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Associate Professional Business AnalystInSync Consulting Services • United States
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Associate Professional Business Analyst

InSync Consulting Services
  • US
    United States
  • US
    United States
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About

Job Description
Job Description
Job Title:
Associate Professional Business Analyst Location:
Remote Job Type:
Full-Time / Temp to Perm Pay Range:
$21.50 - $40.00/hour
Job Summary: We are seeking a highly motivated and detail-oriented
Operations Business Analyst
to join our team. This position is responsible for the
daily posting and accounts receivable (AR) reconciliation
of medical payments to claims, based on both paper and electronic Explanation of Benefits (EOBs) from insurance carriers. The analyst will correct errors, modify posting issues, and generate
monthly invoices
based on claims processed during the reporting period. This role requires
strong problem-solving skills
, the ability to
work independently in a remote environment
, and
experience in healthcare claims
. The ideal candidate will be comfortable navigating complex systems and processes and have a deep understanding of
medical and pharmacy claims adjudication
,
Medicaid reclamation
, and healthcare payment cycles.
Key Responsibilities: Post payments to medical and pharmacy claims from paper and electronic EOBs daily. Reconcile AR and correct any discrepancies or posting issues. Identify, analyze, and resolve errors in claim postings and payments. Participates in meetings with client engagement to gather and document requirements and explore potential solutions. Assists in analyzing and documenting client's business requirements and processes following established approach and methodology; communicates these requirements to technical personnel. Plans and designs standard business processes following established approach and methodology; assists in formulating recommendations to improve and support business activities. Develops and modifies systems requirements documentation to meet client needs. Generate and distribute monthly invoices using
PeopleSoft Finance
based on claims posted during the reporting period. Create, run, and deliver
posting and reconciliation reports
; analyze trends and anomalies. Use
FTP protocols
to securely transfer files from various sources. Maintain accurate documentation for audit and compliance purposes. Collaborate with other departments to resolve issues related to claims and payments. Work independently in a remote environment while meeting deadlines and service level agreements (SLAs).
Required Qualifications: Bachelor’s degree in Business, Healthcare Administration, Finance, or a related field; OR 3–5 years of experience in
medical claims posting and reconciliation
. Solid understanding of
medical and pharmacy claims adjudication
and
Medicaid reclamation claims
. Proficiency in
SQL
and ability to extract and analyze data from relational databases. Familiarity with
PeopleSoft Finance
or similar enterprise financial systems. Strong critical thinking and
problem-solving skills
; able to troubleshoot independently. Experience with
FTP protocols
and secure file transfer. Excellent
written and verbal communication skills
. Strong attention to detail and organizational skills.
Preferred Qualifications: Experience working with
healthcare data analytics
or reporting tools. Prior experience in a
remote or hybrid work environment
. Knowledge of healthcare payment cycles and insurance reimbursement processes.
Benefits: Fully remote work environment Competitive salary and benefits package Opportunities for professional development and advancement Supportive and collaborative team culture
  • United States

Languages

  • English
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