Case Analyst II
Case Analyst II
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$ 51729 - 110000
1 Vacancy
Job Description
Job Details
Description
Index Analytics LLC is a rapidly growing Baltimorebased small business providing healthrelated consulting services to the federal government. At the center of our company culture is a commitment to instilling a dynamic and employeefriendly place to work. We place a priority on promoting a supportive and collegial team environment and enhancing staffs experience through career development and educational opportunities.
The Federal No Surprises Act created a process called independent dispute resolution (IDR) which health care providers facilities and health plans can use to resolve payment disputes for certain outofnetwork charges. Index Analytics is seeking a Case Analyst II to support the IDR process. The Analyst will work as a member of a multidisciplinary team to review medical and billing documentation and collect information from disputing parties to assist in the resolution of disputes.
Index will provide training on the Federal rule IDR process case types IDR entity (IDRE) responsibilities/role and relevant government systems to access disputerelated materials.
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.
Qualifications
- US citizen or Authorized to Work and lived in the US for 3 of the last 5 years. Must be able to obtain a U.S. Federal government client badge and pass a government Public Trust.
- Associate degree with a minimum of 4 years of experience or Bachelors degree (nursing medical public health or legal degree preferred) with minimum 2 years of experience leading medical billing coding claims review or similar processes in healthcare.
- Knowledge of healthcare payer/provider negotiations
- Proven ability to demonstrate strong analytical skills
- Proven ability to demonstrate meticulous attention to detail
- Proven ability to adhere to highly specific technical guidelines and processes
- Proven ability to work in a fastpaced environment and coordinate within a team
- Ability to understand and maintain federal security and privacy standards
- Experience with Salesforce a plus
- Experience in federal contracting a plus
- Proficiency in Microsoft Office suites including Word Excel and PowerPoint with ability to learn new and complex computer system applications
Attention Candidates
Were dedicated to ensuring a safe and transparent recruitment process for all candidates and have implemented robust measures to protect your personal information. Please be aware that all employmentrelated communications will originate from a secure portal or a corporate email address . If you have any concerns please dont hesitate to reach out to us at .
If you are selected for an interview please be advised that Index Analytics LLC reserves the right to prohibit the use of artificial intelligence (AI) tools including but not limited to AIgenerated responses realtime transcription or automated assistance during the interview process. We value authentic interactions and the opportunity to engage directly with candidates. Any unauthorized use of AI may result in disqualification from consideration.
The salary range provided represents the estimated compensation for new hires in this position applicable across all locations. Actual offers may vary based on factors such as the candidates skills qualifications experience and market conditions. Index complements its base salary offering with a competitive package that includes health and retirement benefits discretionary bonuses and reimbursement for professional development opportunities.
Index Analytics provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race color religion age sex national origin disability status genetics protected veteran status sexual orientation gender identity or expression or any other characteristic protected by federal state or local laws.
This policy applies to all terms and conditions of employment including recruiting hiring placement promotion termination layoff recall transfer leaves of absence compensation and training.
Required Experience:
Senior IC
Employment Type
Unclear
