Business Analysis Associate II
Quest Diagnostics
•Hybrid
About The Position
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.
Requirements
- 2+ year 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
- Experience trending, analyzing, and evaluating third party insurance responses in a medical billing environment
- 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
Nice To Haves
- Bachelor’s degree in Business, Finance, Health Administration or related field
- Working knowledge of SQL or other Big Data sources
- QBS/WBS experience
Responsibilities
- Utilize complex data queries from multiple sources to perform quality checks, conduct trend analyses, and deliver predictive/prescriptive insights on operational billing data.
- Conduct robust billing audits and quality assurance checks to verify source data, reconcile invoice discrepancies, and ensure accurate payer routing.
- Investigate and resolve non-standard billing issues, manage denied claims through to completion, and analyze root causes to prevent future discrepancies.
- Partner with the Specialty Testing and PODSS teams to align client expectations, facilitate resolutions, and escalate complex account matters when necessary.
- Develop training materials and conduct educational sessions for internal teams and external payers regarding new billing processes, regulatory changes, or system enhancements.
- Maintain strict adherence to state, federal, and organizational billing policies while leveraging audit results to drive downstream operational and system efficiency.
Benefits
- 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
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
