Job Description:

Our organization is looking for dynamic individuals who love to learn, thrive on innovation, and are open to exploring new ways to achieve our goals.  If this describes you, we want to speak with you. You can help us achieve our vision to lead nationally in innovating equitable whole-person health.

A successful candidate in the Business Analyst will exhibit proficiency in taking initiative, attention to detail, communication (verbal and written communication), process orientation, data warehouse knowledge, teamwork, and accountability.

Specific Duties

·         Responsible for Intake of Customer Extract File requests.

·         Verify that the requests received have the necessary documentation/approval.

·         Data Entry of the Extract File request into the Request System.

·         Balancing/Verification/creating audit trail of Extract File Requests.

·         Perform UAT on extract platform as required.         

·         Review and resolve customer inquiries.

·         Interact with all internal and external partners across multiple related departments as needed.

·         Document specific customer issues (over/under payments, setup issues, etc.).

·         Escalate setup and billing issues to appropriate levels of management.

·         Coordinate with Senior, Lead, and Supervisor on resolution of invoice errors.

·         Effectively resolve any issue as directed by Senior, Lead, and/or management.

·         Identify, track, report trends, and escalate issues to appropriate levels of management.

·         May perform other duties as required by management.

Knowledge Summary

·         Understanding of Self-Funded Billing, Healthcare industry data, and Data Warehouse.

·         Ability to think critically and resolve problems.

·         Strong attention to detail and the ability to succeed in a high-paced environment.

·         Proficient with Microsoft Excel, Word, PowerPoint, and Outlook.

·         Proficient with SQL.

·         Good written and verbal communication skills.

·         Ability to multi-task and prioritize activities.

Education & Experience

·         Bachelor’s Degree in a Business-related field or equivalent work experience preferred.

·         Minimum 2 - 5 years working within a Billing, Finance, Operations Department, Information Technology

·         Healthcare Industry Data Knowledge and familiarity with Eligibility, Medical Claims, Pharmacy Claims and Lab Results.

           Experience with the Data Warehouse (Dart) and Structured Query Language (SQL) 

 

Hybrid

Independence has implemented a “Hybrid” model which consists of Associates working in the office 3 days a week (Tuesday, Wednesday & Thursday) and remotely 2 days a week (Monday & Friday). This role is designated as a role that fits into the “Hybrid” model. While associates may work remotely on our designated remote days, the work must be performed in the Tri-State Area of Delaware, New Jersey or Pennsylvania.

 

 

Independence Blue Cross is an Equal Opportunity and Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to their age, race, color, religion, sex, national origin, sexual orientation, protected veteran status, or disability.

 

Must have an Android or iOS device which is compatible with the free Microsoft Authenticator app.

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