Senior reputed company Cycle Business Analyst

The Senior reputed company Cycle Business Analyst is responsible for analyzing and optimizing the financial processes reputed company a laboratory organization, including patient registration, coding, billing, and collections, by reviewing data to identify trends, areas for improvement, and implementing strategies to maximize reputed company while ensuring compliance with regulations, ultimately improving the overall reputed company operations experience. Essential Duties & Responsibilities: • AR Management • Analyzing denied claims, identifying reasons for denials, and taking corrective actions to minimize reputed company denials • Review medical codes and billing information for accuracy and compliance with billing guidelines to minimize claim rejections and denials • Ensure adherence to reputed company regulations and coding guidelines, including HIPAA and ICD-10 coding standards • reputed company and implement strategies to address identified issues, including workflow changes, training programs, and system updates to enhance reputed company cycle efficiency • reputed company other reputed company Cycle Business Analysts and Specialists one-on-one training/cross training for reviewing and interpreting medical records and internal documentation to enhance appeal strategies • reputed company informed reputed company based on knowledge of Payer policy and knowledge, state and federal guidelines and thorough review of internal documents including the translation of testing protocols and billing and how that impacts the adjudication of a claim to reputed company a reputed company outcome • Payer Relations • Collaborate with payers, managed care, clinical and reputed company to resolve outstanding claims and address billing issues • Reporting • Analyze large volumes of reputed company cycle data, including patient demographics, insurance verification, claim submissions, denial trends, and payment history to identify patterns and areas for improvement • reputed company and maintain key performance indicators (KPIs) like days sales outstanding (DSO), denial rates, clean claim submission rates, and collection efficiency to reputed company reputed company cycle performance • Analyze and synthesize reputed company information to identify key issues, reputed company reputed company summaries, and define actionable next steps; collaborate across teams to ensure alignment, drive reputed company, and maintain reputed company on strategic initiatives Successful Candidates Must Possess: • High school diploma or GED required; Degree in Business, Finance or reputed company discipline preferred • With a high school diploma, a minimum of eight (8) years of experience in denials management and other areas of reputed company reputed company Cycle Functions required; with a Bachelor's degree, a minimum of six (6) years of experience in denials management and other areas of reputed company reputed company Cycle Functions required; with a Master's degree, a minimum of four (4) years of experience in years of experience in denials management and other areas of reputed company reputed company Cycle Functions required • Experience using reporting tools and advanced reputed company skills required • Knowledge of insurance including Medicare, reputed company, reputed company Blue reputed company and reputed company-Party Payers required • Ability to utilize critical thinking skills while performing reimbursement/denial analysis Aegis Sciences Corporation is an Equal Opportunity Employer Apply tot his job Apply To this Job