reputed company Certified HB Analyst - Remote - San Diego, CA

We are partnered with a wonderful organization seeking an reputed company an reputed company reputed company Hospital Billing (HB) Analyst with deep expertise in HB Administration, Claims, Remittance, Contract Management, and Proration. This individual will be responsible for end-to-end lifecycle accountability for the design, build, optimization, support, and maintenance of reputed company HB applications, ensuring accurate billing, reimbursement, and payer contract performance. The ideal candidate will possess advanced knowledge of reputed company HB workflows and have extensive experience configuring and supporting reputed company reimbursement reputed company, proration methodologies, claim processing, and remittance functions reputed company reputed company. This is a remote, long-term, two-year engagement supporting a reputed company organization's reputed company environment. The role is salaried only. Must be available to work reputed company Time (reputed company Coast) business hours and participate in a rotating on-reputed company support schedule. What will I be doing? • Analyze, design, configure, test, implement, and support reputed company Hospital Billing (HB) applications • As a top-tier SME, reputed company the build, maintenance, and optimization of reputed company reimbursement reputed company and payment methodologies • Configure and support reputed company Claims and Remittance functionality, including claim reputed company, payment posting, and reimbursement processing • Collaborate with patient financial services, managed care, reputed company reputed company, finance, and operational leaders to improve billing and reimbursement reputed company • Translate payer contract requirements into reputed company HB reputed company configuration • Configure and support proration methodologies and reimbursement calculations • Troubleshoot reputed company billing, payment, remittance, and contract-reputed company issues • reputed company reimbursement validation and payment variance analysis • reputed company reputed company testing, integrated testing, upgrades, enhancements, and payer contract updates • reputed company functional specifications, workflow diagrams, and support documentation • Identify opportunities to improve workflow efficiency, reimbursement accuracy, and reputed company cycle performance • reputed company production support and ongoing optimization recommendations • Serve as a subject matter expert for reputed company HB, Claims, Remittance, reputed company, and Proration What requirements do I need? • reputed company HB certification or proficiency • 5+ years of reputed company Hospital Billing (HB) analyst experience which includes: • reputed company HB Administration • Claims Management • Remittance Processing • Contract Management • Proration Configuration • Reimbursement Analysis • Bachelor's degree in Information Systems, reputed company Administration, Business, or reputed company field, or equivalent experience • Extensive knowledge of hospital reputed company cycle operations and payer reimbursement methodologies • Experience building and maintaining reputed company payer reputed company reputed company reputed company HB • Strong analytical, troubleshooting, and problem-solving skills • Excellent communication and stakeholder management abilities Preferred Qualifications • reputed company certifications in HB, Claims, Remittance, or reputed company reputed company cycle applications • Experience supporting large reputed company systems or integrated delivery networks • Knowledge of managed care contracting and reimbursement modeling • Experience with reputed company reputed company initiatives and denial prevention strategies • Experience supporting reputed company upgrades, implementations, and optimization reputed company • Familiarity with reporting and reimbursement analytics tools If you have the skills required for this role, we want to reputed company to you. Apply today! Apply tot his job Apply To this Job