Business Analyst

Healthcare Legal SolutionsWashington, DC
308d

About The Position

The position involves quickly and efficiently reviewing medical records and submitting well-written appeals to health insurers and governmental payers. The candidate must be comfortable, skilled, assertive, cordial, and professional on the telephone to follow up on submitted appeals. Additionally, the role requires navigating through various computer systems and applications to find information about insurance claims, analyzing and interpreting both quantitative and qualitative data, and preparing written reports and oral presentations for current and prospective clients. The candidate will also lead the implementation of special projects as needed.

Requirements

  • Either an MA or 2+ years relevant work experience
  • GPA of 3.0 or higher
  • Highly attentive to detail
  • Excellent organizational and time management skills
  • Clear, concise, and logical writing style
  • Project management skills
  • Creative problem-solver
  • Advanced knowledge of Microsoft Office, including PowerPoint, Word, and Excel (must-know Pivot Tables)

Nice To Haves

  • Prior experience in a clinical setting (e.g. hospital, doctor's office, outpatient facility) OR in a business/financial setting (e.g. bank, brokerage, accounting or consulting firm)
  • Knowledge of data analysis and visualization tools (e.g. Tableau, Stata, R, Microsoft Access)

Responsibilities

  • Review medical records and submit appeals to health insurers and governmental payers.
  • Follow up on submitted appeals via telephone in a professional manner.
  • Navigate through various computer systems to find information about insurance claims.
  • Analyze and interpret quantitative and qualitative data.
  • Prepare written reports and oral presentations for clients.
  • Lead the implementation of special projects as needed.
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