Related skills
snowflake sql excel power bi edi📋 Description
- Serve as SME for front-end revenue cycle: EDI rejections, verification, submissions
- Investigate and resolve complex billing issues delaying payer acceptance
- Analyze EDI rejection trends and payer rules to identify root causes
- Partner with internal teams and vendors to resolve systemic issues
- Develop dashboards (Excel, Power BI, SQL/Snowflake) to track metrics
- Conduct root cause analysis and drive process improvements
- Support workflows and quality controls for submission and eligibility
- Monitor effectiveness of solutions and track revenue cycle performance
- Stay current on payer requirements and EDI standards
- Lead or contribute to cross-functional projects to improve performance
- May include outbound communications with payers/clearinghouses for issue resolution
🎯 Requirements
- Bachelor's degree in Business, Healthcare Administration, or related field
- 2–4+ years in healthcare revenue cycle
- EDI / clearinghouse processes
- Insurance verification / eligibility
- Claim submission workflows
- Strong understanding of front-end billing and its impact on reimbursement
🎁 Benefits
- Competitive medical, dental, vision, life, and disability benefits
- Fertility care benefits for employees and families
- Pregnancy and baby bonding leave
- 401k retirement benefits
- Commuter benefits
- Generous employee referral program
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