Key Facts

Remote From:

Maryland (USA)

Category: Financial Analyst

Full time

English

Hard Skills

Billing Dispute Resolution Data Collection Process Improvement Developing Training Materials

Other Skills

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Team Management
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Analytical Skills
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Detail Oriented

Roles & Responsibilities

Experience in medical record review
Knowledge of billing processes
Familiarity with government and IDRE systems
Ability to work in a multi-disciplinary team

Requirements:

Closely review disputes in the Federal IDR Portal
Perform case file reviews using multiple systems and databases
Coordinate within a team to meet productivity goals
Provide assessments to inform eligibility and other dispute determinations

Index Analytics LLC

About Index Analytics LLC

Index Analytics is an 8(a) certified small business specializing in data strategy, data integration, data visualization and Salesforce CRM solutions. Founded in 2012, Index has been delivering award winning IT solutions and improved our clients’ return on investment (ROI) by providing high-quality enterprise solutions to federal government agencies. We are proud to have successfully supported multiple enterprise-wide information technology (IT)-related deployments on domains such as Business Intelligence (BI); Extract, Transform, and Load (ETL) tools and technologies; Big Data; data strategy; Geographic Information Systems (GIS) technology; user training, coaching and support. Index Analytics’ services can be accessed through the following government contract vehicles: GSA Schedule 70 (SIN for IT Professional Services and Health IT; GSA Professional Services Schedule (formerly MOBIS) and CIO-SP3 (HUBZone); Please visit http://www.index-analytics.com/ for additional information

Company type: SME

Founded: 2018

Company size: 51 - 200

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Job description

Index Analytics is seeking a Technical Analyst II to support the IDR process. The Analyst will work as a member of a multi-disciplinary team to review medical and billing documentation and collect information from disputing parties to assist in the resolution of disputes.

Responsibilities

Closely review disputes in the Federal IDR Portal.
Leverage previous experience in medical record review/billing to perform case file reviews using multiple government and IDRE systems and databases.
Coordinate within a team of Analysts to meet productivity goals for triaging and resolving open disputes.
Based on case review provide an assessment to inform decisions regarding eligibility and other dispute related determinations
Identify gaps in documentation/materials needed for expeditious case resolution.
Develop overall recommendations for enhancements to business processes, workflows, case intake/management.
Research and develop meaningful guidance in the form of training materials, job aids, and operational documents.
Performs data collection from multiple sources to include the web, client databases, and other resources.