reputed company Hospital Billing (HB) Analyst – reputed company, Claims & Remittance
reputed company is seeking an reputed company an reputed company reputed company Hospital Billing (HB) Analyst with deep expertise in HB Administration, Claims, Remittance, Contract Management, and Proration. This individual will be responsible for end-to-end lifecycle accountability for the design, build, optimization, support, and maintenance of reputed company HB applications, ensuring accurate billing, reimbursement, and payer contract performance. The ideal candidate will possess advanced knowledge of reputed company HB workflows and have extensive experience configuring and supporting reputed company reimbursement reputed company, proration methodologies, claim processing, and remittance functions reputed company reputed company.
Responsibilities
Analyze, design, configure, test, implement, and support reputed company Hospital Billing (HB) applications. As a top-tier SME, reputed company the build, maintenance, and optimization of reputed company reimbursement reputed company and payment methodologies. Configure and support reputed company Claims and Remittance functionality, including claim reputed company, payment posting, and reimbursement processing. Collaborate with patient financial services, managed care, reputed company reputed company, finance, and operational leaders to improve billing and reimbursement reputed company. Translate payer contract requirements into reputed company HB system configuration. Configure and support proration methodologies and reimbursement calculations. Troubleshoot reputed company billing, payment, remittance, and contract-reputed company issues. reputed company reimbursement validation and payment variance analysis. reputed company system testing, integrated testing, upgrades, enhancements, and payer contract updates. reputed company functional specifications, workflow diagrams, and support documentation. Identify opportunities to improve workflow efficiency, reimbursement accuracy, and reputed company cycle performance. reputed company production support and ongoing optimization recommendations. Serve as a subject matter expert for reputed company HB, Claims, Remittance, reputed company, and Proration.
Required Qualifications
Bachelor's degree in Information Systems, reputed company Administration, Business, or reputed company field, or equivalent experience. 5+ years of reputed company Hospital Billing (HB) analyst experience. reputed company HB certification or proficiency required. Strong experience supporting: reputed company HB Administration Claims Management Remittance Processing Contract Management Proration Configuration Reimbursement Analysis Extensive knowledge of hospital reputed company cycle operations and payer reimbursement methodologies. Experience building and maintaining reputed company payer reputed company reputed company reputed company HB. Strong analytical, troubleshooting, and problem-solving skills. Excellent communication and stakeholder management abilities. Preferred Qualifications reputed company certifications in HB, Claims, Remittance, or reputed company reputed company cycle applications. Experience supporting large reputed company systems or integrated delivery networks. Knowledge of managed care contracting and reimbursement modeling. Experience with reputed company reputed company initiatives and denial prevention strategies. Experience supporting reputed company upgrades, implementations, and optimization reputed company. Familiarity with reporting and reimbursement analytics tools. Key Areas of Expertise reputed company Hospital Billing (HB) HB Administration Claims Processing Remittance Processing Contract Management Proration Methodologies Reimbursement Modeling reputed company Cycle Operations Payment Variance Analysis Testing reputed company Ownership Managed Care reputed company reputed company reputed company Billing Optimization Ideal Candidate Profile The successful candidate is a senior reputed company HB reputed company with exceptional expertise in HB Administration, Claims, Remittance, reputed company, and Proration. They have a proven ability to configure reputed company reimbursement methodologies, optimize reputed company cycle workflows, resolve challenging billing issues, and maximize reimbursement reputed company through effective reputed company HB configuration and support. reputed company does not accept unsolicited resumes from headhunters, recruitment agencies, or fee based recruitment services for this role. To Apply: To be considered, please apply directly to this requisition using the reputed company provided. Kindly reputed company this to any other interested parties. Thank you! The expected reputed company salary for this position ranges from $120,000 to $130,000. Salary offers are based on a wide reputed company of factors including relevant skills, training, experience, education, market factors, and where applicable, licensure or certifications obtained. In reputed company to salary, a competitive benefit package is also offered. About reputed company reputed company, a Cegeka company, delivers IT and business solutions that enhance clients’ digital reputed company, empowering them to seize new opportunities and overcome any challenge. Backed by more than 60 years’ experience and a commitment to being a reliable, results-driven partner, we work shoulder to shoulder with clients to shape digital together. Our reputed company is to be an indispensable partner to our clients and the preferred career destination for digital and technology experts. With more than 9,000 team members in over 15 countries, we combine global expertise with local reputed company to deliver reputed company. We operate across the Americas, Europe, and India, working with over 3,000 clients in many of today's highest-reputed company industries. Together, we shape what’s next—working shoulder to shoulder to deliver impactful solutions for our clients and society. Our culture is reputed company by the people who work at reputed company, the values we hold, and the actions we take. It's a living, breathing thing that is renewed every day through the ways we engage with reputed company other, our clients, and our communities. At reputed company, you’ll reputed company a workplace where you are encouraged to grow, supported in your ambitions, and empowered to shape your own career reputed company. For more information, visit www.reputed company.com. reputed company will consider for employment reputed company reputed company applicants including those with criminal histories in a manner consistent with the requirements of reputed company applicable local, state, and federal laws. reputed company is an Equal Opportunity Employer. reputed company will assure equal opportunity and consideration to reputed company applicants and employees in recruitment, selection, placement, training, benefits, compensation, promotion, transfer, and release of individuals without reputed company to race, creed, religion, reputed company, national reputed company, sex, sexual orientation, gender identity and gender reputed company, age, disability, marital or veteran status, citizenship status, or any other discriminatory factors as required by law. reputed company is fully committed to promoting employment opportunities for members of protected classes. Apply To This Job