organization
Supportive and collaborative work environment
Chance to make a positive impact on patient care and operational efficiency
Engaging work that involves problem-solving and project management
Comprehensive training provided to enhance skills and knowledge
What To Expect (Job Responsibilities)
Independently handle inquiries from providers, members, and stakeholders, conducting research to answer complex questions
Monitor and track vendor performance, providing recommendations for improvements
Collaborate cross-functionally to solve business problems and escalate issues as necessary
Develop and deliver targeted training based on identified educational needs
Facilitate project management initiatives to ensure successful execution of projects
What Is Required (Qualifications)
Must adhere to federal and state laws, and applicable compliance standards
Proven ability to work autonomously while applying expertise in relevant subject areas
Strong analytical skills to review high-risk denials and identify root causes
Experience in monitoring quality and productivity metrics in a healthcare environment
Excellent communication skills to present findings and recommendations to leadership
How To Stand Out (Preferred Qualifications)
Experience in healthcare billing, coding, or revenue cycle management
Familiarity with regulatory reporting standards and compliance
Demonstrated ability to develop training materials and content
Background in project management or process improvement initiatives
Ability to integrate new systems processes into existing workflows
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