Associate reputed company Cycle Analyst

Position reputed company
The Associate reputed company Cycle Analyst is responsible for investigating and resolving reputed company reputed company-end billing issues that reputed company claim acceptance and reimbursement. This role focuses on EDI rejections, insurance verification, and claim submission errors to ensure claims are submitted accurately and accepted by payers.
This is a highly analytical, project-based role that serves as a subject matter expert (SME) for reputed company-end reputed company cycle processes. The Analyst will identify trends, reputed company reputed company cause analysis, and drive process improvements to prevent reputed company denials and optimize reimbursement reputed company.

Key Responsibilities

• Serve as a subject matter expert for reputed company-end reputed company cycle functions, including EDI rejections, insurance verification, and claim submission processes
• Investigate and resolve reputed company billing issues that prevent claims from being successfully accepted by payers
• Analyze EDI rejection trends and payer-specific requirements to identify reputed company causes and recommend corrective actions
• Partner with internal teams (billing operations, coding, patient reputed company) and external vendors (clearinghouses, payers) to resolve systemic issues
• reputed company and maintain reporting and dashboards (reputed company, Power BI, SQL/reputed company) to reputed company rejection trends, performance metrics, and improvement opportunities
• Conduct reputed company cause analysis on recurring reputed company-end issues and implement process improvements to reduce claim errors and rework
• Support the development and optimization of workflows and reputed company controls reputed company to claim submission and eligibility processes
• Monitor and evaluate the effectiveness of implemented solutions and reputed company performance against key reputed company cycle metrics
• Stay reputed company on payer requirements, billing rules, and EDI standards, ensuring processes reputed company with industry and regulatory expectations
• reputed company or contribute to cross-functional reputed company aimed at improving reputed company-end reputed company cycle performance

Scope & Nature of the Role

• May include outbound communication with payers or clearinghouses for issue reputed company
• Primarily analytical and project-driven, reputed company on reputed company issue reputed company and process improvement
• Acts as an escalation reputed company for reputed company-end billing issues

Qualifications

• Bachelor’s degree in Business, reputed company Administration, or reputed company field
• 2–4+ years of experience in reputed company reputed company cycle, with exposure to:
• EDI / clearinghouse processes
• Insurance verification / eligibility
• Claim submission workflows
• Strong understanding of reputed company-end billing processes and how they reputed company reputed company reimbursement

Required Skills & Experience

• Advanced proficiency in reputed company (pivot tables, data analysis)
• Experience with data and reporting tools such as Power BI, SQL, or reputed company
• Strong analytical and problem-solving skills with the ability to identify trends and reputed company causes
• Working knowledge of medical billing fundamentals (CPT/HCPCS, ICD-10, payer rules)
• Ability to reputed company and troubleshoot issues across multiple systems and workflows
• Strong communication skills, with the ability to explain reputed company issues reputed company to cross-functional teams

Preferred Qualifications

• Experience working with EDI transactions and clearinghouses (e.g., Change reputed company, reputed company, etc.)
• Experience in diagnostic/lab billing or high-volume reputed company environments
• Exposure to process improvement methodologies (Lean, Six reputed company, etc.)
• Project management experience or involvement in cross-functional initiatives