Analyst, ROC Product

Responsibilities

• Identifying product opportunities, understanding experiment performance, and defining metrics for the business.
• Collaborate with internal and external stakeholders to gather requirements and map, structure, document, and validate technical requirements for new or enhanced ROC products.
• Research, document, and disseminate information of product industry and competitor trends, features, and news.
• Create documentation including process diagrams, use cases, business, functional, and non-functional requirements; developing use cases and functional requirements for features development.
• Analyze and audit claims submitted by the billers to identify inconsistencies.
• Ensure all claims submitted meet the consistency and quality standards of the company.
• Analyze Explanation of Benefits (EOB) statements and adjust accounts according to PDS claims processing criteria.
• Perform daily activities of auditing patient claims billed to ensure accurate and maximum reimbursement for patient treatment from insurance carriers.
• Analyze and communicate key insights for existing projects and act as a thought leader and subject matter expert for specific business problems.
• Monitor key performance metrics and understand root causes of change.
• Report weekly to Sr. Manager of Billing Operations detailing accomplishments, areas for improvement, clear performance goals, and effectiveness of existing processes and systems.

Qualifications

• Bachelor's Degree in Business Management or a related field, or the equivalent combination of education and experience.
• +4 years of experience in product analysis, dental or medical billing operations, or the equivalent combination of education and experience.
• Knowledge of QSI software applications.

Preferred

• Experience in a multi-regional healthcare, retail, or dental company.
• Prior customer service experience.

Benefits

• Medical, dental, and vision insurance
• Paid time off
• Tuition Reimbursement
• 401K
• Paid time to volunteer in your local community

Pay

$59,000.00 - $75,000.00 / Annually