Business Analysis Associate II
About the role
As a Precision Oncology Billing Analyst, you will optimize the order-to-cash cycle for Oncology and Clinical clients by managing complex billing data, audits, and resolving claim discrepancies (such as denials and missing info). You will partner closely with the Specialty Testing and Precision Oncology Dedicated Support Specialist (PODSS) teams to track the life of an order and deliver predictive insights. This role requires occasional client visits to provide billing training, resolve high-level issues, and champion a seamless patient and client billing experience.
Schedule
Monday to Friday, 8:00 AM to 5:00 PM
Pay
Pay range: $32.89/hr+. Salary offers are based on a wide range of factors including relevant skills, training, experience, education, and, where applicable, certifications obtained. Market and organizational factors are also considered. Successful candidates may be eligible to receive annual performance bonus compensation.
Benefits
Depending on whether it is a part-time or full-time position, some of the benefits offered may include:
- Day 1 Medical, supplemental health, dental & vision for FT employees who work 30+ hours
- Best-in-class well-being programs
- Annual, no-cost health assessment program Blueprint for Wellness
- healthyMINDS mental health program
- Vacation and Health/Flex Time
- 6 Holidays plus 1 "MyDay" off
- FinFit financial coaching and services
- 401(k) pre-tax and/or Roth IRA with company match up to 5% after 12 months of service
- Employee stock purchase plan
- Life and disability insurance, plus buy-up option
- Flexible Spending Accounts
- Matching gifts program
- Education assistance through MyQuest for Education
- Career advancement opportunities
Responsibilities
- Data & Analytics: Utilize complex data queries from multiple sources to perform quality checks, conduct trend analyses, and deliver predictive/prescriptive insights on operational billing data.
- Billing Integrity & Auditing: Conduct robust billing audits and quality assurance checks to verify source data, reconcile invoice discrepancies, and ensure accurate payer routing.
- Issue Resolution & Claims: Investigate and resolve non-standard billing issues, manage denied claims through to completion, and analyze root causes to prevent future discrepancies.
- Stakeholder Collaboration: Partner with the Specialty Testing and PODSS teams to align client expectations, facilitate resolutions, and escalate complex account matters when necessary.
- Education & Communication: Develop training materials and conduct educational sessions for internal teams and external payers regarding new billing processes, regulatory changes, or system enhancements.
- Compliance & Continuous Improvement: Maintain strict adherence to state, federal, and organizational billing policies while leveraging audit results to drive downstream operational and system efficiency.
Qualifications
Required Work Experience:
- 2+ years of experience in RCM/finance analysis collecting, analyzing, and presenting data and recommendations to management
- 2+ years of experience with insurance billing, follow-up, and/or denials
Preferred Work Experience:
- Bachelor's degree in Business, Finance, Health Administration or related field
- Working knowledge of SQL or other Big Data sources
Physical and Mental Requirements:
- Sitting/standing for long periods of time
- Potential client visits require reliable mode of personal transportation
Knowledge:
- Experience trending, analyzing, and evaluating third party insurance responses in a medical billing environment
- QBS/WBS experience
Skills:
- Ability to perform "root cause analysis" to assess insurance denials
- Excellent communication, time/project management, problem solving, organizational, and analytical skills
- Intermediate level of proficiency with PC based software programs and automated database management systems (Excel, Access, PowerPoint)
- Demonstrated process improvement, workflow, benchmarking and/or evaluation of business processes