RCM Billing/ Claims Arbitration Analyst III

Envision Healthcare•San Diego, CA

About The Position

Description Summary: The Analyst III is responsible for executing critical operational and analytical functions related to the out-of-network arbitration process, at both state and federal levels. This role requires a comprehensive understanding of complex business processes and the strategic objectives they support. The Analyst III demonstrates advanced analytical and problem-solving skills, and is recognized as a subject matter expert and thought leader by colleagues and stakeholders across the organization. Company Overview: Envision Healthcare is a leading national medical group focused on delivering high-quality care to patients when and where they need it most. You’ll find clinicians and clinical support professionals across the nation who are proud to call Envision home. We welcome teammates of every background and work in communities that reflect the racial, ethnic, gender, sexual orientation, and economic diversity of our country. Benefits: At Envision Healthcare, we offer benefits at the speed of your life. Our wide range of health and welfare benefits allow you to choose the right ones for you and your family. Best of all, qualifying employees are eligible to enroll from day one, so you can rest easy knowing you and your loved ones are protected. Envision Healthcare offers a variety of health and welfare benefit options to help protect your health and promote your wellbeing. The benefits offered include but not limited to: Medical, Dental, Vision, Life, Disability, Healthcare FSA, Dependent Care FSA, Limited Healthcare FSA, FSAs for Transportation and Parking & HSAs. Paid Time Off: Envision Healthcare offers paid time off, 9 observed holidays and paid family leave. You accrue Paid Time Off (PTO) each pay period and depending on your position and can earn a minimum of 20 days and up to 25 days per calendar year. Responsibilities The Analyst role will be responsible for developing standardized reporting and quality assurance processes in support of operations related to recently passed medical billing legislation, As such, the work is high visibility and high impact, and will require partnering cross functionally across business, legal, and policy teams.

Requirements

Strong proficiency in Microsoft Excel (including functions and pivots)
Familiarity with logical functions
One or more years’ experience in an analytical position (healthcare, banking, accounting) preferred preferably in a role requiring good use of Excel.
Bachelor's Degree from four-year College or University; STEM (science, technology, engineering, mathematics) or business focus (Finance, Economics, or Business Degree) preferred
General proficiency in all Microsoft Office Products including but not limited to: Microsoft Teams, Word, PowerPoint

Nice To Haves

Microsoft Powerquery
Microsoft PowerBI
Microsoft PowerAutomate
Willingness to learn and become proficient in other programs, e.g. Tableau, Billing system, Salesforce

Responsibilities

Performance of daily duties needed for arbitration processes (email mailbox processes, analytics, bot troubleshooting, etc.)
Preparation and analysis of reports for use by legal counsel and in negotiations.
Troubleshooting spreadsheets, including use of Excel functions such as lookups and pivot tables to manage data reporting and analysis needs.
Development and management of quality assurance and data integrity.
Support in ad hoc analysis as assigned.
Adherence to all company policies and procedures.
Flexibility and adaptability to shifting priorities
Commitment to deadlines
Eagerness to meet or exceed established standards for productivity and quality
Willingness to learn new tools and skills
Strong attention to detail
Interest in Healthcare, Healthcare policy, analysis, and business
Strong written and oral communication skills