Change Healthcare
Payer Analyst, Business Systems Analyst 4Job Profile Summary We are looking for a Payer Analyst, Business Systems Analyst 4 to join our team.
This position is commonly referred to as a Payer Analyst.
This role focuses on analyzing complex payer and provider requirements to support edits and validation rules for claims and eligibility transactions.
Researches and executes edits and rules to support CMS and other payer billing requirements.
Works closely with Product Management for new product initiatives and business strategy.
What will be my duties and responsibilities in this job?Design and request edits/validation rules for healthcare EDI (Electronic Data Interchange) 837 claims and 270/271 eligibility transactions.
Peer review edit intent and logic accuracy for daily edit review meeting.Research common EDI transactions to/from proprietary, XML, JSON, Unix, and other formats.Collaborate with Product Management, Development, and Quality Engineering to request system enhancements and modifications to support industry and company initiatives.Consistently demonstrate initiative to identify and execute ideas for projects to improve quality and programming efficiencies.Leads projects with high complexity involving clear and succinct documentation, project plans, and measurement.
What are the requirements needed for this position?7+ years experience in healthcare billing.2+ years experience working in a fast-paced environment leveraging agile development methodologiesBachelors Degree in Business Administration or related field, or equivalent work experience.
What Experience is helpful to have?Preferred: Certified ICD-10 coder or equivalent work experience.Preferred: Experience with XML, JSON, Unix, and other formats.
What are the working conditions and physical requirements of this job?
General office duties and remote working environment.
Home Office Required.
General office demands.Join our team today where we are creating a better coordinated, increasingly collaborative, and more efficient healthcare system.
How much should I expect to travel?
Less than 10% travel involved.
Employees in roles that require travel will need to be able to qualify for a company credit card or be able to use their own personal credit card for travel expenses and submit for reimbursement.
#RemoteWork#WorkFromHome#TechnologyJobs#DataAnalyst/Jobs#DataReporting/Jobs#Operations/Management#revenuecyclemanagement#softwareengineerjobs#Technicaloperations Join our team today where we are creating a better coordinated, increasingly collaborative, and more efficient healthcare system!
COVID Mandate As a federal contractor, Change Healthcare is adhering to the Executive Order which mandates vaccination.
As such, we are requiring all U.S.
new hires and employees to show proof of being fully vaccinated for COVID-19 or receive an approved accommodation by their date of hire, as a condition of employment.
As we continue to navigate the ever-changing COVID-19 pandemic, we remain committed to doing our part to ensure the health, safety, and well-being of our team members and our communities.
Proof of vaccination or accommodations requests will be collected once an offer is accepted with Change Healthcare.
All accommodation requests will be carefully considered but are not guaranteed to be approved.
Equal Opportunity/Affirmative Action Statement Change Healthcare is an equal opportunity employer.
All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, genetic information, national origin, disability, or veteran status.
To read more about employment discrimination protections under federal law, read EEO is the Law at https://www.Eeoc.Gov/employers/eeo-law-poster and the supplemental information at https://www.Dol.Gov/ofccp/regs/compliance/posters/pdf/OFCCP_EEO_Supplement_Final_JRF_QA_508c.Pdf.
If you need a reasonable accommodation to assist with your application for employment, please contact us by sending an email to applyaccommodations@changehealthcare.comwith ” Applicant requesting reasonable accommodation” as the subject.
Resumesor CVs submitted to this email box will not be accepted.
Click here https://www.Dol.Gov/ofccp/pdf/pay-transp_%20English_formattedESQA508c.Pdfto view our pay transparency nondiscrimination policy.
California (US) Residents: By submitting an application to Change Healthcare for consideration of any employment opportunity, you acknowledge that you have read and understoodChange Healthcares Privacy Notice to California Job Applicants Regarding the Collection of Personal Information.
Change Healthcare maintains a drug free workplace and conducts pre-employment drug-testing, where applicable, in accordance with federal, state and local laws.