Business Analyst
Business Analyst
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$ 23 - 41
1 Vacancy
Job Description
Job Description
The Business Analyst (BA) supports the EDI team in the Office of Medicaid Operations. The BA typically performs activities which may include: research for enrollment related issues for Trading Partner agreements Remittance Advice assignment or Billing agent association; research electronic claim submission issues based on phone or email inquiries from providers billing agents and clearinghouses; and perform testing of EDI data from various sources to insure HIPAA compliance; help providers identify claim rejections within the electronic data interchange (EDI) process; assure deadlines are met; and ensure federal and state regulation policy and procedure compliance through audits.
The ideal candidate hired for this position will have experience:- Experience in customer service role via email and phone support
- Effectively communicating and expressing complex issues in meetings where
many different opinions exist. - Moderate to expert skills with Microsoft Office Suite (Word Excel PowerPoint
Access)
- Familiarity with Medicaid or Medicaid programs
- Previous experience analyzing HIPAA EDI data as related to medical claims.
- Understanding complex joins in database querying/simple to intermediate SQL/VBS queries.
Note: as of April 8 2024 DHHS employees will be working a hybrid schedule which includes 2 office days per week and 3 telework days.Why work for the Utah Department of Health and Human Services In addition to the rich benefits the State of Utah offers the department offers:
- On-site fitness center for a minimal membership fee
- UTA Eco Pass at a discounted monthly rate
- Teleworking opportunities with a minimum 2 office days per week beginning 04/2024.
- On-site day care center at the Cannon Health Building with First Steps Day Care - contact for rates and availability or
For more information on the Utah Department of Health and Human Services please click here.
If offered this position your employment will be contingent upon passing a background check and review. There will be no cost to you for this check. This check will include fingerprinting which will be available at various DHHS locations for your convenience. Fingerprinting will be completed prior to your first day of employment. You may review the policy by clicking here.Responsibilities
Phone and email workloads to support Provider Billing agents and
Clearinghouses proper enrollment as related to electronic billing and the ability to
submit claims in correct x12 format per 5010 Transaction type.Support the implementation of HIPAA EDI related projects. Analyze EDI errors to determine correct solutions for various HIPAA rejections. Monitors system performance to ensure proper operation and identify possible
problem areas.Analyzes summaries and/or reviews data; reports findings interprets results
and/or makes recommendations.Identifies problems or potential problem areas and recommends solutions. Enters data into a computer system and retrieves analyzes corrects or deletes
the previously entered data.
Supplemental Information
EffectiveJuly 1 2021 State of Utah Employees must either reside in Utah or be in the process of relocating to Utah within 30 days of their start date.
This position may currently be a hybrid of both in-office and remote work days. Please note a positions eligibility for remote work is established by agency management and is subject to change at their discretion at any time and for any reason.
- Risks found in the typical office setting which is adequately lighted heated and ventilated e.g. safe use of office equipment avoiding trips and falls observing fire regulations etc.
- Typically the employee may sit comfortably to perform the work; however there may be some walking; standing; bending; carrying light items; driving an automobile etc. Special physical demands are not required to perform the work.
Required Experience:
IC
Employment Type
Full-Time
